Pediatric emergency medicine trisk 4248 4248
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symptoms. Serologic tests for syphilis are repeated 4 to 6 weeks, and then
again at 3 months after the assault if initial test results were negative and
infection in the assailant cannot be ruled out. Completion of the Hepatitis B
vaccine series is also considered at 1 to 2 and 4 to 6 months after the first
dose, if the patient was not previously vaccinated and had received the first
dose during the initial evaluation. If initial HIV testing was negative and a
third-generation test (as described above) was performed, repeat testing
should occur at 6 weeks, 3 months, and 6 months; if a fourth-generation test
was performed, repeat testing should occur at 4 and 12 weeks. Finally, if
HIV PEP was initiated, follow up to monitor side effects and adherence to
regimen is highly recommended.
