A 32-year-old woman at 6 weeks' gestation presents after a needlestick injury from a known HIV-positive patient with undetectable viral load on antire...

Question

A 32-year-old woman at 6 weeks' gestation presents after a needlestick injury from a known HIV-positive patient with undetectable viral load on antiretroviral therapy. According to Canadian HIV prophylaxis guidance, what is the most appropriate management?

Accepted Answer

Initiate post-exposure prophylaxis as soon as possible after expert consultation

Answer

No prophylaxis is needed because viral load is undetectable

Answer

Delay PEP until first trimester is completed

Answer

Use single-drug zidovudine prophylaxis only

Answer

Terminate the pregnancy to avoid vertical transmission

ca-mccqe1 MCQ (SBA): HIV post-exposure prophylaxis in pregnancy

A 32-year-old woman at 6 weeks' gestation presents after a needlestick injury from a known HIV-positive patient with undetectable viral load on antiretroviral therapy. According to Canadian HIV prophylaxis guidance, what is the most appropriate management?