The ED clinician’s role will end after risk assessment, initial investigations, and provision of PEP where appropriate.
The exposed HCW should be encouraged to contact their local occupational health team as soon as possible to arrange further follow up.
Follow up for those presenting to ED from the community may differ trust by trust. It may be carried out by the local sexual health service, by the trusts infectious disease team, or by the patient’s GP. It is vital that ED guidelines clearly state who will be responsible for follow up, and that there is a reliable and sufficiently fast referral pathway.