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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
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Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
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Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
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Defining the HIV pre-exposure prophylaxis care continuum.

Amy S Nunn1, Lauren Brinkley-Rubinstein, Catherine E Oldenburg

  • 1aDepartment of Behavioral and Social Sciences, School of Public Health, Brown University bThe Warren Alpert Medical School, Brown University cDivision of Infectious Diseases, The Miriam Hospital, Providence, Rhode Island dDepartment of Social Medicine eCenter for Health Equity Research, University of North Carolina, Chapel Hill, North Carolina fFrancis I. Proctor Foundation, University of California, San Francisco gThe Fenway Institute hThe Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts iThe Division of Infectious Disease, School of Medicine, Washington University, Washington.

AIDS (London, England)
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Summary

Pre-exposure prophylaxis (PrEP) is an effective HIV prevention method. This study proposes a PrEP continuum of care framework to measure program implementation, including awareness, access, adherence, and retention for better HIV prevention.

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Area of Science:

  • Public Health
  • HIV Prevention
  • Implementation Science

Background:

  • Pre-exposure prophylaxis (PrEP) is a key HIV prevention strategy.
  • Measuring the progress of PrEP program implementation lacks scientific consensus.
  • Effective measurement is crucial for optimizing HIV prevention efforts.

Purpose of the Study:

  • To propose a comprehensive PrEP continuum of care framework.
  • To establish metrics for evaluating PrEP program implementation.
  • To guide the development of effective PrEP interventions and public health strategies.

Main Methods:

  • Drawing on extensive experience in PrEP program implementation.
  • Defining a multi-stage continuum of care for PrEP services.
  • Categorizing PrEP retention in care into four distinct groups.

Main Results:

  • A proposed 9-stage PrEP continuum of care: risk identification, risk awareness, PrEP awareness, access, linkage, prescription, initiation, adherence, and retention.
  • Four categories for PrEP retention: indicated and retained, indicated and not retained, no longer indicated, and lost to follow-up.
  • A framework for measuring PrEP awareness, uptake, adherence, and retention.

Conclusions:

  • The proposed PrEP continuum of care provides a vital framework for measuring implementation progress.
  • Understanding each stage is critical for developing targeted PrEP interventions.
  • This framework aids in assessing and advancing public health efforts in HIV prevention through PrEP.