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Provider Adherence to Pre-exposure Prophylaxis Monitoring Guidelines in a Large Primary Care Network
Author(s) -
Matthew A. Spinelli,
Hyman Scott,
Eric Vittinghoff,
Albert Liu,
Alicia Morehead-Gee,
Rafael Gonzalez,
Susan Buchbinder
Publication year - 2018
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofy099
Subject(s) - medicine , pre exposure prophylaxis , primary care , human immunodeficiency virus (hiv) , intensive care medicine , preventive care , men who have sex with men , family medicine , health care , syphilis , economics , economic growth
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.

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