Individuals at negligible risk of HIV transmission who request PEP

This response may relate to anxiety and fear about an apparently negligible exposure or to undisclosed more serious risk behaviours.

It is important that the clinician takes a supportive approach and documents all advice given, including if PEP was not recommended and whether it was still prescribed at the patient’s request. Early follow-up and a low threshold for psychological and HIV specialist referral is recommended.

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