Nonoccupational Postexposure Prophylaxis: An Essential Tool for HIV Prevention

Previous progress of antiretroviral HIV prevention efforts focusing on preexposure prophylaxis (PrEP) and treatment as prevention (TasP) has plateaued in recent years. Until prevention efforts expand, nonoccupational postexposure prophylaxis (nPEP) is another antiretroviral intervention that people...

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Bibliographic Details
Published in:Journal for nurse practitioners 2019-11, Vol.15 (10), p.764-771
Main Authors: Yankellow, Irene, Yingling, Charles T.
Format: Article
Language:English
Subjects:
Antiretroviral drugs
Antiretroviral therapy
Chlamydia
Clinical trials
Disease control
Disease prevention
Disease transmission
Drug use
Gonorrhea
Health risk assessment
Hepatitis
HIV
HIV prevention
Human immunodeficiency virus
Infections
Medical laboratories
Medical tests
nonoccupational postexposure prophylaxis (nPEP)
Nurse practitioners
PEP
Postexposure
postexposure prophylaxis
pre-exposure prophylaxis
Pregnancy
PrEP
Prevention programs
Preventive medicine
Risk reduction
Sex crimes
STI prevention
Syphilis
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Summary:Previous progress of antiretroviral HIV prevention efforts focusing on preexposure prophylaxis (PrEP) and treatment as prevention (TasP) has plateaued in recent years. Until prevention efforts expand, nonoccupational postexposure prophylaxis (nPEP) is another antiretroviral intervention that people can use after a potential HIV exposure to reduce their risk of infection and should be offered in outpatient settings as a way to prevent new HIV infections and bridge people to future prevention, like PrEP. The purpose of this article is to equip nurse practitioners with the information to develop a practice-level program to deliver nPEP to patients in need of urgent HIV prevention. •HIV prevention progress has stalled in recent years.•Nonoccupational postexposure prophylaxis (nPEP) should be provided in outpatient settings for urgent HIV prevention.•Nurse practitioners are positioned to lead practice-level program development to deliver nPEP.•nPEP delivery is a multistep process requiring interdisciplinary collaboration.•Access to nPEP can be a gateway to future prevention (eg, preexposure prophylaxis, health promotion).
ISSN:1555-4155
1878-058X
DOI:10.1016/j.nurpra.2019.09.003