Nonoccupational postexposure prophylaxis following sexual assault in industrialized low-HIV-prevalence countries: A review

  title={Nonoccupational postexposure prophylaxis following sexual assault in industrialized low-HIV-prevalence countries: A review},
  author={Jessica E. Draughon and Daniel J Sheridan},
  journal={Psychology, Health \& Medicine},
  pages={235 - 254}
Although available for over a decade, use of nonoccupational postexposure prophylaxis (nPEP) remains controversial in the United States. There are concerns over sexual assault survivors' adherence, or lack thereof, leading to increased costs without an appreciable decrease in human immunodeficiency virus (HIV) transmission. This review examines and synthesizes the available literature from the past 10 years to determine the true rates of provision and adherence to nPEP regimens in sexual… 

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Use of human immunodeficiency virus postexposure prophylaxis in adolescent sexual assault victims.

Low rates of PEP completion among adolescent sexual assault survivors are observed and potential difficulties of using PEP in this population include uncertainties regarding exposure, high rates of psychiatric comorbidity, and low rates of return for follow-up care.

The uptake of HIV post-exposure prophylaxis within a sexual assault setting in Sydney, Australia

In this study, HIV PEP, when prescribed, was in accord with existing guidelines and future studies should aim to better document HIV seroconversions in victims of sexual assault and HIV seroprevalence in assailants.

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The findings highlight the importance of the health care provider's role in counseling sexually assaulted female adolescents about HIV PEP use and suggest that at-risk adolescents not enrolled in school and those from culturally diverse backgrounds may require additional supports.

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The results suggest that NYS nPEP guidelines are not widely implemented, and raise several important public health policy issues, including access to medication and follow-up care, as two major factors contributing to this problem.

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HIV post-exposure prophylaxis in children and adolescents presenting for reported sexual assault.