Get familiar with which of your patients should be offered one of the three agents now available for PrEP.
I'm Dr Neil Skolnik. Today, we're going to talk about the 2021 update on preexposure prophylaxis for the prevention of. It's a critically important topic for all of us to understand. Joining me today to discuss this is Dr Chris Bositis, who is a family physician and HIV specialist and the clinical director of the National Clinician Consultation Center at University of California, San Francisco, which runs the PrEP warmline.
They report having a sexual partner with HIV, particularly if that partner has a detectable HIV viral load; If their viral load is not known or if the person has been diagnosed with a bacterial sexually transmitted infection in the past 6 months; or If they report having one or more sexual partners whose HIV status is unknown and they also report inconsistent or no condom use. This third indication is really the broadest, and it's the one that's most underappreciated by most clinicians.
For people who inject drugs, PrEP should be offered if they report an injection partner with HIV, sharing injection equipment, or any sexual risk factors for HIV acquisition as well.This is something that we should be thinking about pretty frequently. Can you go over the FDA approved medications for PrEP?Sure. There are three. The first is commonly referred to as F/TDF [emtricitabine/tenofovir disoproxil fumarate], or brand-name Truvada.
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