P067 All better now?: completing the audit cycle for pepse in the edinburgh gum service

Abstract

IntroductionOver 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.MethodThe following and demographics were documented on Excel Spreadsheet for patients who were prescribed PEPSE and compared with the results of the original audit.ResultsFor the initial audit in 2014–2015 n= 100, for the re-audit in 2016 at the time of submission n=80.Abstract P067 Table 1PEPSE AuditPercentage of patients with (%)2014–20152016BHIVA guidance recommendation (2011/2015)Baseline HIV test8190100Prescriptions that fit recommended indications557190Prescriptions administered within 72 hours of exposure8310090Prescriptions within 24 hours of exposure364490Completion of 4-week course of PEPSE4749 completed,19 ongoing,32 unknown or incomplete75STI screen518090DiscussionThe results suggest marked improvement, though we still fall short of the auditable standards.