Provider Adherence to Pre-exposure Prophylaxis Monitoring Guidelines in a Large Primary Care Network

Open Forum Infect Dis. 2018 May 4;5(6):ofy099. doi: 10.1093/ofid/ofy099. eCollection 2018 Jun.


Insufficient pre-exposure prophylaxis (PrEP) laboratory monitoring could increase HIV resistance and sexually transmitted infections. We examined test-ordering in a primary care network. Providers did not order HIV testing before almost one-quarter of PrEP initiations; panel management was associated with higher testing. Effective monitoring is needed to maximize PrEP's preventive impact.

Keywords: HIV; behavioral disinhibition; pre-exposure prophylaxis; renal insufficiency; sexually transmitted infections.