HIV Prevention

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Clinical Insights

expert Q&A

Hepatitis B Virus Screening and Vaccination in Patients Prescribed PrEP

05/02/2024

Melissa E. Badowski, PharmD, MPH

In this expert interview, Melissa E. Badowski, PharmD, MPH, provides an overview of her presentation at IDWeek 2023 titled, "Guideline Adherence to Hepatitis B Virus Screening and Vaccination in Patients...

05/02/2024

Multidisciplinary Roundtable

Multidisciplinary Roundtable

The Multidisciplinary Approach in HIV Prevention, PrEP Uptake

04/04/2024

Jeffrey Kwong, DNP, MPH, ANP-BC

In this roundtable discussion, Jeffrey Kwong, DNP, MPH, ANP-BC, interviews John J. Faragon, PharmD, BCPS, BCGP, AAHIVP, Damon Jacobs, Rasheeta Chandler, MD, Jonathan Appelbaum, MD, and Princy N. Kumar, MD,...

04/04/2024

Podcast

The Benefits of HIV PrEP for Women

03/07/2024

In part 3 of this 3-part episode, Jeffrey Kwong, DNP, MPH, ANP-BC, discusses the benefits of HIV pre-exposure prophylaxis (PrEP) for women in preventing HIV, strategies for eliminating HIV globally,...

03/07/2024

Podcast

The Future of HIV PrEP Research

02/13/2024

In part 2 of this 3-part episode, Jeffrey Kwong, DNP, MPH, ANP-BC, talks about how HIV pre-exposure prophylaxis (PrEP) has evolved over the years since becoming available for use in 2012 and the future of...

02/13/2024

Video: Multidisciplinary Roundtable

Challenges in PrEP Access, Long-Acting PrEP

01/22/2024

Jeffrey Kwong, DNP, MPH, ANP-BC

In this roundtable discussion, Jeffrey Kwong, DNP, MPH, ANP-BC, interviews John J. Faragon, PharmD, BCPS, BCGP, AAHIVP, Damon Jacobs, Rasheeta Chandler, PhD, RN, FNP-BC, Jonathan Appelbaum, MD, and Princy...

01/22/2024

Video

Implementing the PrEP & PEP Toolkit

01/05/2024

Colleen F. Kelley, MD, MPH

In this video, Colleen F. Kelley, MD, MPH, speaks about incorporating pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) into clinical practice, including strategies for clinicians, current...

01/05/2024

Podcast

Current Barriers to HIV PrEP in the United States

12/21/2023

In part 1 of this 3-part series, Dr Jeffrey Kwong, DNP, MPH, ANP-BC, talks about the barriers patients may have to HIV Pre-exposure Prophylaxis (HIV PrEP)and what clinicians need to know when talking to...

12/21/2023

Podcast

New Approaches to HIV Prevention, Management of Patients With HIV

12/14/2023

In this podcast, Charles Flexner, MD, speaks about the current state of long-acting agents for the management of patients with HIV, HIV prevention and vaccines, and HIV pathogenesis and cure. Dr Flexner...

12/14/2023

podcast

HIV Prevention and Management Among Adolescents

12/07/2023

In this podcast, Samantha Hill, MD, MPH, FAAP, discusses considerations and challenges for health care practitioners in the prevention and management for HIV in adolescent patient populations, including...

12/07/2023

Conference Coverage

Conference Coverage

Guideline Adherence to HBV Screening, Vaccination in Patients Prescribed HIV PrEP

11/13/2023

Melissa E. Badowski, PharmD, MPH

In this video, Melissa E. Badowski, PharmD, MPH, discusses guidelines for hepatitis B virus (HBV) screening and vaccination in patients prescribed human immunodeficiency virus (HIV) pre-exposure prophylaxis...

11/13/2023

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Pre-exposure prophylaxis (PrEP) is a preventive medication administered intravenously or orally to reduce the risk of human immunodeficiency virus (HIV) infection that may occur following sex or injection drug use.

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Any licensed health care provider can prescribe PrEP. Among clinicians who are most likely to prescribe PrEP are:

primary care providers; internal medicine specialists; infectious disease specialists

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Individuals at risk of HIV transmission include:

People who have had anal or vaginal sex in the past 6 months and:
- had a partner with HIV

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Individuals at risk of HIV transmission include:

People who have had anal or vaginal sex in the past 6 months and:
- had sex without consistently using a condom

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Individuals at risk of HIV transmission include:

People who have had anal or vaginal sex in the past 6 months and:
- have been diagnosed with a sexually transmitted disease in the past 6 months

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Individuals who are at risk of HIV transmission include:

Individuals who inject drugs, have an injection partner with HIV, or share needles, syringes, or other drug injection equipment

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Individuals who are at risk of HIV transmission include:

Individuals who have previously been prescribed PrEP, have reported continued risky behavior, or previously used multiple courses of PrEP

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The HIV Risk Incidence Index for Men Who Have Sex With Men (HIRI-MSM) and Injection Drug Users Risk Index (IDU) are often used to stratify risk in patients.

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PrEP may reduce HIV transmission from sex by 99% when taken as prescribed.

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The use of PrEP among recommended users increased from 3% in 2015 to 25% in 2020.

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Sources:

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HIV Prevention Snapshot

Reviewed by Daniel Erias, MD and Jeffrey Kwong, DNP, MPH, AGPCNP-BC

Research Summaries

research summary

research summary

Directly Observed Therapy Accurately Measures PrEP Adherence

09/26/2023

Leigh Precopio

Pre-exposure prophylaxis (PrEP) adherence continues to be one of the main challenges for the elimination of HIV transmission. Researchers tested the use of an automated directly observed therapy...

09/26/2023

research summary

research summary

Text Message Intervention Supports PrEP Adherence Among Some At-Risk Populations

08/28/2023

Leigh Precopio

In a recent study, researchers examined the effectiveness of text messaging to support the use of pre-exposure prophylaxis use in certain patient populations who are at high-risk of HIV infection.

08/28/2023

research summary

Individuals Seeking Mpox Vaccination Are Also at Increased Risk of STIs, HIV

04/27/2023

Leigh Precopio

Researchers aimed to determine the risk profile of individuals without HIV who were seeking vaccination against mpox and if these patients would benefit from HIV pre-exposure prophylaxis use.

04/27/2023

CONFERENCE CONVERAGE

Urine Test Shows Predictive Values for PrEP Adherence

04/24/2023

Researchers determined the predictive value of urine point-of-care tenofovir antibody test and compared the results against self-reported PrEP use and TFV-diphosphate levels in dried blood spots. Their...

04/24/2023

Conference Coverage

TDF/FTC Considered Safe Among Pregnant Women Per Objective TFV-DP Levels

03/20/2023

Researchers compared pre-exposure prophylaxis (PrEP) use with birth outcomes using objective levels of tenofovir-diphosphate (TFV-DP) in dried blood spots (DBS) of women during the second or third trimester...

03/20/2023

April 2024

Current Issue

April 2024

Volume 64

Issue 4