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Overviewing a Nurse-Led, Community-Based HIV PEP Program: Applying the Extant Literature in Frontline Practice

机译:概述由护士领导的基于社区的HIV PEP计划:将现有文献应用于前线实践

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摘要

This clinical concept paper overviews a program to facilitate access to postexposure prophylaxis (PEP) for gay, bisexual, and other men who have sex with men. The project, which was a collaborative initiative involving the local School of Nursing, public health unit, AIDS service organization, hospital-based HIV clinic, and an outpatient pharmacy, was implemented to circumvent common barriers to care identified in the literature. In this project, persons who present to one of the two participating clinics after having come, or likely having come, into contact with HIV within the previous 72hr, are offered rapid HIV testing, also known as point-of-care (POC) testing, to rule out existing HIV infection, and provided with a follow-up appointment booked at the HIV clinic. Clients are also offered comprehensive STI testing, and HIV prevention counseling. The implementation of this collaborative community-based access-to-PEP project demonstrates the application of research to a real-world health care setting, and it is hoped that others will adapt this model to their local setting, enabling ease of access to PEP for members of groups that are disproportionately affected by HIV.
机译:该临床概念文件概述了一个计划,该计划旨在促进男同性恋,双性恋和其他与男性发生性关系的男性接触暴露后预防(PEP)。该项目是一项合作计划,由当地护理学院,公共卫生部门,艾滋病服务组织,医院的HIV诊所和门诊药房共同实施,旨在规避文献中指出的常见医疗障碍。在这个项目中,在过去72小时内接触了HIV或可能接触HIV后前往两个参与诊所之一的人,将获得快速HIV检测,也称为即时医疗(POC)检测,以排除现有的HIV感染,并在HIV诊所预订了跟进预约。还为客户提供全面的性传播感染测试和艾滋病毒预防咨询。这个基于社区的协作性PEP访问项目的实施演示了研究在现实世界医疗环境中的应用,希望其他人可以将此模型适应其本地环境,从而使PEP的访问变得容易受艾滋病毒影响最大的群体成员。

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