A Meta-Analysis of HIV Postexposure Prophylaxis Among Sexually Assaulted Patients in the United States.
J Assoc Nurses AIDS Care, 2018/1-2018/2;29(1):60-69.
PMID: 29174349DOI: 10.1016/j.jana.2017.10.004
Impact factor: 1.809
Abstract
Sexual assault (SA) is a major public health problem that leaves patients at risk for HIV. The gold standard of medical treatment for SA patients includes prophylactic treatment to prevent HIV. A meta-analysis was conducted and examined the rates of nonoccupational postexposure prophylaxis (n-PEP) offered to, accepted, and completed by SA patients who presented to emergency departments in the United States. Four points of data were analyzed: (a) SA patients who met the criteria and were offered n-PEP, (b) SA patients who were offered n-PEP and accepted the medication, (c) SA patients who accepted n-PEP treatment and completed at least one follow-up appointment, and (d) SA patients who completed the entire course of n-PEP. Results of the meta-analysis indicated that approximately half of the patients who were offered n-PEP accepted the medication. However, only 25.7% of SA patients who accepted n-PEP completed the full course.
Keywords: HIV prevention; emergency department; n-PEP; postexposure prophylaxis; sexual assault; sexual violence
MeSH terms
Anti-HIV Agents; Emergency Service, Hospital; Female; HIV Infections; Humans; Male; Post-Exposure Prophylaxis; Sex Offenses; Time; Violence
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