Our apologies to those who tried to access SASHA while it was down. The technical difficulties have now been resolved.
Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine, August 2016
The Second edition of the Post-Exposure Prophylaxis after Non-Occupational and Occupational Exposure to HIV: Australian National Guidelines is now available.
These guidelines outline the management of individuals who have been exposed (or suspect they have been exposed) to HIV in non-occupational and occupational settings.
There are currently no data from randomised controlled trials of the use of post-exposure prophylaxis (PEP) and evidence for use has been extrapolated from animal data, mother to child transmission, occupational exposure and small prospective studies of PEP regimens in HIV-negative men. Accordingly, assumptions are made about the direction of management.
Every presentation for PEP should be assessed on a case-by-case basis, balancing the potential harms and benefits of treatment.
Recommendations following non-occupational exposure have been updated, and information about PEP in the context of pre-exposure prophylaxis (PrEP), PEP and children, renal disease, and gender identity and history has been added.
- Download the revised guidelines (PDF) here
Updates to the supplementary documents, as well as a navigable website for the guidelines, will soon be available. At present, the 2013 literature review and checklist are still available, linked below:
PEP Checklist (2013)
Literature Review (2013)