Fast Five Quiz: How Much Do You Know About HIV Pre- and Postexposure Prophylaxis?

Jason F. Okulicz, MD

Disclosures

January 19, 2021

All patients should have a negative HIV-1 test immediately before starting PrEP. Any patient with signs of acute viral infection that may be indicative of acute HIV infection and recent (< 1 month) HIV exposure should be retested for HIV-1 at least 1 month later. If the second test is negative, the patient can be started on PrEP.

Individuals whose partners have a confirmed HIV infection are at high risk of contracting the virus. Patients may also be considered at high risk if they are sexually active in a social network or area in which there is a high prevalence of HIV, and if they have one or more of the following:

  • Other STIs

  • Alcohol or illicit drug dependence

  • Inconsistent or no condom use

  • Exchanged sex for commodities such as shelter, drugs, food, or money

  • Partner or partners of unknown HIV status with any of these factors

Incarceration may also increase the risk for HIV acquisition.

Learn more about selecting candidates for HIV PrEP.

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