Executive summary: Pre-exposure prophylaxis for prevention of HIV infection in adults in Spain: July 2016
Enferm Infecc Microbiol Clin. 2017 Jun-Jul;35(6):377-383.
doi: 10.1016/j.eimc.2016.11.016.
Epub 2017 Feb 22.
[Article in
English,
Spanish]
Authors
Santiago Moreno
1
, Antonio Antela
2
, Felipe García
3
, Julia Del Amo
4
, Vicente Boix
5
, Pep Coll
6
, Claudia Fortuny
7
, Juan L Gómez Sirvent
8
, Félix Gutiérrez
9
, José A Iribarren
10
, Josep M Llibre
11
, Juan C López Bernaldo de Quirós
12
, Juan Emilio Losa
13
, Ana Lozano
14
, Michael Meulbroek
15
, Julián Olalla
16
, Ferran Pujol
15
, Federico Pulido
17
, Manuel Crespo Casal
18
, Juan González García
19
, José López Aldeguer
20
, Jose A Pérez Molina
21
, Daniel Podzamczer Palter
22
, Antonio Rivero Román
23
; Grupo Redactor de GESIDA/SEIMC
Affiliations
- 1 Hospital Universitario Ramón y Cajal, Madrid, Spain. Electronic address: [email protected].
- 2 Hospital Clínico Universitario, Santiago de Compostela, Spain.
- 3 Hospital Clínic, Hospital Universitario Ramón y Cajal, IRYCIS , Barcelona, Spain.
- 4 Instituto de Salud Carlos III, Madrid, Spain.
- 5 Hospital General Universitario, Alicante, Spain.
- 6 IrsiCaixa, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain.
- 7 Hospital Sant Joan de Déu, Barcelona, Spain.
- 8 Hospital Universitario, Tenerife, Spain.
- 9 Hospital General Universitario de Elche, Alicante, Spain.
- 10 Hospital Universitario Donostia, San Sebastián, Spain.
- 11 Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain.
- 12 Hospital Universitario Gregorio Marañón, Madrid, Spain.
- 13 Hospital Universitario Fundación de Alcorcón, Madrid, Spain.
- 14 Hospital de Poniente, El Ejido, Almería, Spain.
- 15 BCN Checkpoint, Barcelona, Spain.
- 16 Hospital Costa del Sol, Marbella, Málaga, Spain.
- 17 Hospital Universitario 12 de Octubre, Madrid, Spain.
- 18 Complexo hospitalario universitario de Vigo (CHUVI), Pontevedra, Spain.
- 19 Hospital Universitario La Paz, Madrid, Spain.
- 20 Hospital Universitario La Fe, Valencia, Spain.
- 21 Hospital Universitario Ramón y Cajal, Madrid, Spain.
- 22 Hospital Universitario de Bellvitge, Barcelona, Spain.
- 23 Hospital Universitario Reina Sofía, Córdoba, Spain.
Abstract
Administration of antiretroviral drugs to individuals exposed to, but not infected by, HIV has been shown to reduce the risk of transmission. The efficacy of pre-exposure prophylaxis (PrEP) makes it obligatory to include it in an integral program of prevention of HIV transmission, together with other measures, such as use of the condom, training, counseling, and appropriate treatment of infected individuals. In this document, the AIDS Study Group (GeSIDA) of the Spanish Society of Infectious Diseases and Clinical Microbiology (Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica [SEIMC]) provides its views on this important subject. The available evidence on the usefulness of PrEP in the prevention of transmission of HIV is presented, and the components that should make up a PrEP program and whose development and implementation are feasible in Spain are set out.
Keywords:
HIV infection; Infección por VIH; Pre-exposure prophylaxis; Prevención; Prevention; Profilaxis pre-exposición; Tenofovir.
Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.
MeSH terms
-
Adult
-
Anti-HIV Agents / administration & dosage
-
Anti-HIV Agents / adverse effects
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Anti-HIV Agents / therapeutic use
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Comorbidity
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Counseling
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Female
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HIV Infections / epidemiology
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HIV Infections / prevention & control*
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Humans
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Infectious Disease Medicine
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Male
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Microbiology
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Outpatient Clinics, Hospital
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Pre-Exposure Prophylaxis / methods
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Pre-Exposure Prophylaxis / standards*
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Pregnancy
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Pregnancy Complications, Infectious / epidemiology
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Pregnancy Complications, Infectious / prevention & control
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Pregnancy Complications, Infectious / virology
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Prevalence
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Risk Factors
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Risk-Taking
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Societies, Medical / standards
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Spain / epidemiology