SA and Risk of HIV Transmission

A notice has been posted in the exam with this info.  This should help guide you in counseling your patients that may be at high risk for HIV transmission.  It is based on assault facts, injury status and assailant status.   There is additional info in the SANE reference book. 

HIV TRANSMISSION EXPOSURE

Type of Exposure	Estimated Risk
Anal penetration with HIV + source	0.5% (1 in 200) – 3.0% (6 in 200)
Vaginal penetration with HIV + source	0.1% (1 in 1000) – 0.2% (2 in 1000)
Oral penetration with ejaculation from HIV + source	Risk considered to be low, no conclusive data exists

FACTORS THAT INCREASE RISK OF HIV TRANSMISSION

1.      Genital mucosal injury with anal or vaginal penetration

2.      Assault by multiple assailants

3.      Assailant who: is male having sex with men, has STI’s, is an IV drug user, has multiple sex partners, trades sex for drugs and/or money

ADVISE PATIENT TO CONSULT DR LAZENBY IF:

1.      Assault occurred within the past 72 hours.

2.      Patient/or assailant characteristics meets the above risk factors

TO REACH DR LAZENBY:

1.      Between 0700 and midnight,  Page Dr L at ID # 14681

2.      After midnight email her at lazenbgb@musc.edu with patient name, MRN, phone number, date of birth and pharmacy info.  Send same info to Nancy Hall at hallnj@musc.edu

3.      Notify SANE office that pt has been referred to DR Lazenby for HIV nPEP