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HIV occupational exposure — ABEM Board MCQ

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EasyInfectious disease emergenciesHIV occupational exposureABEM Board

A nurse arrives after a hollow-bore needlestick from a patient known to have HIV with detectable viral load. Triage acuity is ESI 4; BP 122/70 mm Hg, HR 78/min. The injury occurred 45 minutes ago. The nurse has no contraindications to antiretroviral therapy. Which of the following is the most appropriate next step in management?

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Correct answer: C — Start HIV post-exposure prophylaxis promptly

High-risk occupational HIV exposure should receive prompt post-exposure prophylaxis, ideally as soon as possible.

Reference: CDC occupational HIV post-exposure prophylaxis guidance