A 19-year-old man presents 12 hours after a needlestick injury from a discarded needle in a park. His hepatitis B immunisation status is unknown; HIV ...

Question

A 19-year-old man presents 12 hours after a needlestick injury from a discarded needle in a park. His hepatitis B immunisation status is unknown; HIV status of source is unknown. According to Canadian recommendations, which is the most appropriate immediate intervention regarding HIV prophylaxis?

Accepted Answer

Start HIV post-exposure prophylaxis as soon as possible within 72 hours

Answer

No HIV prophylaxis as the risk is negligible

Answer

Wait for baseline HIV serology before deciding on prophylaxis

Answer

Offer prophylaxis only if the source tests positive

Answer

Delay any action until occupational health review next week

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

A 19-year-old man presents 12 hours after a needlestick injury from a discarded needle in a park. His hepatitis B immunisation status is unknown; HIV status of source is unknown. According to Canadian recommendations, which is the most appropriate immediate intervention regarding HIV prophylaxis?