University of South Alabama
Pat Capps Covey College of Allied Health Professions (CAHP)

Post-exposure Prophylaxis (PEP) Program for 2013-2014
(Interim guidance effective 08-09-13)

According to the World Health Organization (WHO), PEP is short-term antiretroviral treatment to reduce the likelihood of HIV infection after potential exposure.

Post-exposure Procedure:


1.     Immediately wash needle stick injuries, cuts, or splashed area with copious amounts of soap and water (first aid). Eyes should be rinsed with water/saline.

2.     Report any potential exposure to your training supervisor immediately after administering yourself first aid.

3.     PEP program enrollment is voluntary. However, you are strongly encouraged to take PEP for an exposure to blood or body fluids from a known HIV infected person as soon as it is offered.

4.     Baseline student/employee laboratory work should include a complete blood count (CBC), renal and hepatic function tests, pregnancy test (if appropriate), Hepatitis B surface antibody (IgG)
        Hepatitis B core antibody (total), Hepatitis C antibody (total), and standard HIV by ELISA.

5.     Report incident and action taken to your academic department as soon as possible.

6.     Medical questions, or concerns (e.g. treatment delay) not fully addressed by training site personnel can be discussed directly with on-call Infectious Disease (ID) physician specialist at USA by
        calling 251-471-7895 (Monday through Friday, 8 a.m. - 5 p.m.). After hours, call the USAMC operator at 251-471-7000. Identify yourself, your location, and phone number that you can be
        immediately reached at by ID personnel.

Site Training Supervisor:

1.     Initiate appropriate on-site PEP procedure. Procedural specifications are usually found in workplace Exposure Control Plan or Employee Health Plan. Currently recommended drugs for PEP are
        Combivir, one po BID +/- Kaletra 200/50 mg - 2 po BID. If there are questions at the local site about the appropriateness of PEP for an exposure, please contact the USA ID physician specialist,
        as detailed above.

2.     Referral to affiliated definitive care institution health care nurse, Trauma Care provider, or Infectious Disease specialist may be required for physically dislocated physician offices and/or clinics
        where on-site PEP is not available.

3.     The following tests should be drawn on the SOURCE PATIENT: Hepatitis B surface antigen, Hepatitis B core IgM, Hepatitis C total antibody, and Rapid HIV. If positive, a confirmatory HIV by
         ELISA with Western blot confirmation should be obtained.

4.     Coordination of PEP with on-call University of South Alabama (USA) Infectious Disease Specialists is possible by calling the above numbers.

Post-exposure Follow-up Program:

If you believe that the clinical site is not initiating a PEP evaluation in a timely fashion you should present yourself at USAMC to immediately enroll in Postexposure Follow-up Program. To do so, call 251-471-7895 (Monday through Friday, 8 a.m. - 5 p.m.). After hours, call the USAMC operator at 251-471-7000. Identify yourself to the on-call ID specialist as a USA Allied Health student with a training-incurred potential HIV exposure. Proceed directly to USAMC Emergency Room at USAMC. The on-call USAMC ID Specialist can order an “exposure prophylaxis kit”, which provides a 72-hour regimen of antiretroviral drugs. The kit enables a timely start of PEP so that need for continuing PEP can then be assessed. The student/employee should also notify their USA academic department that he/she has entered the USAMC follow-up program.

Department Points of Contact:                                          

Department Notification Personnel   Working Hours
(8:00 AM - 5:00 PM)
After Hours
Cardiorespiratory Care   251-445-9284          Mr. Pruitt @ 251-625-4309 or Mr. Wojciechowski @ 251-626-0612 *
Emergency Medical Services Training 251- 461-1832       Mr. McArthur @ 251-725-2006 or Mr. Erwin @ 251-223-2173 *
Occupational Therapy 251-445-9222 Ms. Bufford @ 251-406-9454 or Dr. Scaffa @ 251-753-7468 *
Physician Assistant Studies    251-445-9334 Ms. Davis @ 251-375-6978 or Dr. Vetrosky @ 850-776-3225 *
Physical Therapy 251-445-9330 Dr. White @ 251-610-0019 or Dr. J. Irion @ 251-463-8962 *
Radiological Sciences 251-445-9346 Mr. D. Smith @ 251-391-6059 or Dr. Newell @ 251-661-6629 *
Speech Pathology & Audiology 251-445-9378 Ms. Hudson @ 251-634-0165 or Dr. Moore @ 251-776-6247 *
CAHP Biosafety Officer 251-445-9297  Dr. Ravine @ 251-635-0955

* or any available faculty member

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Updated 08/29/13