Medical Management and Treatment Guidelines
Our goal is to share national and local guidelines and protocols to help you provide high-quality viral hepatitis, HIV, and sexually transmitted infection (STI) prevention and treatment care to your patients.
For the most current management and treatment guidelines, refer to the clinician resources at Hep Free Hawaii.
The U.S. Department of Health and Human Services (DHHS) issues guidance documents for the medical management of HIV infection, including guidelines on antiretroviral treatment, prevention and treatment of opportunistic infections, post-exposure prophylaxis, and preventing perinatal transmission.
Other resources include:
National HIV Telephone Consultation Service
Offers physicians and other health care providers up-to-the-minute HIV clinical information, and individualized expert case consultation across the broad range of clinical HIV/AIDS issues.
Hours: 6am–5pm (PST), M–F
National Clinicians’ Post-Exposure Prophylaxis Hotline (PEPline)
Offers clinicians up-to-the-minute advice on managing occupational exposures (i. e., needlesticks, splashes, etc.) to HIV, hepatitis, and other blood-borne pathogens.
Hours: 24 hours / 7 days a week
Sexually Transmitted Infections (STIs)
Evaluation and Management
Expedited Partner Therapy (EPT)
EPT is the clinical practice of treating the sexual partners of a patient diagnosed with a sexually-transmitted infection (STI) by having the patient convey medication or a prescription to his or her partners. Hawaii’s EPT law allows health care providers to offer this treatment to partners of their patients without medical examination of those partners.
EPT is not recommended as a first-line response to diagnosis of a treatable STI in patients. While the most effective treatment of patients’ infections will include proper treatment of their recent and current sexual partners, the best practice is for partners of medically evaluated patients to obtain prompt medical evaluation themselves. This is important for ensuring good health in the partners, preventing reinfection of the patient already diagnosed and treated, and reducing the further spread of unrecognized infections in our community.
The Hawaii law permits EPT treatment for all conditions recommended for EPT treatment by the Centers for Disease Control and Prevention (CDC). CDC EPT recommendations and treatment guidelines are available online.