Monday, March 17, 2014

Is the Infectious Diseases Community ready for PrEP?

One new strategy for HIV prevention is pre-exposure prophylaxis (PrEP) with antiretrovirals. I have previously commented on PrEP via this blog.

How ready for adoption of PrEP is the infectious diseases community?

Here is a recent publication in Clinical Infectious Diseases that reports ID provider opinion and real world use of PrEP in the USA and Canada.

Although many of us support the concept of PrEP, few infectious diseases specialists (9% of survey respondents) actually provided it. One major provider concern is compliance.  

As someone who has worked for years in an HIV clinic, my biggest concern about PrEP is that it will be misused by patients in lieu of condoms. PrEP may prevent HIV transmission but it will not halt the spread of syphilis, gonorrhea, chlamydia, herpes and genital warts. 

PrEP is by no means salvation from sexually transmitted infections.

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