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Publication Profiles

A Pharmacist-Led, Same-Day, HIV Pre-Exposure Prophylaxis Initiation Program to Increase PrEP Uptake and Decrease Time to PrEP Initiation

Citation

Khosropour CM, Backus KV, Means AR, et al. A Pharmacist-Led, Same-Day, HIV Pre-Exposure Prophylaxis Initiation Program to Increase PrEP Uptake and Decrease Time to PrEP Initiation. AIDS Patient Care STDS. 2020;34(1):1-6. doi:10.1089/apc.2019.0235Free full text in PubMed Central

Implementation stage:

Implementation

Implementation outcomes reported:

Feasibility,Adoption

Continuum target addressed:

HIV testing, PrEP initiation, PrEP persistence

Geography:

Mississippi

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers assessed whether an on-site pharmacist at a Jackson HIV testing center could quickly start eligible patients on PrEP and connect them to follow-up clinical care.

Plain Language Abstract

Mississippi has high HIV rates and low use of pre-exposure prophylaxis, or PrEP. From November 2018 through May 2019, people who tested negative for HIV at a nonclinical Jackson testing center could see an on-site pharmacist for immediate PrEP evaluation and prescribing. The pharmacist assessed 69 patients; 57% were men who have sex with men, 77% were Black, and 65% were uninsured. All received a prescription. Fifty-seven patients (83%) received it the same day and 97% within five days. Fifty-three (77%) filled the prescription, and 87% of those filled it within one week. However, only 23 of the 53 who filled PrEP (43%) attended a clinical appointment within six weeks. Initiation and retention did not differ by sex or gender. This uncontrolled pilot shows that rapid prescribing was feasible but that follow-up remained difficult. The authors recommended integrating laboratory testing more fully into the model and strengthening retention in ongoing PrEP care.

Key Takeaways

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