Published Article:
Use of human immunodeficiency virus postexposure prophylaxis in adolescent sexual assault victims
Olshen E, Hsu K, Woods ER, Harper M, Harnisch B, Samples CL.
Arch Pediatr Adolesc Med. 2006 Jul;160(7):674-80.
Release To Lay Press:
Teen sexual assault victims rarely finish HIV-exposure drugs
Advocate.com Reuters. July 15, 2006
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Results
The stark numbers of a study by Elyse Olshen & colleagues tell a terrifying story:
- 145 adolescent patients (97% female) seen within 3 days of sexual assault
- 129 were offered HIV postexposure prophylaxis
- 110 agreed to its use
- 86 began the protocol
- 13 completed the full course of treatment
The authors conclude:
Commentary
Given the extreme degree of noncompliance and the long-term risk to these adolescents and to those with whom they come into contact, “patient education” and follow-up programs “to encourage PEP adherence” may not represent a proportionate response to the situation. It would seem that a more aggressive approach, perhaps Directly Observed Therapy, is warranted.
