All women and men aged 18 years and older, presenting to a health facility within 72 hours of being raped should be offered PEP.
It is important to establish the patient’s base-line status before administering PEP. Patients who are known to be HIV positive should be referred to an appropriate health care clinic for long-term management of their HIV infection.
For those whose status is unknown, a HIV test should be required. It is important that this be enforced to prevent the potential for resistant developing should the individual be HIV positive and therefore the virus be exposed to ARVs just for the PEP period. In addition, PEP for such individuals would not be effective in preventing primary infection since they are already infected. Only those who are found to be HIV negative should receive PEP.