Non-occupational post-exposure prophylaxis in Victoria, Australia: responding to high rates of re-presentation and low rates of follow-up

Armishaw, Judy; Hoy, Jennifer; Watson, Kerrie; Wright, Edwina; Price, Brian; Pierce, Anna

doi:10.1258/ijsa.2011.011174

Cited by 31 publications

(32 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In surveys conducted among attendees at the Seattle Gay Pride parade (2009–2012) only 26% of attendees were aware of nPEP [unpublished data, Elizabeth Barash]. The majority of studies, with a few exceptions [6], [28], report low demand for nPEP [13], [29]–[31]. In order to access and benefit from nPEP, individuals must overcome many barriers: 1) recognize an exposure to HIV; 2) be aware of nPEP and where to obtain it; 3) report for care within 72 hours of exposure; 4) have the means to pay for nPEP if they are un- or under-insured and cannot access assistance programs; and 5) preferably know or determine the HIV status of her/his contact.…”

Section: Discussionmentioning

confidence: 99%

Non-Occupational Post-Exposure Prophylaxis for HIV: 10-Year Retrospective Analysis in Seattle, Washington

et al. 2014

View full text Add to dashboard Cite

Despite treatment guidelines in place since 2005, non-occupational post-exposure HIV prophylaxis (nPEP) remains an underutilized prevention strategy. We conducted a retrospective chart review of patients presenting to a publicly-funded HIV clinic in Seattle, Washington for nPEP between 2000 and 2010 (N = 360). nPEP prescriptions were provided for 324 (90%) patients; 83% of prescription decisions were appropriate according to Centers for Disease Control and Prevention guidelines, but only 31% (N = 111/360) of patients were considered “high risk.” In order to use limited resources most efficiently, public health agencies should target messaging for this high-cost intervention to individuals with high-risk HIV exposures.

show abstract

Section: Discussionmentioning

confidence: 99%

Non-Occupational Post-Exposure Prophylaxis for HIV: 10-Year Retrospective Analysis in Seattle, Washington

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Analysis of an Australian database of PEP prescribing found that repeat presentation for PEPSE occurred in 17.5% of users and that 1.2% of individuals were HIV positive at baseline (392). Higher lifetime and recent sexual risk behaviour was associated with lower adherence to PEPSE in a small study of high risk, methamphetamine using MSM (393).…”

Section: Antiretroviral Post-exposure Prophylaxis For Sexual Exposurementioning

confidence: 96%

2016 United Kingdom national guideline on the sexual health care of men who have sex with men

et al. 2018

View full text Add to dashboard Cite

This guideline is intended for use in UK Genitourinary medicine clinics and sexual health services but is likely to be of relevance in all sexual health settings, including general practice and Contraception and Sexual Health (CASH) services, where men who have sex with men (MSM) seek sexual health care or where addressing the sexual health needs of MSM may have public health benefits. For the purposes of this document, MSM includes all gay, bisexual and all other males who have sex with other males and both cis and trans men. This document does not provide guidance on the treatment of particular conditions where this is covered in other British Association for Sexual Health and HIV (BASHH) Guidelines but outlines best practice in multiple aspects of the sexual health care of MSM. Where prevention of sexually transmitted infections including HIV can be addressed as an integral part of clinical care, this is consistent with the concept of combination prevention and is included. The document is designed primarily to provide guidance on the direct clinical care of MSM but also makes reference to the design and delivery of services with the aim of supporting clinicians and commissioners in providing effective services. Methodology This document was produced in accordance with the guidance set out in the BASHH CEG’s document ‘Framework for guideline development and assessment’ published in 2010 at http://www.bashh.org/guidelines and with reference to the Agree II instrument. Following the production of the updated framework in April 2015, the GRADE system for assessing evidence was adopted and the draft recommendations were regraded. Search strategy (see also Appendix 1) Ovid Medline 1946 to December 2014, Medline daily update, Embase 1974 to December 2014, Pubmed NeLH Guidelines Database, Cochrane library from 2000 to December 2014. Search language English only. The search for Section 3 was conducted on PubMed to December 2014. Priority was given to peer-reviewed papers published in scientific journals, although for many issues evidence includes conference abstracts listed on the Embase database. In addition, for ‘Identification of problematic recreational drug and alcohol use’ section and ‘Sexual problems and dysfunctions in MSM’ section, searches included PsycINFO. Methods Article titles and abstracts were reviewed and if relevant the full text article was obtained. Priority was given to randomised controlled trial and systematic review evidence, and recommendations made and graded on the basis of best available evidence. Piloting and feedback The first draft of the guideline was circulated to the writing group and to a small group of relevant experts, third sector partners and patient representatives who were invited to comment on the whole document and specifically on particular sections. The revised draft was reviewed by the CEG and then reviewed by the BASHH patient/public panel and posted on the BASHH website for public consultation. The final draft was piloted before publication. Guideline update The guidelines will be reviewed and revised in five years’ time, 2022.

show abstract

“…In effect, PEPsexual as an emergency method has been used more as a complement than as a replacement for other preventive methods 9 . Approximately 80% of the users reported using PEPsexual a single time 88 . Despite being strategic and having a long time of existence, the knowledge about PEPsexual is low among potential users and health professionals.…”

Section: The Last Option Of Prevention For Non-infected People: Post-mentioning

confidence: 99%

The effect of prevention methods on reducing sexual risk for HIV and their potential impact on a large-scale: a literature review

Grangeiro

Ferraz

Calazans

et al. 2015

Rev. bras. epidemiol.

View full text Add to dashboard Cite

A spectrum of diverse prevention methods that offer high protection against HIV has posed the following challenge: how can national AIDS policies with high coverage for prevention and treatment make the best use of new methods so as to reverse the current high, and even rising, incidence rates among specific social groups? We conducted a narrative review of the literature to examine the prevention methods and the structural interventions that can have a higher impact on incidence rates in the context of socially and geographically concentrated epidemics. Evidence on the protective effect of the methods against sexual exposure to HIV, as well as their limits and potential, is discussed. The availability and effectiveness of prevention methods have been hindered by structural and psychosocial barriers such as obstacles to adherence, inconsistent use over time, or only when individuals perceive themselves at higher risk. The most affected individuals and social groups have presented limited or absence of use of methods as this is moderated by values, prevention needs, and life circumstances. As a result, a substantial impact on the epidemic cannot be achieved by one method alone. Programs based on the complementarity of methods, the psychosocial aspects affecting their use and the mitigation of structural barriers may have the highest impact on incidence rates, especially if participation and community mobilization are part of their planning and implementation.

show abstract

Non-occupational post-exposure prophylaxis in Victoria, Australia: responding to high rates of re-presentation and low rates of follow-up

Cited by 31 publications

References 14 publications

Non-Occupational Post-Exposure Prophylaxis for HIV: 10-Year Retrospective Analysis in Seattle, Washington

Non-Occupational Post-Exposure Prophylaxis for HIV: 10-Year Retrospective Analysis in Seattle, Washington

2016 United Kingdom national guideline on the sexual health care of men who have sex with men

The effect of prevention methods on reducing sexual risk for HIV and their potential impact on a large-scale: a literature review

Contact Info

Product

Resources

About