Guidelines in developing countries

In 2006 the World Health Organization reviewed the guidelines for the use of both occupational and non-occupational PEP in 41 developing countries.1

All but one country had developed PEP guidelines, though 28% had only done so for occupational exposure. Forty-three countries had a national register of PEP use.

Sixty per cent of countries recommended dual- or triple-drug regimens with only 40% recommending only triple ones.

Fifteen per cent did not specify a preferred duration for PEP and 10% did not specify a ‘window’ after exposure in which to prescribe PEP.

At the presentation of this review, it was commented that implementation of guidelines may be difficult. A physician from a ‘remote and rural’ clinic in Cameroon said that although they were fully aware of PEP and the country had guidelines, in many cases access to antiretrovirals had not been possible within 72 hours in cases of occupational exposure.

References

  1. Vitoria M et al. Guidelines for post-exposure prophylaxis for HIV in developing countries. Thirteenth Conference on Retroviruses and Opportunistic Infections, Denver, abstract 904, 2006
This content was checked for accuracy at the time it was written. It may have been superseded by more recent developments. NAM recommends checking whether this is the most current information when making decisions that may affect your health.
Community Consensus Statement on Access to HIV Treatment and its Use for Prevention

Together, we can make it happen

We can end HIV soon if people have equal access to HIV drugs as treatment and as PrEP, and have free choice over whether to take them.

Launched today, the Community Consensus Statement is a basic set of principles aimed at making sure that happens.

The Community Consensus Statement is a joint initiative of AVAC, EATG, MSMGF, GNP+, HIV i-Base, the International HIV/AIDS Alliance, ITPC and NAM/aidsmap
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This content was checked for accuracy at the time it was written. It may have been superseded by more recent developments. NAM recommends checking whether this is the most current information when making decisions that may affect your health.

NAM’s information is intended to support, rather than replace, consultation with a healthcare professional. Talk to your doctor or another member of your healthcare team for advice tailored to your situation.