Non-Occupational Post-Exposure Prophylaxis for HIV: 10- Year Retrospective Analysis in

Despite treatment guidelines in place since 2005, non-occupational post-exposure HIV prophylaxis (nPEP) remains an underutilized prevention strategy. We conducted a retrospective chart review of patients presenting to a publicly-funded HIV clinic in Seattle, Washington for nPEP between 2000 and 2010 (N = 360). nPEP prescriptions were provided for 324 (90%) patients; 83 % of prescription decisions were appropriate according to Centers for Disease Control and Prevention guidelines, but only 31 % (N = 111/360) of patients were considered ‘‘high risk.’ ’ In order to use limited resources most efficiently, public health agencies should target messaging for this high-cost intervention to individuals with high-risk HIV exposures