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Patients seeking nonoccupational postexposure prophylaxis (nPEP) following sexual or percutaneous HIV exposure often present to an emergency department (ED) for initial evaluation. Those deemed to have an exposure are provided with a few days of antiretroviral therapy (ART) and are directed to follow up in an ambulatory clinic setting within a week for further testing, counseling, and ART. Little is known about patient attendance at follow-up appointments or adherence to ART, but available data suggest adherence is poor.
In a prospective, observational study, researchers assessed frequency of follow-up among patients who received an initial supply of ART from EDs at either of two urban academic medical centers between July 2010 and June 2011…