The EMI Guidelines have been revised and updated. The EMI Guidelines are for the emergency management of injuries such as needlesticks, sexual exposure and human bites, and provide detailed advice on the use of post-exposure prophylaxis (PEP) for HIV and hepatitis B. They are available as a user-friendly toolkit www.emitoolkit.ie.

Summary of changes:

• Revision of recommendations in relation to the need for HIV PEP following exposure to HIV in the setting of effective antiretroviral therapy
• Inclusion of dolutegravir as an option for HIV PEP
• Increased emphasis on the management of cases following sexual exposure
• Inclusion of Ulipristal Acetate (ellaOne) in the emergency hormonal contraception appendix
• Updated epidemiological information

The revision was carried out by the HPSC Scientific Advisory Committee (SAC) EMI sub-group and the HSE Sexual Health and Crisis Pregnancy Programme.

EMI Guidelines: www.emitoolkit.ie