Mu Im Stat

Clinical description

• Benzathine Penicillin < 25 kg: 600,000 IU STAT; 25-35 kg, then 1,200,000 IU STAT; adult: 2.4
• Gentamicin 6mg/kg or 240 mg IMSTAT
• Doxycycline 100 mg BD x 7 days unless breastfeeding, pregnant, or if <8 years or <45 kg

 Instead, use Erythromycin:<8 years 12.5mg/kgq6h for 7 days; >8 years: 24 mg/kg q6h x 7 days

• Metronidazole 2 g STAT or 5mg/kgq8h for 7 days

Step 5:

• Provide HIV Testing and Counseling
• Conduct an HB baseline reading (if available)
• If the victim presents within 72 hours of penetrative assault and is HIV negative upon initial testing,

provide PEP treatment with TDF/3TC 300 mg/300mgQD x 30 days or AZT/3TC 1 pill BD.

• For children, give weight-based AZT/3TC with alternative of ABC/3TC.

Step 6:

• Provide counseling on post-traumatic stress to victim and guardian
• Assess safety of the victim
• Refer to other support services, such as the Victim Support Unit in thePolice

Step 7:

• Advise on dates for follow-up visits
• Record Findings and treatment in “Examination Record” and provide copyto the victim for submission to

the police, if appropriate

• Record all findings and treatment in health passport