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Offering HIV prophylaxis to people who have been sexually assaulted: 16 months' experience in a sexual assault service.
CMAJ 2000; 162(5):641-5CMAJ

Abstract

The sexual assault service, operated by the Children's & Women's Health Centre of British Columbia in partnership with the Vancouver General Hospital Emergency Department, started offering HIV prophylaxis in November 1996 to patients presenting to the emergency department after a sexual assault. In the first 16 months of the program a total of 258 people were seen by the service, of whom 71 accepted the offer of HIV prophylaxis. Only 29 continued with the drug treatment after receiving the initial 5-day starter pack, and only 8 completed the full 4-week treatment regmen and returned for their final follow-up visit. Patients at highest risk for HIV infection (those who had penetration by an assailant known to be HIV positive or at high risk for HIV infection [men who have sex with men, injection drug users]) were more likely to accept prophylaxis and more likely to complete the treatment than those at lower risk. Compliance and follow-up were the main problems with implementing this service. Service providers found it difficult to give the information about HIV prophylaxis to traumatized patients. After this program evaluation, the service changed its policy to offer HIV prophylaxis only to people at high risk of HIV infection. This targeting of services is expected to make the service providers' jobs easier and to make the program more cost-effective while still protecting sexual assault victims against HIV infection.

Authors+Show Affiliations

Department of Family Practice, University of British Columbia, Vancouver. ewiebe@pop.interchange.ubc.caNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10738449

Citation

Wiebe, E R., et al. "Offering HIV Prophylaxis to People Who Have Been Sexually Assaulted: 16 Months' Experience in a Sexual Assault Service." CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne, vol. 162, no. 5, 2000, pp. 641-5.
Wiebe ER, Comay SE, McGregor M, et al. Offering HIV prophylaxis to people who have been sexually assaulted: 16 months' experience in a sexual assault service. CMAJ. 2000;162(5):641-5.
Wiebe, E. R., Comay, S. E., McGregor, M., & Ducceschi, S. (2000). Offering HIV prophylaxis to people who have been sexually assaulted: 16 months' experience in a sexual assault service. CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne, 162(5), pp. 641-5.
Wiebe ER, et al. Offering HIV Prophylaxis to People Who Have Been Sexually Assaulted: 16 Months' Experience in a Sexual Assault Service. CMAJ. 2000 Mar 7;162(5):641-5. PubMed PMID: 10738449.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Offering HIV prophylaxis to people who have been sexually assaulted: 16 months' experience in a sexual assault service. AU - Wiebe,E R, AU - Comay,S E, AU - McGregor,M, AU - Ducceschi,S, PY - 2000/3/30/pubmed PY - 2000/4/15/medline PY - 2000/3/30/entrez SP - 641 EP - 5 JF - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne JO - CMAJ VL - 162 IS - 5 N2 - The sexual assault service, operated by the Children's & Women's Health Centre of British Columbia in partnership with the Vancouver General Hospital Emergency Department, started offering HIV prophylaxis in November 1996 to patients presenting to the emergency department after a sexual assault. In the first 16 months of the program a total of 258 people were seen by the service, of whom 71 accepted the offer of HIV prophylaxis. Only 29 continued with the drug treatment after receiving the initial 5-day starter pack, and only 8 completed the full 4-week treatment regmen and returned for their final follow-up visit. Patients at highest risk for HIV infection (those who had penetration by an assailant known to be HIV positive or at high risk for HIV infection [men who have sex with men, injection drug users]) were more likely to accept prophylaxis and more likely to complete the treatment than those at lower risk. Compliance and follow-up were the main problems with implementing this service. Service providers found it difficult to give the information about HIV prophylaxis to traumatized patients. After this program evaluation, the service changed its policy to offer HIV prophylaxis only to people at high risk of HIV infection. This targeting of services is expected to make the service providers' jobs easier and to make the program more cost-effective while still protecting sexual assault victims against HIV infection. SN - 0820-3946 UR - https://www.unboundmedicine.com/medline/citation/10738449/Offering_HIV_prophylaxis_to_people_who_have_been_sexually_assaulted:_16_months'_experience_in_a_sexual_assault_service_ L2 - http://www.cmaj.ca/cgi/pmidlookup?view=long&pmid=10738449 DB - PRIME DP - Unbound Medicine ER -