Minority of PrEP users account for most STI cases: role for STI prophylaxis?
ShutterstockThe largest study ever of the incidence of bacterial sexually transmitted infections (STIs) among gay and bisexual men who start HIV pre-exposure prophylaxis (PrEP) has found slight but statistically significant declines in chlamydia and gonorrhoea cases in the first couple of years after they started PrEP, but an increase – also slight but significant – in syphilis cases.
The study tracked STI diagnoses in 70% of Australian PrEP users, between 2016 and 2019. This period spans the introduction of large demonstration projects (EPIC-NSW in March 2016 and PrEPX in July 2016), and the start of Australia-wide public access in April 2018.
Michael Traeger and colleagues, from the Burnet Institute in Melbourne, Australia also found that a large majority of STI diagnoses was concentrated amongst a minority of PrEP users, suggesting that introducing prophylaxis for bacterial STIs among this group might be feasible.
Read the full story at Aidsmap.
Source : Aidsmap
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