Department of HIV/AIDS, World Health Organization, Geneva, Switzerland.
Fenway Health, The Fenway Institute Department of Medicine, Beth Israel Deaconess Medical Centre and Harvard Medical School, Boston, Massachusetts.
Clin Infect Dis. 2015 Jun 1;60 Suppl 3:S161-4. doi: 10.1093/cid/civ068.
The 2014 World Health Organization (WHO) guidelines for postexposure prophylaxis (PEP) developed recommendations for PEP irrespective of exposure source in recognition of the need to simplify eligibility assessment and prescribing practices. Traditionally, separate PEP guidelines have been developed according to exposure type, with difference guidelines for occupational exposure, nonoccupational exposure, and sexual assault. Recognizing the need to improve uptake and completion rates for PEP, the WHO 2014 guideline does not differentiate between exposure sources, but rather provides recommendations across all exposures. Recommendations for simplifying prescribing approaches and supporting adherence are also provided. In translating this guidance into national PEP guidelines, countries are encouraged to consider the need to provide PEP in a way that maximizes uptake and completion rates.
2014 年世界卫生组织(世卫组织)的接触后预防(PEP)指南制定了 PEP 推荐意见,无论接触源如何,均不考虑接触源,以认识到需要简化资格评估和处方实践。传统上,根据接触类型制定了单独的 PEP 指南,针对职业接触、非职业接触和性侵犯有不同的指南。为了提高 PEP 的使用率和完成率,世卫组织 2014 年的指南不区分接触源,而是为所有接触提供建议。还提供了简化处方方法和支持坚持治疗的建议。在将这一指导意见转化为国家 PEP 指南时,鼓励各国考虑以最大限度地提高使用率和完成率的方式提供 PEP。