HIV Prevention

Question 1

Individuals with HIV who are on ARV’s and maintain an undetectable viral load…

Answer 1

Cannot sexually transmit the virus to others and are less likely to transmit via vertical transmission or with contaminated items

Question 2

Pre-exposure prophylaxis is an HIV prevention strategy to reduce the risk of acquiring HIV - taken by…

Answer 2

HIV-negative individuals considered at risk of infection

Question 3

People who are considered at risk of HIV exposure include…

Answer 3

MSM/transgender women engaging in condomless sex
Heterosexual exposure - one partner is HIV +
PWID

Question 4

PrEP regimens include…

Answer 4

Truvada (TDF + Emtricitabine)
Descovy (TAF + Emtricitabine)

On demand Truvada: 2-1-1 = 2 pills 2-24 hrs prior to 1st sexual exposure, followed by 1 pill daily until 48 hours after last sexual activity

Question 5

Baseline investigations for PrEP include…

Answer 5

HIV status
Hepatitis status
Baseline STI’s
Pregnancy
CBC, renal panel, other comorbidities
Vaccination status

Question 6

HIV Post-exposure prophylaxis needs to be started ASAP, and MUST be started…

Answer 6

Within 72 hours of exposure

Question 7

PEP treatment involves…

Answer 7

Truvada + Dolutegravir once daily for 28 days in total

Should receive HIV test at baseline and routinely post-exposure