艾滋病毒暴露前预防:现在是时候考虑加拿大青少年的降低伤害护理了
Sean Leonard1, Tatiana Sotindjo2, Jason Brophy3
1Department of Paediatrics, Western University, London, Ontario, Canada.
Paediatrics & child health
|September 25, 2023
概括
暴露前预防 (PrEP) 可以预防年轻人感染艾滋病毒,但吸收率低. 这篇文章回顾了加拿大青年的PrEP,解决障碍并提供处方指南.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 青少年医学 青少年医学
背景情况:
- 15-29岁的年轻人占加拿大的新艾滋病毒病例的很大一部分.
- 与男性发生性关系的男性和土著青年不成比例地受到影响.
- 暴露前预防 (PrEP) 在成年人中有效,但在青少年中吸收率较低.
研究的目的:
- 为加拿大青年提供PrEP的概述.
- 讨论安全性,副作用概况,以及处方者识别的PrEP使用障碍.
- 在加拿大背景下提出PrEP启动和随访的指导方针.
主要方法:
- 对青少年PrEP现有文献的审查.
- 讨论安全性和副作用的概况.
- 呈现了假设的案例简介.
- 开发一个新的流程图,用于基线工作,处方和后续.
主要成果:
- 准备剂显著降低艾滋病毒风险,但在青少年中接受率较低.
- 障碍包括处方医生的缺乏经验,安全问题,指导方针的不熟悉以及成本.
- 这篇文章提供了在加拿大青年中实施PrEP的实际框架.
结论:
- 准备是加拿大青年可行的艾滋病毒预防策略.
- 解决处方者和系统障碍对于增加PrEP吸收至关重要.
- 清晰的指导方针和咨询对于青少年有效使用PrEP至关重要.
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