Many patients who present for PEP have ongoing risk factors for HIV acquisition and so should be recommended to commence PrEP on completion of PEP, either daily or on-demand or event driven.
Note: on-demand and event-driven PrEP is only efficacious for anal sex, and not for vaginal, front hole or neovaginal sex.100
Comprehensive information on patient assessment, the prescription of PrEP and follow-up is available in the National PrEP guidelines.
Briefly:
- PrEP can be prescribed by medical and nurse practitioners
- daily PrEP can be commenced immediately following PEP
- at baseline PEP visit:
- assess for the need for PrEP post-PEP
- ensure an appointment is booked in the final week of the 28-day PEP course
- HIV serology and other recommended tests should be checked as the patient transitions from PEP to PrEP as per the National PrEP Guidelines.
