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Late presentation after needlestick — DOccMed MCQ

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ModerateInfection ControlLate presentation after needlestickDOccMed

A healthcare worker presents 10 days after a significant needlestick injury. She did not attend for initial assessment or PEP. She is now anxious about possible HIV transmission. What is the most appropriate management?

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Correct answer: C — PEP is no longer recommended as it is most effective within 72 hours, but baseline and follow-up HIV testing should be arranged with appropriate counselling and support

PEP is not recommended beyond 72 hours post-exposure. However, the healthcare worker should still have baseline HIV testing (to exclude pre-existing infection) and follow-up testing at appropriate intervals. Psychological support should be offered.

Reference: BASHH/BHIVA PEP Guidelines; PHE Guidance