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Updated: Jun 26, 2025

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在法国,与PrEP停止相关的发病率和因素
Nina Garofoli1, Martin Siguier2,3, Olivier Robineau4
1Department of Infectious Diseases and Sexual Health Clinic, Assistance Publique-Hopitaux de Paris Nord, Bichat-Claude Bernard Hospital, Paris, France.
The Journal of antimicrobial chemotherapy
|May 17, 2024
概括
停用PrEP的比例很低,但停止治疗可能会增加艾滋病毒的风险. 对于停止暴露前预防治疗以防止血清转化的使用者,需要有针对性的支持.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 艾滋病毒暴露前预防 (PrEP) 是一种关键的艾滋病毒预防策略.
- 不良的坚持或停止PrEP可以导致HIV血清转化.
研究的目的:
- 为了估计PrEP停药的发生率.
- 确定与PrEP停用相关的原因和因素.
主要方法:
- 在法国三家医院 (2016-2022) 进行了回顾性队列研究.
- 包括2785名PrEP使用者,在6个月内至少进行两次检查.
- 使用多变量考克斯模型来确定与停药相关的因素.
主要成果:
- 到2022年12月,24%的使用者停止了PrEP;发生率为每100人年10.8.
- 停药的主要原因:稳定的关系 (32%) 和缺乏有用性的感知 (12%).
- 年轻的使用者,女性,性工作者,那些报告副作用或多种性传播感染的人更有可能停止使用.
结论:
- 暂停PrEP的发生率相对较低.
- 停止治疗可能会导致艾滋病毒感染的风险.
- 有针对性的干预措施是必要的,以支持用户和减轻血清转化风险.
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