In France non-occupational post-exposure prophylaxis (nPEP) is recommended in case of sexual assault and can be prescribed, after risk evaluation, in emergency or AIDS care units.
Methods
A survey was carried out on retrospective data of individuals being consulted for nPEP in southeastern France.
Results
Of the 915 consultations for sexual exposures, 94 were sexual assaults concerning adults. Most were prescribed nPEP (91.5%), but half were lost to follow-up.
Conclusions
During the study period throughout the same region, 623 survivors reported sexual assault to the police. The comparison of these figures shows that the number of victims who have no access to medical consultation for nPEP may be alarmingly high and strongly suggests the urgency to develop strategies for guaranteeing prompt HIV medical assessment for victims of sexual assault and assure adherence to medical follow-up.
References
1.
ReyD., BendianeM.K., MoattiJ.P., WellingsK., DanzigerR., MacDowallW.; European Study Group on HIV Testing Policies, and Practices in Europe. Post-exposure prophylaxis after occupational and non-occupational exposures to HIV: an overview of the policies implemented in 27 European countries.AIDS Care2000; 12: 695–701.
2.
JaspardM., Enveff study group ‘Nommer et compter les violences envers les femmes: Une première enquête nationale en France’ [in French]Bulletin Mensuel d'Information de l'Institut National d'Etudes Démographiques364 January 2001.
3.
Department of the Interior.Crime and Delinquency in France in 2001 [in French]. Ed.La Documentation Française, 2002, Tome II, 384 pp.
4.
Department of the Interior.Crime and Delinquency in France in 2002 [in French]. Ed.La Documentation Française, 2003, Tome II, 380pp.
5.
ReyD., MarimoutouC., BouhnikA.D., Dray-SpiraR., LertF., ObadiaY.Knowledge of HIV postexposure prophylaxis in a population of HIV-positive outpatients: results of a French National Survey.J Acquir Immune Defic Syndr2004; 35: 393–400.
6.
SmithD.K., GrohskopfL.A., BlackR.J.Antiretroviral postexposure prophylaxis after sexual. injection-drug use. or other nonoccupational exposure to HIV in the United States: recommendations from the U.S. Department of Health and Human Services.MMWR Recommendation Report2005Jan 21; 54(RR-2): 1–20.
