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Préférences

fermer ce livreGuidelines to Antiretroviral Drug Therapy in Kenya (WHO; 2001; 78 pages)
Afficher le documentFOREWORD
Afficher le documentACKNOWLEDGMENT
ouvrir ce répertoire et afficher son contenuCHAPTER ONE: INITIATING ANTIRETROVIRAL THERAPY
ouvrir ce répertoire et afficher son contenuCHAPTER TWO: MONITORING AND CHANGING THERAPY
ouvrir ce répertoire et afficher son contenuCHAPTER THREE: PHARMACOTHERAPEUTICS OF ARVS
ouvrir ce répertoire et afficher son contenuCHAPTER FOUR: GUIDELINES FOR THE USE OF ANTIRETROVIRAL DRUGS IN PAEDIATRIC HIV INFECTION
ouvrir ce répertoire et afficher son contenuCHAPTER FIVE: MANAGEMENT OF HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTED PREGNANT WOMEN AND PREVENTION OF MOTHER TO CHILD TRANSMISSION (MTCT) OF HIV
ouvrir ce répertoire et afficher son contenuCHAPTER SIX: SPECIAL CONSIDERATIONS
ouvrir ce répertoire et afficher son contenuCHAPTER SEVEN: WHEN TO STOP TREATMENT (INTERRUPTIONS)
fermer ce répertoireCHAPTER EIGHT: GUIDELINES FOR POST EXPOSURE PROPHYLAXIS
Afficher le document8.1 Treatment of exposure sites
Afficher le document8.2 Timing of post - HIV exposure prophylaxis initiation
Afficher le document8.3 Assessment of exposure risk
Afficher le document8.4 Post - HIV exposure prophylaxis
Afficher le document8.5 Recommended HIV serology after exposure
Afficher le document8.6 Management of health care workers with accidental exposure to HIV infection
Afficher le document8.7 Management of hospital staff with sharp injury or exposure to blood and body fluids
Afficher le document8.8 Management of non occupational exposure to HIV infection
Afficher le document8.9 Management of non-sexual and non occupational Exposures to HIV
Afficher le documentCHAPTER NINE: ACCESS TO DRUGS IN KENYA
ouvrir ce répertoire et afficher son contenuAPPENDICES
Afficher le documentBACK COVER
 

8.9 Management of non-sexual and non occupational Exposures to HIV

Recording of the victims identification data, nature of the exposure, place and time the exposure took place, the identity of the informant and the time the victim presented for medical care.

If the exposure is of the injecting-drug use type, the medical officer should determine the number of persons sharing the injection device and the length of time the victim has been on the method. (The risk of HIV transmission per episode of IV needle exposure is estimated at 0.67%).

Pre-test counselling the victim and obtaining of informed consent for HIV testing. Blood- samples or other diseases which could be transmitted through the same exposure (such as syphilis, Hepatitis B, Hepatitis C) should be taken along side that for HIV). There is hardly any benefit in recommending antiretroviral chemophylaxis for those who expose themselves to HIV through injecting-drug use unless they are willing to be rehabilitated through counselling and psychiatric care aimed at weaning them from their dangerous habit.

Those who get exposed to HIV through RTAs and other mass accidents where multiple exposure to blood and body fluids of other victims of the same accident can not be ruled out, should be recommended for Antiretroviral chemoprophylaxis. The chemoprophylaxis should be taken for a period of 28 days. The computed risk of HIV transmission (computed for available data on the local HIV prevalence multiplied by the number of RTA victims assisted) should also be disclosed to the patient.

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