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  • 1.  Two scenarios

    Posted 07-28-2023 15:44

    Pl guide on these :
    1.  A person is taking TLD  for  the PEP ( Post Occupational Exposure)   against say  needle stick injury / or any unprotected sexual exposure ,now   this  person gets another exposure  from a confirmed case of HIV during the PEP period of taking ART , then how should one manage this case ?
    2. . Any interaction of Anti Rabies vaccine with ART ?
    Thanks 

    Dr Matin A Khan, AAHIVS


  • 2.  RE: Two scenarios

    Posted 07-29-2023 15:39

    If additional high risk exposure while adherent with PEP regimen nothing additional would need to be done. They are effectively on PrEP for that exposure. Should strongly recommend transition to PrEP following completion of PEP regimen. 



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    Joseph McGowan
    North Shore University Hospital
    New York NY
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  • 3.  RE: Two scenarios

    Posted 07-30-2023 12:50
    Thank you Joseph .. and what about Rabies vaccine interactions with ART ( if any)





  • 4.  RE: Two scenarios

    Posted 07-30-2023 13:19

    There is no interaction between rabies vaccine and ARV. Only contraindication would be to avoid with immunosuppressive drugs, steroids, etc, which may impact its effectiveness.



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    Joseph McGowan
    North Shore University Hospital
    New York NY
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