Special Situations for PrEP Use in Adolescents, Young Adults, and Other Populations, Traducciones de Salud Pública

¡Descarga Special Situations for PrEP Use in Adolescents, Young Adults, and Other Populations y más Traducciones en PDF de Salud Pública solo en Docsity! PrEP Special Situations that may Arise for Clients Being adolescents and young adults (< age 25) • May benefit from: – more frequent visits, including telephone calls with providers – flexible clinic schedules – access to additional services • Careful attention to staff interactions with clients is important to ensure providers are non-judgmental and approachable Being pregnant and/or breastfeeding • Are at increased risk for acquiring HIV • May require special counselling on their risk for HIV and benefits of PrEP, which poses no safety risk to this population Using hormonal contraception • Can take PrEP medications, as they do not interact with contraceptives, whether the contraceptive is oral, injectable, or transplanted • Can simultaneously use PrEP and hormonal contraceptives safely and effectively Developing elevated serum creatinine while using PrEP • Some clients may have kidneys unable to sufficiently process PrEP and eliminate creatinine from the blood through urine • Should have a second creatinine test • Should stop PrEP if second test result shows elevated serum creatinine or creatinine clearance <60 mL/min Having hepatitis B • May experience a flare after stopping TDF, even 1–3 months later • Should consider ALT and AST tests before starting PrEP Seroconverting after starting PrEP • May have already been infected with HIV before starting PrEP but not infected long enough to test seropositive for HIV • May not have used PrEP consistently or at all after being given PrEP Injecting or using recreational drugs • Should use harm reduction services if relevant and available • Should be considered for PrEP if at high risk of sexually acquiring HIV