unknown HIV status prophylaxis ? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-20-2011
kemoo's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 378
Threads: 161
Thanked 103 Times in 52 Posts
Reputation: 117
Virus unknown HIV status prophylaxis ?

guys if patient HIV status was unknown and a medical student got needle stick from him so do we need to give student prophylaxis or not?
Reply With Quote Quick reply to this message



  #2  
Old 06-20-2011
USMLE-Syndrome's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,203
Threads: 180
Thanked 1,254 Times in 441 Posts
Reputation: 1268
Default

no need for prophylaxis according to MTB page 37
Reply With Quote Quick reply to this message
  #3  
Old 06-20-2011
kemoo's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 378
Threads: 161
Thanked 103 Times in 52 Posts
Reputation: 117
Default

i am so sad i am now can not trust any source

yes i use MTB CK and i did mistake also in question from practice material from web site usmle .org

there was similar question and i choose no need to prophylaxis but the correct answer u need

this explanation from kaplan q bank explanation for practice material question number 115 upload pdf file

Answer D. Reverse transcriptase inhibitor therapy: As the status of the patient for HBV, HCV, and HIV, is unknown, the student should begin receiving antiretroviral medication until the patientís status can be identified. To be effective, such therapy should start within an hour and no longer than 72 hours after the exposure.
A. Administration of tetanus immune globulin: This would be indicated if the student had not had a tetanus booster and had received an environmental wound. In most hospitals, however, all workers are required to be up to date on their immunizations.
B. Intravenous immune globulin therapy: This therapy may be indicated when the patient is known to be positive. Hepatitis B immune globulin (HBIG) is indicated if the patient is known to be HBV positive. This medical studentís previous HBV vaccination should help protect him/her should testing of the patient return positive.
C. Pegylated interferon alfa and ribavirin therapy: This therapy is used to treat chronic HCV infections.
E. No pharmacotherapy is indicated at this time: If the status of the patient were known, no further treatment would be required other than cleaning the injury site and watching for signs of infection.
Attached Files
File Type: pdf kaplan explanation.pdf (673.5 KB)
Reply With Quote Quick reply to this message
 
  #4  
Old 06-20-2011
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 88
Threads: 12
Thanked 177 Times in 49 Posts
Reputation: 187
Default

@kemoo,

it depends on which other information is provided in the question stem.
PEP is generally not recommended for sources with unknown status due to risks associated with anti-retroviral toxicity,

BUT, if exposure is severe, or the source patient has high risk factors for HIV, then on a case by case basis, PEP can be initiated until, source patient is tested, and if negative, PEP should be discontinued.

If the question is blank, with no reference to risk factors or severity of exposure, then PEP is NOT recommended.

sources:
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5011a1.htm http://www.cdc.gov/mmwr/preview/mmwr...011a1.htm#tab4

Last edited by tunde michael; 06-20-2011 at 01:43 PM.
Reply With Quote Quick reply to this message
The above post was thanked by:
kemoo (06-20-2011)



Reply

Tags
Infectious-Diseases, Preventive-Medicine-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
CS Encounter closure when the diagnosis in unknown! OTAV USMLE Step 2 CS Communication Skills 3 04-18-2014 08:06 PM
do we need prophylaxis for bacterial meningitis ? kemoo USMLE Step 2 CK Forum 6 06-20-2011 09:11 AM
Needle Stick Injury with unknown HIV status! docoftheworld USMLE Step 2 CK Forum 2 05-29-2011 06:43 AM
Infective Endocarditis Prophylaxis annashah USMLE Step 2 CK Forum 1 12-07-2010 12:00 PM
Ingestion of unknown substance MLE-Love USMLE Step 1 Forum 2 03-13-2010 06:41 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)