HIV Follow-up Protocol

In all cases of exposure:

  • source should have HIV serology (antibodies to HIV) done ASAP (rapid HIV test where available)
  • recipient should have baseline HIV serology done ASAP
SOURCE RECIPIENT

If source test is negative for HIV antibodies and there are no risk factors for acute HIV identified

Consider HIV serology in 6 months

If source test is negative for HIV antibodies BUT acute HIV seroconversion illness (“window period”) is strongly suspected

HIV serology at baseline, 1, 3, and 6 months

URGENT SPECIALIST CONSULTATION regarding consideration for HIV post-exposure prophylaxis (PEP)

If source HIV status unknown and low risk

Repeat HIV serology in 1, 3, and 6 months

Generally, no HIV PEP warranted

If source HIV status unknown and high risk

Repeat HIV serology in 1, 3, and 6 months

URGENT SPECIALIST CONSULTATION regarding consideration for HIV PEP with significant exposures

If source HIV positive

Repeat HIV serology in 1, 3, and 6 months

URGENT SPECIALIST CONSULTATION regarding HIV PEP