there is concern about potential HIV exposure, within…
Infection control in the ADC exam tests decision-making around exposure incidents, instrument classification, and decontamination protocols. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.
Dr Ahmed Patel is performing a surgical extraction on Mrs O'Brien (62F). During the procedure, Dr Patel sustains a needlestick injury from a contaminated suture needle. The needle penetrated his glove and pricked his left index finger. A small amount of blood is visible. Mrs O'Brien's medical history is unremarkable and she is unaware of her BBV status. If there is concern about potential HIV exposure, within what timeframe must post-exposure prophylaxis (PEP) be initiated?
- A. Within 24 hours
- B. Within 48 hours
- C. Within 72 hours
- D. Within 7 days
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Show the answer and cited explanation
For an exposure to HIV, post-exposure prophylaxis (PEP) needs to be instituted within 72 hours of the sharps injury. Expert medical advice from an S-100 prescriber or infectious disease specialist is required. HIV PEP should ideally be administered within 24-36 hours after exposure. (ICG p.82)
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