HIV Pre-Exposure Prophylaxis

Infect Dis Clin North Am. 2024 Sep;38(3):453-474. doi: 10.1016/j.idc.2024.04.003. Epub 2024 Jun 12.

Abstract

Pre-exposure prophylaxis (PrEP) of human immunodeficiency virus (HIV) represents the most significant breakthrough in the HIV prevention field over the past decade. PrEP is an effective strategy in preventing the transmission of HIV across all populations, providing high adherence. The current PrEP options include oral daily and on-demand tenofovir-based regimens, long-acting injections of cabotegravir, and a 1-month dapivirine vaginal ring. As a component of a multifaceted prevention approach, extensive deployment of PrEP holds the promise to significantly reduce the global HIV epidemic. Nonetheless, barriers still exist in terms of uptake, adherence, and persistence, while disparities in PrEP accessibility remain a concern.

Keywords: Cabotegravir; Human immunodeficiency virus; Men; Pre-exposure prophylaxis; Prevention; Tenofovir; Transgender; Women.

Publication types

  • Review

MeSH terms

  • Anti-HIV Agents* / administration & dosage
  • Anti-HIV Agents* / therapeutic use
  • Female
  • HIV Infections* / prevention & control
  • Humans
  • Male
  • Pre-Exposure Prophylaxis* / methods
  • Tenofovir / administration & dosage
  • Tenofovir / therapeutic use

Substances

  • Anti-HIV Agents
  • Tenofovir