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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.

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


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.


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

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