• Pre-Exposure Prophylaxis (PrEP)
  • Truvada (emtricitabine and Tenofovir)
  • When taken consistently, PrEP has been shown to reduce the risk of HIV infection in people who are at high risk by up to 92% 
  • Recommended for adults at high risk of HIV acquisition
    • Sexually Active MSM (HIV positive partner, Recent STI, high number of partners, inconsistent condom use, sex worker)
    • Heterosexual Men and Women (HIV positive partner, Recent STI, High number of sex partners, inconsistent condom use, sex worker, High-prevalence area)
    • Injection Drug Use (Sharing equipment)
  
  

  Posted 04/11/17 02:55:47 PM by Ying Liu

• Lymphogranuloma Venereum (LGV)
  • Genital ulcer disease caused by the L1, L2, and L3 serovars of Chlamydia trachomatis
  • Historically seen in tropical areas but increasingly seen in MSM (strong associated with HIV) and may present as proctatitis
  • Primarily a disease of lymphatic tissue and can cause necrosis and abscess formation within lymph nodes
    • Primary Infection – genital ulcer
    • Secondary Infection
      • Inguinal syndrome (inflammation of superficial and deep inguinal nodes
      • Anorectal Syndrome – proctocolitis and inflammatory mass
  • Diagnose via Nucleic acid amplification (rectal, oral, urethral swabs)
  • Treat with doxycycline for 21 days; 2nd line therapy is erythromycin
  • Partners should be screened and treated
  
  

  Posted 04/11/17 02:57:14 PM by Ying Liu

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Created by Christopher Kelly

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