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首页> 外文期刊>Journal of the American Pharmacists Association: JAPhA >Community pharmacy delivered PrEP to STOP HIV transmission: An opportunity NOT to miss!
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Community pharmacy delivered PrEP to STOP HIV transmission: An opportunity NOT to miss!

机译：社区药房提供准备停止艾滋病毒传播：机会不容错过！

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In the United States, 1.1 million persons are living with human immunodeficiency virus (HIV), and approximately 37,800 new infections occur annually. Ending the HIV epidemic requires reducing HIV transmissions by 90% within the next 10 years and requires expanded HIV testing, antivirals for persons infected with HIV, and scale-up of pre-exposure prophylaxis (PrEP) and postexposure prophylaxis (PEP) to prevent new infections. Community pharmacies are widely accessible and employ highly trained health care professionals on-site who can initiate PrEP and PEP. Recommendations are offered to implement a community pharmacy PrEP program. Pharmacy, government, and HIV prevention leaders must be prepared to support and promote transformative changes, including (1) modification or expansion of existing state-specific scope of practice to initiate PrEP and PEP, (2) encouraging pharmacist education about PrEP and PEP, (3) identification and screening of candidates for PrEP eligibility, (4) incorporating pharmacy laboratory ordering and monitoring logistics, (5) adjusting workflow and ensuring confidential spaces for sensitive discussions, and (6) addressing reimbursement to maintain pharmacist-delivered PrEP and PEP programs. HIV disproportionately affects minority communities and younger individuals who may not be engaged in the health care system. Community pharmacies are accessible and can help increase PrEP use. Expansion of community pharmacy PrEP programs are needed to help end the HIV epidemic. Implementation of PrEP requires adaptation of the pharmacy profession to support incorporation of PrEP in a community pharmacy. Endorsement and support of community pharmacists are needed to implement PrEP to increase HIV prevention efforts and expand pharmacists' scope of practice. (C) 2020 American Pharmacists Association (R). Published by Elsevier Inc.
机译：在美国，110万人与人类免疫缺陷病毒（艾滋病毒）生活，每年发生大约37,800个新的感染。结束艾滋病毒流行病需要在未来10年内将HIV传输降低90％，需要扩展艾滋病毒检测，对感染艾滋病毒的人的抗病毒，以及预曝光预防（PREP）和曝光预防（PEP）的扩大扩大的抗病毒感染。社区药店广泛访问，可以在现场使用高度训练有素的医疗专业人员，他们可以启动准备和PEP。提出建议实施社区药房准备计划。制药，政府和艾滋病毒预防领导者必须准备支持和促进转型性变化，包括（1）修改或扩大现有的国家具体行为范围，以启动准备和PEP，（2）鼓励关于准备和PEP的药剂师教育， （3）鉴定和筛选准备资格的候选人，（4）纳入药房实验室订购和监测物流，（5）调整工作流程并确保敏感讨论的机密空间，以及（6）处理报销以维持药剂师提供的准备和PEP程式。艾滋病毒不成比说，影响可能不会从事医疗保健系统的少数民族社区和年轻人。社区药店可访问，可以帮助增加准备使用。需要扩大社区药房准备计划，以帮助结束艾滋病毒流行病。准备实施需要适应药房专业，以支持在社区药房中的准备。需要对社区药剂师的认可和支持来实施准备增加艾滋病毒预防努力并扩大药剂师的实践范围。 （c）2020年美国药剂师协会（R）。 elsevier公司发布

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