This PrEP information video is led by Molly Bergamo, CRNP,RN,MSN and Meghan Bernetich,MSN,CRPN
Hi there my name is megan furnish animali bergamo we’re both nurse practitioners at an urban health center in philadelphia pennsylvania that provides comprehensive medical and family planning services to patients between the ages of 13 and 24 years of age the majority of our patients are underserved and homeless youth living in and around the city over a year ago
After a bit of one-on-one training with an infectious disease doctor attending lectures about prep and a detailed review of cdc guidelines we made the decision to start offering prep to patients at high risk of hiv acquisition we now manage over 60 patients on prep prep stands for pre exposure prophylaxis as opposed to post exposure prophylaxis it is an important
New prevention strategy that is proving to be highly effective in protecting against the acquisition of hiv infection the prep regimen consists of taking one tablet daily of truvada prior to exposure to hiv is part of a comprehensive hiv prevention strategy emsa trippin and tanaka veer are the active ingredients in a four year as the main focus of hiv prevention
Was on condom use unfortunately this strategy alone has not proven to be effective at halting the hiv epidemic approximately 50,000 people in the united states are still infected with hiv each year according to data published by the cdc from 2010 men who have sex with men or msm remain the population most profoundly affected by hiv according to the same cdc data
The greatest number of new hiv infections among msm occurred in young black african american msm between the ages of 13 and 24 according to the cdc large studies show that prep is over 90 percent effective at preventing hiv acquisition when taken every day on july 16 2012 truvada was approved by the fda for prep additionally in may 14th the centers for disease
Control and prevention released new guidelines on prep for hiv i will now review how to assess who is appropriate for prep first take a detailed sexual history in order to identify which patients are having sex with same-sex or opposite-sex partners and what specific sexual behaviors may place them at risk for or protect them against hiv acquisition the cdc prep
Guidelines recommends prep for number 1 msm or men who have sex with men who have at least one of the following risk factors an hiv positive sexual partner a bacterial sexually transmitted infection or sti in the last six months a high number of sexual partners a history of inconsistent or no condom use and/or they engage in commercial sex work heterosexually active
Men and women living in an area or network with a high prevalence of hiv who have at least one of the following risk factors an hiv positive sexual partner a bacterial sti in the last six months a high number of sex partners a history of inconsistent or no condom use and/or they engage in commercial sex work lastly injection drug users who have at least one of the
Following risk factors an hiv positive injecting partner share injection equipment in or have had recent treatment for drug addiction but are currently to conclude as primary care providers it is essential that we provide comprehensive medical care with a focus on prevention preventing avoidable illnesses not only benefits in moulton’s in multiple ways it saves
Healthcare dollars according to the cdc the lifetime treatment cost of an hiv infection in 2010 was estimated to be 379 thousand dollars this has increased since then a more than one occasion we have had patients come into our health center to start prep only to find out there already hiv positive they’re devastated not only about their diagnosis of hiv which
They’ll live with for the rest of their life but also that they were unable to start prep sooner there has been debate among many providers about whether prep will cause patients to be more promiscuous and engage in more risky sex behaviors prep is not a party job or a free ticket to have unprotected sex the reality is that sex happens unexpectedly and condoms
Break prep adds another layer of protection against hiv acquisition that the patient is in control of when a patient makes the decision to take prep they’re making a conscious decision to take a medication to prevent themselves from acquiring hiv similar to when a woman takes birth control to prevent a pregnancy research studies have shown prep users promiscuity
Does not increase but remains the same or declined slightly due to increased sexual health awareness it is imperative that prep is prescribed as part of a comprehensive prevention strategy medical providers should provide extensive counseling without abstinence safer sex practices and condom use when counseling about and prescribing prep the patients thank you
For listening to our prep video please watch part 2 of our series to learn the diagnostic tests and medical monitoring required for patients on prep you
Transcribed from video
What is PrEP?: An Introduction to PrEP HIV Prevention Medication By Team PrEP Y-HEP Health Center