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HIV Postexposure Prophylaxis (PEP) in a Nigerian Tertiary Health Institution
Cajetan C Onyedum1, Chinwe Chukwuka, Chukwuemeka A Iyoke
1Department of Medicine, UNTH, Enugu, Nigeria, cajetan.onyedum@unn.edu.ng.
Background:
Use of PEP drugs is useful in preventing seroconversion following accidental occupational or nonoccupational exposures, thereby limiting further spread of HIV.
Objective:
This study aims to evaluate the clinicodemographic characteristics of patients accessing PEP services in a tertiary health institution.
Study Design:
This was a retrospective review of patients who obtained postexposure prophylaxis from the HIV clinic of a University Teaching Hospital in Nigeria.
Results:
A total of 116 clients sought for PEP services during the study period. The commonest setting of exposure was needle injury (44.8%). Half of the clients presented within 24 hours following exposure. Being a male and knowing HIV status of source patient independently increased the likelihood of early presentation following exposure (P < .05). None of the patients that obtained the PEP drugs came for follow-up visits. Conclusion/Recommendation: Late presentation for PEP services following exposure means that more awareness needs to be created to facilitate early presentation.
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