Provider Adherence to Pre-exposure Prophylaxis Monitoring Guidelines in a Large Primary Care Network.
Matthew A SpinelliHyman M ScottEric VittinghoffAlbert Y LiuAlicia Morehead-GeeRafael GonzalezSusan P BuchbinderPublished in: Open forum infectious diseases (2018)
Insufficient pre-exposure prophylaxis (PrEP) laboratory monitoring could increase HIV resistance and sexually transmitted infections. We examined test-ordering in a primary care network. Providers did not order HIV testing before almost one-quarter of PrEP initiations; panel management was associated with higher testing. Effective monitoring is needed to maximize PrEP's preventive impact.