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Experience of a NYC hospital with non-occupational post-exposure prophylaxis (nPEP). Antonio Urbina 1 , Georgina Osorio 1 , Daniel Egan 2 , Paul Galatowitsch 3 , Benjamen Riggan 1 ; Zachariah Hennessey 1 ; Victoria Sharp
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Experience of a NYC hospital with non-occupational post-exposure prophylaxis (nPEP) Antonio Urbina1, Georgina Osorio1, Daniel Egan2, Paul Galatowitsch3, Benjamen Riggan1; Zachariah Hennessey1; Victoria Sharp Center for Comprehensive Care, St. Luke’s-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, NY, USA1; St. Luke’s-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, NY, USA2; Health Clear Strategies, New York, NY, USA3 Oral Abstract TUPDC0305 XIX International AIDS Conference Washington, DC, USA July 24, 2012
SLR has provided nPEP in its 2 EDs and 3 outpatient HIV clinics (CCC) Retrospective chart review of adult patients who received nPEP from 12/2009 to 2/2012 Demographics of patients who undertook nPEP and completed follow-up were compared Background/Methods Figure 1. Flow diagram of nPEP protocol Figure 1. Flow diagram of nPEP protocol
Results Table 1. Baseline characteristics of patients • 116/138 (84%) of patients referred to CCC completed 4-week f/u • No significant differences seen for patients who completed nPEP • One patient sero-converted after initiating nPEP 32 hours post exposure
Conclusions • nPEP is a chemo-prophylaxis intervention that can prevent HIV acquisition and transmission and provides additional opportunities for synergistic biological and behavioral interventions. • A multi-disciplinary approach is necessary to coordinate care, follow-up, and supportive counseling leading to successful linkage to care and completion of 28-day nPEP. Funding: This work was supported by grants from the New York City Department of Health and Mental Hygiene and the New York State Department of Health AIDS Institute.