Taiwan guideline on oral pre-exposure prophylaxis for HIV prevention – 2018 update

Autor: Kuan Sheng Wu, Stephane Wen-Wei Ku, Nai Ying Ko, Chia Wen Li, Isaac Yen Hao Chu, Huei Jiuan Wu, Shu Sheng Chen, Han Siong Toh, Chia-Jui Yang, Hsi Hsun Lin, Jiann Horng Kuo
Rok vydání: 2020
Předmět:
0301 basic medicine
Microbiology (medical)
medicine.medical_specialty
Anti-HIV Agents
030106 microbiology
lcsh:QR1-502
Taiwan
MEDLINE
HIV Infections
lcsh:Microbiology
Medication Adherence
Men who have sex with men
law.invention
Sexual and Gender Minorities
03 medical and health sciences
Pre-exposure prophylaxis
0302 clinical medicine
Acquired immunodeficiency syndrome (AIDS)
Randomized controlled trial
law
medicine
Humans
Immunology and Allergy
030212 general & internal medicine
Randomized Controlled Trials as Topic
Acquired Immunodeficiency Syndrome
General Immunology and Microbiology
business.industry
General Medicine
Guideline
medicine.disease
Infectious Diseases
Systematic review
Family medicine
Practice Guidelines as Topic
Serodiscordant
Pre-Exposure Prophylaxis
business
Systematic Reviews as Topic
Zdroj: Journal of Microbiology, Immunology and Infection, Vol 53, Iss 1, Pp 1-10 (2020)
ISSN: 1684-1182
DOI: 10.1016/j.jmii.2019.09.003
Popis: Pre-exposure prophylaxis (PrEP) for prevention of human immunodeficiency virus infection is proved to be effective and has been implemented worldwide. This article introduces the guideline development and revised recommendations and guidance on PrEP provision in the updated Taiwan PrEP guideline. The Taiwan PrEP guideline writing group searched randomized controlled trials and guidelines published before October 2017 through Medline/PubMed, Cochrane Database, Embase and ClinicalTrials.gov database. Keywords included pre(-)exposure prophylaxis, PrEP, Truvada, tenofovir, HIV, and AIDS. Each selected article was assessed by two authors using the Grading of Recommendations Assessment, Development and Evaluation. External reviewers were invited to independently evaluate the revised manuscript per the Appraisal of Guidelines for Research and Evaluation II. Before publication, a public consultation was held to reach consensus on the updated guideline among providers, civil society, and Taiwan Centers for Disease Control. Four systematic reviews and 28 original articles were reviewed by Taiwan PrEP writing group. The second version of the Taiwan PrEP guideline was released in March 2018. We recommended daily PrEP use for the following populations: strong recommendation and high quality of evidence for men who have sex with men (MSM) and transgender women (TGW), as well as heterosexual serodiscordant couples; weak recommendation and high quality of evidence for people who inject drugs, while weak recommendation and moderate quality of evidence for at-risk heterosexual men and women. There is high-quality evidence for event-driven PrEP in MSM and likely TGW, and we additionally recognized these key populations could benefit from such dosing regimen. Keywords: Human immunodeficiency virus, Pre-exposure prophylaxis, PrEP, Taiwan
Databáze: OpenAIRE