The benefits of PEP are likely to outweigh the risk. PEP should be given unless there is a clear indication not to.

 

When PEP is not offered (or offered and then declined)

  • Ensure emergency contraception and follow up pregnancy testing (if applicable)
  • Explore/administer Hep B immunisation
  • Take bloods for storage HIV, Hep B, Hep C and advice on follow up blood tests starting at 45 days post exposure
  • Refer to Sexual Health for testing for sexually transmitted infections commencing 2 weeks post exposure (see referral form within PEP pack)
  • Promote safe sex/avoidance of blood donation until all results at end of follow up are available and negative
  • Advice to seek medical assistance on the onset of any acute illness during the follow up period including any new rash or flu like illness