LAUSR

Introduction Over 2014-2015 in the GUM clinic in Edinburgh we audited PEPSE (post exposure prophylaxis for sexual exposure) as per 2011 BHIVA guidelines. The initial audit results showed that we fell short of the BHIVA auditable standards, most noticeably for proportion of prescriptions within recommended criteria, completion of PEPSE course and STI testing. Based on the results of the audit and the updated 2015 BHIVA guidelines, changes were incorporated into a new local PEPSE pathway. Changes included more detailed patient discussion about whether PEPSE is recommended, providing full 28 day course at first visit if indicated and STI screening at initial visit. We have re-audited PEPSE prospectively August 2016 onwards to see if there was improvement in the standards after the new local guideline was implemented. Method The following and demographics were documented on Excel Spreadsheet for patients who were prescribed PEPSE and compared with the results of the original audit. Results For the initial audit in 2014–2015 n= 100, for the re-audit in 2016 at the time of submission n=80.Abstract P067 Table 1 PEPSE Audit Percentage of patients with (%) 2014–2015 2016 BHIVA guidance recommendation (2011/2015) Baseline HIV test 81 90 100 Prescriptions that fit recommended indications 55 71 90 Prescriptions administered within 72 hours of exposure 83 100 90 Prescriptions within 24 hours of exposure 36 44 90 Completion of 4-week course of PEPSE 47 49 completed, 19 ongoing, 32 unknown or incomplete 75 STI screen 51 80 90 Discussion The results suggest marked improvement, though we still fall short of the auditable standards.