长期作用的暴露前预防:美国推广的早期数据
Catherine A Koss1, Urvi M Parikh2
1Division of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco.
Current opinion in HIV and AIDS
|December 5, 2024
概括
长效暴露前预防 (LA-PrEP) 显示出减少艾滋病毒发病率的希望,但目前美国的推广面临挑战. 扩大获取和确保公平的交付对于LA-PrEP实现其全部潜力至关重要.
科学领域:
- 生物医学艾滋病毒预防
- 公共卫生倡议 公共卫生倡议
- 药理学创新 药理学创新
背景情况:
- 长效暴露前预防 (LA-PrEP) 提供了一种新的策略,以增加生物医学预防覆盖率并降低艾滋病毒发病率.
- 主要的LA-PrEP药物包括卡博特格拉维尔 (CAB-LA) 和莱纳卡帕维尔.
研究的目的:
- 审查在美国推出LA-PrEP的情况.
- 描述LA-PrEP交付中的早期创新.
- 确定未来LA-PrEP实施的机遇和挑战.
主要方法:
- 审查当前文献和有关LA-PrEP在美国推广的数据.
- 早期临床创新和实施模型的分析.
- 对LA-PrEP吸收的障碍物和促进者的检查.
主要成果:
- 全球范围内CAB-LA的可用性有限,美国的数据主要来自实施研究.
- 口服暴露前预防 (PrEP) 的使用明显超过了CAB-LA的使用.
- 对CAB-LA的障碍包括保险覆盖,处方和收据之间存在差距.
- 成功的诊所模型涉及导航,采购和注射服务的多学科团队.
- 正在探索创新的交付模式,包括社区卫生工作者和远程医疗.
结论:
- 在LA-PrEP的潜力和目前在美国的使用之间存在显著的差距.
- 迫切需要扩大接入,准备好临床系统,并关注公平,以最大限度地提高LA-PrEP在人口层面的影响.
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