The Curbsiders Internal Medicine Podcast #417 USPSTF Update: PrEP for HIV Prevention with Dr. John Wong MD
Nov 22, 2023
Dr. John Wong, an expert in PrEP for HIV Prevention, discusses the updated USPSTF guidelines on PrEP. They cover topics such as defining increased risk for HIV, counseling pearls, types of PrEP, safer sex practices, and HIV and STI screening on PrEP.
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Board Exam Corned Beef Mishap
- John Wong shared a personal story of eating leftover corned beef before his board exam and getting diarrhea during the test.
- He used the tale as a lighthearted warning about risky pre-exam eating decisions.
New Injection Option Changes PrEP Landscape
- The USPSTF updated the PrEP recommendation because a long-acting injectable option became available.
- Having multiple formulations lets clinicians tailor prevention to patients' preferences and adherence patterns.
Offer PrEP Based On Specific Exposure Risks
- Offer PrEP to people with exposures like sex with a person with HIV, recent STI, inconsistent condom use, or shared injection equipment.
- Prioritize asking about these activities during history-taking to identify candidates for prevention.