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Open Forum Infect Dis. 2018 May 4;5(6):ofy099. doi: 10.1093/ofid/ofy099. eCollection 2018 Jun.

Provider Adherence to Pre-exposure Prophylaxis Monitoring Guidelines in a Large Primary Care Network.

Author information

1
Division of HIV, ID, and Global Medicine, San Francisco, California.
2
Department of Medicine, University of California, San Francisco, San Francisco, California.
3
Bridge HIV, San Francisco Department of Public Health, San Francisco, California.
4
Department of Epidemiology and Biostatistics, San Francisco, California.

Abstract

Insufficient pre-exposure prophylaxis (PrEP) laboratory monitoring could increase HIV resistance and sexually transmitted infections. We examined test-ordering in a primary care network. Providers did not order HIV testing before almost one-quarter of PrEP initiations; panel management was associated with higher testing. Effective monitoring is needed to maximize PrEP's preventive impact.

KEYWORDS:

HIV; behavioral disinhibition; pre-exposure prophylaxis; renal insufficiency; sexually transmitted infections

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