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emDOCs.net Emergency Medicine (EM) Podcast

Episode 82: HIV Post Exposure Prophylaxis

Jul 25, 2023
Join the emDOCs.net podcast with Jess Pelletier, MD, discussing the urgency of HIV prevention, risk factors for transmission, and the importance of post-exposure prophylaxis. Dive into the use of Truvada in PEP regimens, medications considerations, and strategies to enhance provider comfort with prescribing PEP.
20:00

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Quick takeaways

  • Global incidence of HIV is decreasing, but rising in the U.S., emphasizing the need for prevention programs.
  • Various factors influence HIV transmission risk, including sexual activities and occupational exposure conditions.

Deep dives

Global Statistics on HIV Incidence and Mortality

Globally, 0.5% of people are infected with HIV with 5,000 new daily infections. In the U.S., there was an increase in new cases from 15.6 to 21 per 100,000 people between 2016 and 2019. Availability of antiretroviral therapy, prevention programs, and prophylaxis has led to a decrease in global incidence but a rise in the U.S. The high morbidity and substantial healthcare costs highlight the importance of preventing new infections.

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