Consultations for HIV post-exposure prophylaxis before and after health insurance coverage of pre-exposure prophylaxis to a university-based emergency department in Germany Article Swipe
Lennert Böhm
,
Björn‐Erik Ole Jensen
,
Hubert Schelzig
,
Tom Luedde
,
Michaël Bernhard
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1080/25787489.2023.2207977
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1080/25787489.2023.2207977
Background: Potential risk contacts for HIV transmission may lead to presentations to the emergency department (ED) for counseling and initiation of post-exposure prophylaxis (PEP).Objective: To examine the impact of German health insurance covering pre-exposure prophylaxis (PrEP) following Sept 1st 2019 for certain risk groups on the frequency and reasons for PEP counseling in a university-based ED in Germany.Methods: In a before-after study design, all persons aged ≥18 years who presented for PEP counseling were analyzed retrospectively. We compared characteristics of presentations in the 18 months prior to PrEP coverage on Sept 1st, 2019, with those in the following 18 months.Results: 154 ED presentations occurred in the first study period, and 155 ED presentations in the second period. Regarding the reasons for ED visits, no statistically significant difference was found [occupational risk contact (18.2 vs. 26.5%, p = 0.081), sexual risk contact (74.7 vs. 69.0%, p = 0.266), other non-occupational risk contact (7.1 vs. 4.5%, p = 0.329)]. For men who have sex with men (MSM), no statistically significant differences were found [38.9 (n = 60) vs. 35.5% (n = 55), p = 0.537]. All persons presenting to the HIV outpatient clinic after ED PEP initiation (n = 60 vs. n = 52) tested negative for HIV 3 months later.Conclusion: In this study, reasons to present for PEP counseling to a university ED showed no change following the implementation of PrEP coverage by health insurances. Therefore, PEP remains an important prevention for HIV transmission and presentations to the ED for PEP counseling may provide an opportunity to educate persons at risk of HIV infection about PrEP, thereby helping to prevent new HIV infections.
Related Topics
Concepts
Medicine
Emergency department
Pre-exposure prophylaxis
Human immunodeficiency virus (HIV)
Post-exposure prophylaxis
Men who have sex with men
Family medicine
Pediatrics
Emergency medicine
Psychiatry
Syphilis
Metadata
- Type
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- Language
- en
- Landing Page
- https://doi.org/10.1080/25787489.2023.2207977
- OA Status
- diamond
- References
- 25
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4375856345
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4375856345Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1080/25787489.2023.2207977Digital Object Identifier
- Title
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Consultations for HIV post-exposure prophylaxis before and after health insurance coverage of pre-exposure prophylaxis to a university-based emergency department in GermanyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-05-07Full publication date if available
- Authors
-
Lennert Böhm, Björn‐Erik Ole Jensen, Hubert Schelzig, Tom Luedde, Michaël BernhardList of authors in order
- Landing page
-
https://doi.org/10.1080/25787489.2023.2207977Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1080/25787489.2023.2207977Direct OA link when available
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Medicine, Emergency department, Pre-exposure prophylaxis, Human immunodeficiency virus (HIV), Post-exposure prophylaxis, Men who have sex with men, Family medicine, Pediatrics, Emergency medicine, Psychiatry, SyphilisTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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25Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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