Rape and Sexual Assault: Prophylaxis against infections and STI prophylaxis for sexual assault survivors

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Survivors should be given STI prophylaxis/post exposure prophylaxis:

 

Medicine

Adult dose

Frequency

Duration

 

ceftriaxone im

250mg

once only

for 7 days

and

azithromycin po

1g

once only

or

doxycycline po

100mg

twice a day

and

metronidazole po

2g

once only

or

tinidazole po

2g

once only

and

benzathine penicillin im

2.4MU

once only

and

tenofovir/ lamivudine, dolutegravir po 

See ART guidelines

Offer counselling and HIV test at the time of the rape and three months later.