Welcome to Short Scoops in HIV

In this asynchronous online activity, we will be exploring timely clinical topics related to caring for people living with HIV.


HIV Prevention: Navigating Real World Challenges
**No Longer Available for Credit**

Ron is a 19-year-old male who visited a minute clinic three days ago with an acute onset of fever, fatigue, myalgia and headache.  His past medical history is consistent with an episode of primary syphilis and rectal gonorrhea in the past year; both were successfully treated.  He is sexually active with both male and female partners and does not consistently use barrier precautions.  He was on PrEP more than a year ago, but did not routinely follow up for his appointments and his provider stopped renewing his prescription.

His rapid HIV antibody test and influenza test were negative at the minute clinic.  He was then referred to your clinic and expresses a motivation to reinitiate PrEP?

Questions:

  1. Would you initiate PrEP for the patient at this time?  Why or why not?
  2. What other things would you do or consider at this visit?