Low HIV incidence among women following sexually transmitted infection does not support national pre-exposure prophylaxis recommendations

AIDS. 2020 Jul 15;34(9):1429-1431. doi: 10.1097/QAD.0000000000002561.

Abstract

: Current United States guidelines recommend that clinicians offer HIV pre-exposure prophylaxis (PrEP) to women with gonorrhea or syphilis. We estimated HIV incidence among women following a syphilis, gonorrhea, or chlamydia diagnosis among women in King County, WA using surveillance data from 2008 to 2018. Among women with diagnosed with gonorrhea and among women diagnosed with chlamydia the estimated HIV incidence rates were 0.06 and 0.02 per 100 person years, respectively. No women reported with syphilis were diagnosed with HIV.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chlamydia Infections / diagnosis*
  • Chlamydia Infections / epidemiology
  • Cohort Studies
  • Female
  • Gonorrhea / diagnosis*
  • Gonorrhea / epidemiology
  • HIV Infections / epidemiology*
  • HIV Infections / prevention & control*
  • Humans
  • Incidence
  • Population Surveillance / methods*
  • Pre-Exposure Prophylaxis*
  • Retrospective Studies
  • Sexually Transmitted Diseases / epidemiology
  • Syphilis / diagnosis*
  • Syphilis / epidemiology
  • United States / epidemiology