HIV/AIDS and Emergency Medicine related links.I thought I’d post a few quick
- HIV, Early Recognition, and Rapid Testing from EMedicine.
- The Emergency Medicine Clinics of North America has a great review article from 2008: HIV Infection and Complications in Emergency Medicine.
- Needle-stick Guidelines from EMedicine
- Many people don’t know this, but there is an algorithm for treating people with “non-occupational” (usually sexual) recent exposures to HIV, and post-exposure regimens from this great CDC paper. If it’s less than 72 hours and a significant exposure, treat! You could prevent HIV infection in someone. (According to one study I’m just quickly skimming where they followed 700+ people after exposure treated for 1 month, 1% became HIV+ at 12 weeks (no placebo control).
- It appears as if the rise in HIV infections is slowing in the world. USA HIV/AIDS stats. If you want some shocking, scary statistics, look no further than the US City/State HIV/AIDS data. I thought we had it bad in New York — call me ignorant, but I never knew how terribly the South is effected: the highest rates of AIDS diagnoses are in Miami, New Orleans, and Baton Rouge? And that Washington DC has a percentage of AIDS patients 5 times larger than #2 on the list (New York)? (And the Virgin Islands actually has a higher percentage than New York.)
- Update: My fantastic attending just pointed me to a great, free educational tool to learn about post-exposure prophylaxis of all varieties: The CEI Widget, from the Clinical Education Initiative from New York State walks you through everything. (Thanks,