Post-exposure Prophylaxis for HIV, HBV and HCV: Integrated Protocol for Managing Exposures to Blood and Body Fluids in Manitoba

NOTE: Access to the 2009 protocol is being temporarily provided (click here) while the health regions transition to the new process.

Click on any of the sections in the following Table of Contents, and the corresponding page of the PDF version of the Protocol will open in a new browser window. You can then either print that specific page, or you may choose to print the entire Protocol.

Table of Contents

Letter to HCP - Re: New – Expanded HIV Post Exposure Prophylaxis Coverage

Updated PEP Prescription Form and Pharmacy Claims Submission Procedure

Changes from the Pre-Amended (October 2018) Version

Post-exposure Prophylaxis for HIV, HBV and HCV

PDF version - 40 pages
Best printed coloured on both sides of letter-sized paper


Using this Protocol

Quick PEP Guide

1.   Overview

2.   Initial Non-Specific Prophylactic Measures and Risk Assessment
      2.1   Initial Assessment and Reporting of Exposure Incident
              2.1.1. Occupational Exposures
              2.1.2. Non-Occupational Exposures
      2.1   Risk Assessment of Exposure Incident for Consideration of PEP
              2.2.1. Body Fluid Involved
              2.2.2. Type of Exposure
              2.2.3. Status of Source

3.   HIV PEP
      3.1. Provision of HIV Prophylaxis
      3.2. HIV Laboratory Testing

4.   HBV PEP
      4.1. Provision of HBV Prophylaxis
      4.2. HBV Laboratory Testing

5.   HCV PEP
      5.1. No Available HCV Prophylaxis
      5.2 HCV Laboratory Testing

6.   References

Appendix A - HIV PEP Starter Kits

Appendix B - HIV PEP Pre-Printed Prescription Form

Appendix C - Laboratory Testing

Appendix D - Important Contact Numbers and Useful Web Links in Manitoba

Communicable Disease Control (CDC)
Public Health
Manitoba Health and Seniors Care

4th Floor - 300 Carlton St.
Winnipeg MB  R3B 3M9  CANADA

Health Links – Info Santé
204-788-8200 or 1-888-315-9257

Ask Health