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Updates on HIV nonoccupational postexposure prophylaxis

Koyama, Atsukoa; Middlebrooks, Laurena; Bullock, Adamb

doi: 10.1097/MOP.0000000000000775
ADOLESCENT MEDICINE: Edited by Sara F. Forman and Sarah Pitts

Purpose of review Adolescents and young adults continue to contribute to new HIV infections despite improved antiretroviral regimens and HIV preexposure and postexposure prophylaxis (PrEP and PEP). Knowledge about nonoccupational HIV PEP (nPEP) is relevant and important for all pediatricians as adolescents present under a variety of circumstances disclosing past sexual activity.

Recent findings nPEP is effective in preventing HIV infection, and newer regimens have been shown to increase compliance amongst users, have less side effects, and lead to less HIV resistance. Yet, research on physician prescription practices shows a lack of knowledge regarding appropriate HIV nPEP medication regimens, dosing, and follow-up recommendations. Updated national guidelines are available to providers who may be unfamiliar with indications and drug regimens for nPEP. Studies also provide different strategies to increase nPEP use and compliance among patients as well as ways to increase provider awareness of appropriate nPEP prescription.

Summary Research of HIV nPEP shows that it is effective when used correctly, but there needs to be increased education and awareness to increase provider prescription and patient use as well as institutional changes to help patients complete the full course of medication.

aEmory University, School of Medicine, Atlanta, Georgia

bVCU Health, School of Medicine, Richmond, Virginia, USA

Correspondence to Atsuko Koyama, MD, MPH, Assistant Professor of Pediatrics and Emergency Medicine, Emory University, School of Medicine, 1645 Tullie Circle, NE, Atlanta, GA 30329, USA. Tel: +1 404 785 7141; e-mail:

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