Lipps Ashley, Nielsen Natalie, Dannemiller Anne, Patel Yesha, Bazan Jose A, Ricks JaNelle, Koletar Susan L, Malvestutto Carlos
Division of Infectious Diseases Columbus, Ohio State University College of Medicine, Columbus, OH, USA.
Ohio State University College of Public Health, Columbus, OH, USA.
AIDS Behav. 2025 Mar;29(3):823-828. doi: 10.1007/s10461-024-04563-0. Epub 2024 Dec 5.
The emergency department (ED) is an important setting to identify people at increased risk of HIV infection who may benefit from HIV pre-exposure prophylaxis (PrEP). However, prescribing or referral for PrEP in the ED is not widespread. The purpose of this study is to evaluate the use of an off-site HIV PrEP patient navigator to facilitate PrEP access for patients who seek care for sexually transmitted infections (STIs) in the ED. Between January 1, 2023 and June 30, 2023, patients who tested positive for a bacterial STI in the ED were eligible for outreach by an off-site PrEP patient navigator. Interested patients were scheduled for telehealth appointments for PrEP. Demographic, clinical information and outcomes were obtained. During the study period, there were 160 patients eligible for PrEP outreach. Outreach was completed in 75 (47%) of patients, with 46/75 (61%) agreeable to scheduling a PrEP appointment. Of these 46 patients, median age was 30 years old [IQR 23, 35], 25 (54%) were male, 40 (87%) were Black/African American and 6 (13%) identified as men who have sex with men (MSM). Forty three of 46 interested patients (93%) scheduled an appointment and 35/46 (76%) completed an appointment. Thirteen of 35 (37%) patients who completed an appointment were prescribed PrEP, with 6/13 (46%) and 2/13 (15%) remaining on PrEP at 3 and 6 months, respectively. Use of an off-site patient navigator can facilitate referrals for HIV PrEP for patients who are diagnosed with bacterial STIs in the ED.
急诊科（ED）是识别可能受益于HIV暴露前预防（PrEP）的HIV感染风险增加人群的重要场所。然而，在急诊科开具PrEP处方或进行转诊并不普遍。本研究的目的是评估使用场外HIV PrEP患者导航员，以帮助在急诊科因性传播感染（STIs）就诊的患者获得PrEP。在2023年1月1日至2023年6月30日期间，在急诊科检测出细菌性性传播感染呈阳性的患者有资格由场外PrEP患者导航员进行外展服务。感兴趣的患者被安排进行PrEP的远程医疗预约。获取了人口统计学、临床信息和结果。在研究期间，有160名患者有资格接受PrEP外展服务。75名（47%）患者完成了外展服务，其中46/75（61%）同意安排PrEP预约。在这46名患者中，年龄中位数为30岁[四分位间距23，35]，25名（54%）为男性，40名（87%）为黑人/非裔美国人，6名（13%）被认定为男男性行为者（MSM）。46名感兴趣的患者中有43名（93%）安排了预约，35/46（76%）完成了预约。完成预约的35名患者中有13名（37%）被开具了PrEP处方，分别有6/13（46%）和2/13（15%）在3个月和6个月时仍在服用PrEP。使用场外患者导航员可以促进为在急诊科被诊断为细菌性性传播感染的患者转诊接受HIV PrEP。
