Provider Adherence to Pre-exposure Prophylaxis Monitoring Guidelines in a Large Primary Care Network
Matthew A Spinelli1, Hyman M Scott1,2, Eric Vittinghoff3
1Division of HIV, ID, and Global Medicine, San Francisco, California.
Abstract:
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.
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