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Case Reports
. 2014 Sep-Oct;22(4):670-5.

HIV preexposure prophylaxis in the real world

Affiliations
Case Reports

HIV preexposure prophylaxis in the real world

Demetre C Daskalakis. Top Antivir Med. 2014 Sep-Oct.

Abstract

According to evolving guidelines, candidates for HIV preexposure prophylaxis (PrEP) include HIV-uninfected men who have sex with men who engage in condomless anal intercourse, individuals in HIV-serodifferent sexual relationships, those with frequent anogenital sexually transmitted infections, and those who have received repeated nonoccupational postexposure prophylaxis treatment courses. In the real-world setting, indications for PrEP and management of PrEP candidates and patients may be less than clear-cut. Factors to be considered when assessing candidacy for PrEP and maximizing efficacy of treatment are discussed. This article summarizes a presentation by Demetre C. Daskalakis, MD, MPH, at the IAS-USA continuing education program held in Los Angeles, California, in April 2014.

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Conflict of interest statement

Financial affiliations in the past 12 months: Dr Daskalakis has no relevantfinancial affiliations to disclose.

Figures

Figure 1.
Figure 1.
Number of patients needed to treat for 1 year to prevent 1 case of HIV acquisition in preexposure prophylaxis (PrEP) trials or 1 cardiovascular event with statin use for primary prevention. CAPRISA indicates Center for the AIDS Program of Research in South Africa; FTC, emtricitabine; iPrEx, Chemoprophylaxis for HIV Prevention in Men; TDF, tenofovir disoproxil fumarate. Adapted with permission from Glidden.

References

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