202 Linking Emergency Department Patients at Risk for Human Immunodeficiency Virus to Pre-Exposure Prophylaxis

Mahal, Jacqueline J.; Seu, Rie; Deccy, Stephanie; Rodriguez, G.

doi:10.1016/j.annemergmed.2020.09.215

Cited by 1 publication

(3 citation statements)

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“…Nearly all eight studies were executed in large, urban, academic medical center emergency departments. Hazra et al (2022) and Mahal et al (2022) report the highest rates of PrEP linkage and share a very important implementation element: same-day appointments with PrEP providers [ 24 – 26 ]. Both studies scheduled appointments with PrEP providers during patients’ ED visits and, when possible, conducted the visit with the PrEP provider in the context of or immediately following each patient’s ED encounter.…”

Section: Resultsmentioning

confidence: 99%

“…In a retrospective observational study of potentially PrEP eligible patients evaluated in the ED meeting criteria for an ED-based HIV prevention and navigation program ( N = 1174), Mahal et al (2022) reported that 1.9% of PrEP-eligible patients ( n = 22) interested in PrEP were scheduled for visits with a PrEP provider after their ED visit during an eleven-month study period spanning January 2019 through November 2019. Of the patients ( n = 22) scheduled with a PrEP provider, 13 patients followed up and 11 patients ultimately started PrEP [ 25 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…The studies with the highest rates of linkage to PrEP care in this review [ 24 – 26 ] had one important element in common: same-day access to PrEP. Patients with same-day access to a PrEP provider (whether in the ED or an adjacent sexual wellness clinic) were more likely start PrEP.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review of HIV Pre-exposure Prophylaxis (PrEP) Implementation in U.S. Emergency Departments: Patient Screening, Prescribing, and Linkage to Care

Jackson,

Chitle,

McCoy

et al. 2023

J Community Health

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In the pursuit of ending the HIV epidemic, U.S. emergency departments (EDs) have emerged as a valuable setting to increase HIV testing and linkage to care. There is limited data available, however, describing the incorporation of HIV prevention initiatives in U.S. EDs. Over the last decade, HIV pre-exposure prophylaxis (PrEP) has significantly changed the HIV prevention landscape globally and very little is known about the provision of PrEP in U.S. EDs. To address this gap in the literature, we conducted a systematic review of peer-reviewed quantitative studies and conference abstracts spanning July 2012 - October 2022. Of 433 citations, 11 articles and 13 abstracts meet our inclusion criteria, representing 18 unique studies addressing PrEP screening, prescribing, and/or linkage to PrEP care.Most studies describe screening processes to identify PrEP-eligible patients (n = 17); most studies leveraged a patient’s STI history as initial PrEP eligibility screening criteria. Fewer studies describe PrEP prescribing (n = 2) and/or linkage to PrEP care (n = 8).Findings from this systematic review highlight the potential for U.S. EDs to increase PrEP uptake among individuals at risk for HIV infection. Despite a growing number of studies exploring processes for incorporating PrEP into the ED setting, such studies are small-scale and time limited. Models providing prescribing PrEP in the ED show higher initiation rates than post-discharge engagement models. Electronic health record (EHR)-based HIV screening is valuable, but post-ED linkage rates are low. Our findings emphasize the need to establish best practices for initiating and supporting prevention effective PrEP use in the ED setting.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%