hasan82
Topics: 10
Posts: 31
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A medical resident is accidentally splattered with blood on his arms while performing cardiac resuscitation. The source patient, who is HIV-infected but is seronegative for hepatitis B and C, has been hospitalized with pneumocystis pneumonia. The resident immediately washes his arms with soap and water. On examination of his arms, there are no abrasions or skin lesions. Which of the following is the most appropriate medical management option for the resident?
1..Initiate postexposure prophylaxis (PEP) immediately with 2 antiretroviral drugs
2..Initiate PEP immediately with 3 antiretroviral drugs in which 2 NRTI + 1 PI for 1month
3..Monitor closely for any clinical features of acute retroviral syndrome
4..No further work-up or treatment
5..Perform baseline and follow-up serologic testing for HIV seroconversion
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| Ancylostoma
Forum Guru
Topics: 42
Posts: 642
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This is a tough one. I believe because there is no abrasions and there hasnt been a needle stick, you dont do anthing else. But this is a tought one, it plays on our own insecurities about aids. so answer 4
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