دورية أكاديمية
Experiences of the National Post-Exposure Prophylaxis Hotline (PEPline): Occupational PEP consultation needs and trends, 2014 to 2022.
| العنوان: | Experiences of the National Post-Exposure Prophylaxis Hotline (PEPline): Occupational PEP consultation needs and trends, 2014 to 2022. |
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| المؤلفون: | Nakayoshi A; Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA., Gruta C; Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA., Lutes ER; Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA., Stupar L; Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA., Goldhammer B; Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA., Bositis C; Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA., Chu C; Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA. Electronic address: Carolyn.Chu@ucsf.edu. |
| المصدر: | American journal of infection control [Am J Infect Control] 2024 Aug; Vol. 52 (8), pp. 865-871. Date of Electronic Publication: 2024 Apr 08. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mosby Country of Publication: United States NLM ID: 8004854 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-3296 (Electronic) Linking ISSN: 01966553 NLM ISO Abbreviation: Am J Infect Control Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: St. Louis, Mosby |
| مواضيع طبية MeSH: | Post-Exposure Prophylaxis*/methods , Post-Exposure Prophylaxis*/statistics & numerical data , Hotlines*/statistics & numerical data , HIV Infections*/prevention & control, Humans ; Retrospective Studies ; Occupational Exposure/prevention & control ; Occupational Exposure/statistics & numerical data ; Health Personnel/statistics & numerical data ; Referral and Consultation/statistics & numerical data ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Male |
| مستخلص: | Background: The National Clinician Consultation Center operates the Post-Exposure Prophylaxis Hotline (PEPline), a federally-funded educational resource providing bloodborne pathogen exposure management teleconsultation to US clinicians. Methods: Sixty-seven thousand one hundred nine occupational post-exposure prophylaxis (PEP) consultations (January 2014 to December 2022) were retrospectively analyzed to describe PEPline utilization and common inquiries addressed by National Clinician Consultation Center consultants. Results: Most calls involved percutaneous incidents (70%); blood was the most common body fluid discussed (60%). Inpatient units were the most common exposure setting (35%) and licensed nursing professionals were the most common category of exposed workers (28%). Of 2,295 calls where workers had already initiated PEP for human immunodeficiency virus (HIV) prevention and time to first dose was known, 9% had initiated HIV PEP within 2 hours of exposure; almost 80% had initiated HIV PEP between 2 and 24 hours; 3% after 24 to 36 hours; 5% after 36 to 72 hours; and 2% after 72 hours. Calls from urgent care providers increased by 10% over time. Overall, more than 90% of callers requested support on risk assessment, including source person testing; other common questions involved PEP side effects and follow-up care. Conclusions: PEPline consultations can help raise awareness about PEP availability and timely initiation, and reduce stigma by addressing common misperceptions about bloodborne pathogen transmission mechanisms and likelihood, particularly regarding HIV. (Copyright © 2024 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.) |
| معلومات مُعتمدة: | U10 HA30039 United States CC CDC HHS |
| فهرسة مساهمة: | Keywords: Bloodborne pathogens; HIV prevention |
| تواريخ الأحداث: | Date Created: 20240410 Date Completed: 20240721 Latest Revision: 20240808 |
| رمز التحديث: | 20240808 |
| DOI: | 10.1016/j.ajic.2024.04.001 |
| PMID: | 38599462 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1527-3296 |
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| DOI: | 10.1016/j.ajic.2024.04.001 |