Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

HIV postexposure prophylaxis practices by US ED practitioners.

Roland C Merchant1, Reza Keshavarz

  • 1Department of Emergency Medicine, Mount Sinai School of Medicine, New York, NY, USA. merchant@lifespan.org

The American Journal of Emergency Medicine
|August 5, 2003
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Multidimensional resiliency factors and psychopathology after acute trauma: Results from a prospective cohort study.

Psychological trauma : theory, research, practice and policy·2026
Same author

Pharmacokinetics of xylazine and fentanyl in patients presenting to the emergency department after non-fatal opioid overdose.

Drug and alcohol dependence·2026
Same author

Smartphone Keystroke Biomarkers as Predictors of Adverse Neuropsychiatric Sequelae After Trauma in Trauma Survivors: Prospective Observational Cohort Study.

Journal of medical Internet research·2026
Same author

Peritraumatic C-reactive protein levels predict pain outcomes following traumatic stress exposure in a sex-dependent manner.

The journal of pain·2026
Same author

Associations between residential segregation, ambient air pollution, and hippocampal features in recent trauma survivors.

Translational psychiatry·2026
Same author

Inflammatory markers in the emergency department and PTSD symptoms in the AURORA Study: A longitudinal cohort study.

Psychological medicine·2026
Same journal

Diagnostic accuracy of emergency department triage systems for predicting clinical severity: A systematic review and meta-analysis of five-level triage scales.

The American journal of emergency medicine·2026
Same journal

Methanol toxicity from inhalational abuse of a methyl acetate-containing nail polish remover.

The American journal of emergency medicine·2026
Same journal

Regarding strategies, feasibility of implementations and results of HIV screening in emergency departments.

The American journal of emergency medicine·2026
Same journal

Rocuronium dosing for rapid sequence intubation: A retrospective analysis in ED and ICU settings.

The American journal of emergency medicine·2026
Same journal

Clinical features of adults with undiagnosed acute leukemia in the emergency department: A descriptive study.

The American journal of emergency medicine·2026
Same journal

Occult intraperitoneal gynecological hemorrhage: An under-evaluated source of hemoperitoneum after blunt trauma.

The American journal of emergency medicine·2026
See all related articles

Most US emergency department (ED) practitioners have prescribed HIV post-exposure prophylaxis (PEP), particularly for healthcare workers. Willingness to prescribe HIV PEP varies by exposure type and practitioner characteristics, indicating a need for further education.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Emergency Medicine

Background:

  • HIV post-exposure prophylaxis (PEP) is crucial for preventing HIV transmission after potential exposure.
  • Understanding emergency department (ED) practitioners' prescribing patterns and willingness to offer HIV PEP is vital for public health.
  • Previous research has not fully elucidated the extent of HIV PEP utilization and influencing factors among ED practitioners.

Purpose of the Study:

  • To assess the frequency of HIV post-exposure prophylaxis (PEP) prescription by US emergency department (ED) practitioners.
  • To determine ED practitioners' willingness to offer HIV PEP in various clinical scenarios.
  • To identify factors associated with prescribing and offering HIV PEP.

Main Methods:

  • A survey was administered to 600 ED practitioners attending a national conference.

Related Experiment Videos

  • The survey collected self-reported data on past HIV PEP prescription, personal HIV PEP use, and willingness to prescribe in different exposure situations.
  • Data analysis focused on prescription rates, willingness based on source risk and exposure type, and demographic/professional correlates.

    • Main Results:

    • Sixty-eight percent of surveyed ED practitioners reported having prescribed HIV PEP previously.
    • HIV PEP was most commonly prescribed for needlestick-injured healthcare workers (92%), followed by sexual assault survivors (48%) and non-healthcare needlestick injuries (49%).
    • Willingness to prescribe HIV PEP was higher for exposures to known HIV-infected or high-risk sources, and after sexual assault compared to consensual sex. Factors like female gender, prior personal HIV PEP use, resident status, and <6 years of practice were associated with increased willingness.

    Conclusions:

    • A majority of US ED practitioners have experience prescribing HIV PEP, primarily for occupational exposures.
    • Prescribing decisions and willingness to offer HIV PEP are influenced by the perceived risk of exposure and patient characteristics.
    • Targeted educational initiatives are needed to optimize ED practitioners' judgment regarding appropriate HIV PEP indications.