Stevens L, Brown M A
New York State Department of Health AIDS Institute, HIV Clinical Education Initiative, Upstate Medical University, 2419UH, 750 E. Adams Street, Syracuse, NY 13210, USA.
Nurse Pract Forum. 2001 Dec;12(4):192-8.
Recent advances in the treatment of human immunodeficiency virus (HIV) disease have prompted health care providers to reexamine recommendations for prophylaxis of HIV infection. Parallels with occupational exposure through mucous membrane tissues spur consideration of HIV prophylaxis after sexual assault for several reasons. In both instances, exposure occurs at a single point in time and is unlikely to recur. Although the Centers for Disease Control and Prevention does not make definitive recommendations regarding postexposure prophylaxis after sexual assault, the reality is that as clinicians, we face situations in which we must consider treatment for prevention of HIV disease after sexual assault. Guidelines for treatment and how to create and implement a policy to ensure the best outcomes, and provide a high quality of patient care with the New York State guidelines as a model, are discussed.
人类免疫缺陷病毒（HIV）疾病治疗方面的最新进展促使医疗保健提供者重新审视HIV感染预防的建议。由于通过黏膜组织发生职业暴露的情况与之类似，基于多个原因，人们开始考虑对性侵犯后的HIV进行预防。在这两种情况下，暴露都发生在单一时间点，且不太可能再次发生。尽管疾病控制与预防中心并未就性侵犯后的暴露后预防给出明确建议，但实际情况是，作为临床医生，我们会遇到必须考虑在性侵犯后进行治疗以预防HIV疾病的情况。本文将讨论治疗指南，以及如何以纽约州指南为范例制定和实施一项政策，以确保获得最佳结果，并提供高质量的患者护理。
