Schmidt Heather-Marie A, McIver Ruthy, Houghton Rebecca, Selvey Christine, McNulty Anna, Varma Rick, Grulich Andrew E, Holden Joanne
Centre for Population Health, NSW Ministry of Health, 73 Miller Street, North Sydney, NSW 2060, Australia.
Sydney Sexual Health Centre, Nightingale Wing, Sydney Eye Hospital, 8 Macquarie St, Sydney, NSW 2000, Australia.
Sex Health. 2018 Nov;15(6):595-597. doi: 10.1071/SH18076.
There is little evidence and no standardised model for nurse-led HIV pre-exposure prophylaxis (PrEP). In 2016, public sexual health clinics in the state of New South Wales (NSW), Australia, participating in the population-scale PrEP access trial Expanded PrEP Implementation In Communities in New South Wales (EPIC-NSW) were authorised to adopt a nurse-led model of PrEP provision in order to facilitate the rapid expansion of PrEP access to more than 8000 participants in under 2 years without additional resources. The model has been implemented successfully in public clinics in 10 of 14 local health districts, with widespread support and no serious safety events reported. With the increasing importance of PrEP as an HIV prevention tool, non-traditional models of care, including nurse-led PrEP, are needed.
几乎没有证据支持由护士主导的艾滋病病毒暴露前预防（PrEP），也没有标准化模式。2016年，澳大利亚新南威尔士州（NSW）参与大规模PrEP可及性试验“新南威尔士州社区扩大PrEP实施项目”（EPIC-NSW）的公共性健康诊所被授权采用由护士主导的PrEP提供模式，以便在不增加额外资源的情况下，在不到两年的时间里将PrEP推广至8000多名参与者。该模式已在14个地方卫生区中的10个地方的公共诊所成功实施，获得广泛支持，且未报告严重安全事件。随着PrEP作为一种艾滋病预防工具的重要性日益增加，需要包括由护士主导的PrEP在内的非传统护理模式。
