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澳大拉西亚艾滋病毒、病毒性肝炎和性健康医学协会 艾滋病毒暴露前预防:临床指南

Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine HIV pre-exposure prophylaxis: clinical guidelines.

作者信息

Wright Edwina, Grulich Andrew, Roy Katy, Boyd Mark, Cornelisse Vincent, Russell Darren, O'Donnell Darryl, Whittaker Bill, Crooks Levinia, Zablotska Iryna

机构信息

Kirby Institute, University of New South Wales, SydneyAustralia.

Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine, Sydney, Australia.

出版信息

J Virus Erad. 2017 Jul 1;3(3):168-184. doi: 10.1016/S2055-6640(20)30338-1.

Abstract

Daily use of coformulated tenofovir and emtricitabine for HIV pre-exposure prophylaxis (PrEP) by populations at high risk of HIV infection is now recommended in guidelines from the United States, Europe and Australia and globally through the 2015 WHO guidelines. These 2017 Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine's (ASHM) PrEP Guidelines are an updated adaptation of the 2014 US Centers for Disease Control's PrEP guidelines and are designed to: •Support the prescription of PrEP using forms of coformulated tenofovir and emtricitabine that have been registered in Australia by the Therapeutic Goods Administration and other bioequivalent generic drugs that are available in Australia through self-importation, private prescription or Australian PrEP clinical trials•Assist clinicians in the evaluation of patients who are seeking PrEP•Assist clinicians in commencing and monitoring patients on PrEP including PrEP dosing schedules, management of side-effects and toxicity, use of PrEP in pregnancy and in chronic hepatitis B infection and how to cease PrEP Daily PrEP with co-formulated tenofovir and emtricitabine, used continuously or for shorter periods of time, is recommended in these guidelines as a key HIV-prevention option for men who have sex with men (MSM), transgender men and women, heterosexual men and women, and people who inject drugs (PWID) at substantial risk of HIV acquisition.

摘要

美国、欧洲、澳大利亚的指南以及2015年世界卫生组织全球指南均推荐,将替诺福韦和恩曲他滨复方制剂用于HIV暴露前预防(PrEP),供HIV感染高危人群每日使用。《2017年澳大利亚HIV、病毒性肝炎及性健康医学学会(ASHM)PrEP指南》是对2014年美国疾病控制中心PrEP指南的更新改编版,旨在:•支持使用已在澳大利亚获得治疗用品管理局注册的替诺福韦和恩曲他滨复方制剂形式以及通过个人进口、私人处方或澳大利亚PrEP临床试验可获得的其他生物等效仿制药开具PrEP处方•协助临床医生评估寻求PrEP的患者•协助临床医生为接受PrEP的患者开始治疗并进行监测,包括PrEP给药方案、副作用和毒性管理、PrEP在妊娠和慢性乙型肝炎感染中的使用以及如何停用PrEP 本指南推荐,每日使用替诺福韦和恩曲他滨复方制剂进行PrEP,持续使用或短期使用,作为男男性行为者(MSM)、跨性别男性和女性、异性恋男性和女性以及有很高HIV感染风险的注射吸毒者(PWID)预防HIV的关键选择。

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