In an audit of HIV post-exposure prophylaxis (PEP) programmes in Blantyre, Malawi, and Liverpool, UK, a striking common deficiency was poor attendance of follow-up visits and of HIV testing to determine efficacy of PEP. Causes of poor follow-up after PEP need to be explored in both settings.
World Health Organization. Post-exposure Prophylaxis to Prevent HIV Infection. Joint WHO/ILO guidelines 2007. See http://www.who.int/hiv/pub/guidelines/PEP/en/index.html (last accessed 7 June 2011)
2.
FisherMF, BennP, EvansB, UK guideline for the use of post-exposure prophylaxis for HIV following sexual exposure. Int J STD AIDS2006;17:81–92
3.
van OosterhoutJJG, NyirendaM, BeadsworthMBJ, Challenges in HIV post-exposure prophylaxis for occupational injuries in a large teaching hospital in Malawi. Trop Doctor2007;37:4–6
4.
SiikaAM, NyandikoWM, MwangiA, The structure and outcomes of a HIV postexposure prophylaxis program in a high HIV prevalence setup in western Kenya. J Acquir Immune Defic Syndr2009;51:47–53
5.
Malawi Ministry of Health. Treatment of AIDS, Malawi ART Guidelines. 3rd edn. See http://www.hivunitmohmw.org/Main/AntiretroviralTherapy (last accessed 7 June 2011)
6.
NyirendaM, BeadsworthMBJ, StephanyP, Prevalence of infection with hepatitis B and C virus and coinfection with HIV in medical inpatients in Malawi. J Infect2008;57:72–77
7.
van der MaatenGC, NyirendaN, BeadsworthMJ, Post exposure prophylaxis of HIV transmission after occupational injuries in Queen Elizabeth Central Hospital, Blantyre, Malawi, 2003–2008. Malawi Med J2010;22:15–19
8.
DayS, MearsA, BondK, KulasegaramR. Post-exposure HIV prophylaxis following sexual exposure: a retrospective audit against recent draft BASHH guidance. Sex Transm Infect2006;82:236–37
9.
WhiteheadT, FernandoI. A review of HIV postexposure prophylaxis provision at a genitourinary medicine department. Int J STD AIDS2010;21:837–39
