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

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 associate...

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Detalles Bibliográficos
Autores principales: Spinelli, Matthew A, Scott, Hyman M, Vittinghoff, Eric, Liu, Albert Y, Morehead-Gee, Alicia, Gonzalez, Rafael, Buchbinder, Susan P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016415/
https://www.ncbi.nlm.nih.gov/pubmed/29977959
http://dx.doi.org/10.1093/ofid/ofy099
Descripción
Sumario: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.