Successful Implementation of HIV Preexposure Prophylaxis: Lessons Learned From Three Clinical Settings.

View Abstract

The past 3 years have marked a transition from research establishing the safety and efficacy of HIV preexposure prophylaxis (PrEP) to questions about how to optimize its implementation. Until recently, PrEP was primarily offered as part of randomized controlled trials or open-label studies. These studies highlighted the key components of PrEP delivery, including regular testing for HIV and other sexually transmitted infections (STIs), adherence and risk-reduction support, and monitoring for renal toxicity. PrEP is now increasingly provided in routine clinical settings. This review summarizes models for PrEP implementation from screening through initiation and follow-up, focusing on the strengths and weaknesses of three delivery systems: a health maintenance organization, an STI clinic, and a primary care practice. These early implementation experiences demonstrate that PrEP can be successfully delivered across a variety of settings and highlight strategies to streamline PrEP delivery in clinical practice.

Investigators
Abbreviation
Curr HIV/AIDS Rep
Publication Date
2016-04
Volume
13
Issue
2
Page Numbers
116-24
Pubmed ID
26898645
Medium
Print
Full Title
Successful Implementation of HIV Preexposure Prophylaxis: Lessons Learned From Three Clinical Settings.
Authors
Marcus JL, Volk JE, Pinder J, Liu AY, Bacon O, Hare CB, Cohen SE