{"id":3980,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/hivpreppepse\/"},"modified":"2024-05-27T15:23:20","modified_gmt":"2024-05-27T14:23:20","slug":"hivpreppepse","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/sexualreprohealth\/hiv\/hivpreppepse\/","title":{"rendered":"HIV PrEP and PEPSE"},"content":{"rendered":"\n<p>\u200b<strong>HIV Pre-Exposure Prophylaxis (PrEP)<\/strong><span> is for individuals at ongoing risk of being infected with HIV. <\/span><a rel=\"noreferrer noopener\" href=\"http:\/\/www.prep.scot\/\" target=\"_blank\">www.prep.scot<\/a><span> gives more detail about Scottish services.<\/span><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PrEP-1024x576.png\" alt=\"HiV PrEP\" class=\"wp-image-16958\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PrEP-1024x576.png 1024w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PrEP-300x169.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PrEP-768x432.png 768w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PrEP-1536x864.png 1536w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PrEP-1520x855.png 1520w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PrEP.png 1683w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\"><span class=\"media-credit\">NHS Lothian<\/span> flowchart copyright NHS Lothian<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>HIV Post-Exposure Prophylaxis following Sexual Exposure (PEPSE)<\/strong> is for those individuals generally considered to have a risk of &gt;1 in 1,000. This is mostly applies to MSM, but occasionally to women in high-risk situations.<\/p>\n\n\n\n<p>Please also remember that: <em>Undetectable = Untransmittable (U=U). <\/em>PEPSE is no longer required for exposure to those on treatment with sustained undetectable viral load.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"757\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/HIV-PEPSE-1024x757.png\" alt=\"HIV PEPSE\" class=\"wp-image-17043\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/HIV-PEPSE-1024x757.png 1024w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/HIV-PEPSE-300x222.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/HIV-PEPSE-768x568.png 768w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/HIV-PEPSE.png 1506w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\"><span class=\"media-credit\">NHS Lothian<\/span> flowchart copyright NHS Lothian<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>C.M &amp; S.W 20-11-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PrEP \u2013 people who are at ongoing risk of contracting HIV.<\/li>\n\n\n\n<li>PEPSE \u2013 anyone at high risk of contracting HIV from sexual exposure within 72 hours of the event.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>People who have already tested HIV positive, or not fulfilling the criteria above. Patients being referred by GPs for PrEP through SCI Gateway should have an HIV test done first please.<\/li>\n\n\n\n<li>Those requiring supplies of PrEP or PEPSE for potential occupational exposure (eg medical student electives) \u2013 please refer to the Travel Clinic at the Regional Infectious Diseases Unit, Western General Hospital.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PrEP \u2013 self referral (multiple routes) or SCI Gateway \u2013 see above for details.<\/li>\n\n\n\n<li>PEPSE \u2013 to Chalmers (urgent phonecall) during opening hours Mon-Fri and to A&amp;E outwith those times. RIDU provides telephone advice.<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PrEP-In-Scotland-iBASE-guide-2018.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">PrEP-In-Scotland-iBASE-guide-2018.pdf<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.bashhguidelines.org\/media\/1269\/pep-2021.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">BASHH guidelines on HIV Post-Exposure Prophylaxis<\/a>&nbsp;<\/p>\n\n\n\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;HIV Pre-Exposure Prophylaxis (PrEP) is for individuals at ongoing risk of being infected with HIV. www.prep.scot gives more detail about Scottish services. HIV Post-Exposure Prophylaxis following Sexual Exposure (PEPSE) is for those individuals generally considered to have a risk of &gt;1 in 1,000. This is mostly applies to MSM, but occasionally to women in high-risk<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3979,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[640],"class_list":["post-3980","page","type-page","status-publish","hentry","category-hiv-prep-pepse"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/sexualreprohealth\/hiv\/hiv-prep-pepse\/\" rel=\"tag\">HIV PrEP \uff06PEPSE<\/a>","rttpg_excerpt":"&#8203;HIV Pre-Exposure Prophylaxis (PrEP) is for individuals at ongoing risk of being infected with HIV. www.prep.scot gives more detail about Scottish services. HIV Post-Exposure Prophylaxis following Sexual Exposure (PEPSE) is for those individuals generally considered to have a risk of &gt;1 in 1,000. This is mostly applies to MSM, but occasionally to women in high-risk","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3980","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3980"}],"version-history":[{"count":11,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3980\/revisions"}],"predecessor-version":[{"id":19645,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3980\/revisions\/19645"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3979"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3980"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3980"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}