HIV post exposure prophylaxis (PEP) and follow up

Health Care Workers:

• HCWs should only attend the ED where HIV prescription is indicated after risk assessment using the NHS Tayside protocol ‘Occupational injury –needlestick’, available on Staffnet.
• HCWs should present to the ED with completed risk assessment documentation.
• Any HCW attending without such documentation should not be registered and should be asked to return to their ward area to have this completed.

Non-health Care Workers:

Seen as a normal ED patient and managed in accord with the NHS Tayside protocol: ‘Guidance for management of exposure events where there is a risk of transmission of blood borne viruses (HIV, hepatitis B and hepatitis C) in the community’ available on Staffnet. 

The final decision regarding PEP prescription lies with the senior doctor in the ED.

Patients risk assessed as requiring HIV PEP should have the referral form from the above protocols completed, documented on the back of the ED card, and sent via email by ED reception to the appropriate service.

HIV PEP follow-up forsexual exposure with Tayside Sexual Health Service: Tay.TSRH@nhs.scot

HIV PEP follow-up for non-sexual exposurewith Infectious Diseases Team:Tay.id@nhs.scot 

• Subject:-“Request for follow-up PEP”Email: 
• Body of email:“Please arrange follow-up for the following patient who was seen in the ED on XX date”“Name, CHI, Address, Contact telephone number(s)” “If you have an enquiry about this referral please contact the Emergency Department -NW ext: 33904, PRI ext: 13841"