Question

A 29-year-old junior doctor sustains a needlestick injury from a needle used on a patient with unknown HIV status. The injury is deep and there was visible blood on the needle. The source patient is at high risk of HIV. What is the most appropriate immediate step regarding HIV prophylaxis?

Accepted Answer

Start HIV post-exposure prophylaxis (PEP) as soon as possible and arrange urgent occupational health follow-up

Answer

Reassure that no action is needed

Answer

Arrange HIV testing in 3 months without prophylaxis

Answer

Wait for the source patient’s HIV test before doing anything

Answer

Start lifelong antiretroviral therapy immediately

Practice question

A 29-year-old junior doctor sustains a needlestick injury from a needle used on a patient with unknown HIV status. The injury is deep and there was visible blood on the needle. The source patient is at high risk of HIV. What is the most appropriate immediate step regarding HIV prophylaxis?