Dr. Blackwell's BLOG

Sunday, June 23, 2019

Dr. Blackwell Presents Original Presentation on Comprehensive Strategies to Prevent HIV in Adults and Adolescents at 2019 AANP Conference

Filed under: Nursing Science — Dr. Christopher Blackwell @ 02:13

Dr. Christopher Blackwell presented his original presentation, “Preventing HIV in Adolescents and Adults: PrEP, PEP, and Other Innovative Strategies” at the 2019 Conference of the American Association of Nurse Practitioners in Indianapolis, IN. HIV remains a major public health issue and disparity, particularly in ethnic and sexual minorities. NPs may be familiar with non-pharmacologic HIV prevention but unfamiliar with pharmacologic prevention strategies for HIV pre- and post-exposure. NPs need a solid understanding regarding the pathophysiologic relationships between HIV RNA levels, CD4 counts, and HIV communicability and how these data apply clinically, and be current on HIV prevention research and their clinical and public health role in HIV prevention. 

The presentation provided an overview of the most current clinical strategies used in the prevention of HIV infection in adolescents and adults, focusing on use of pharmacologic pre-exposure prophylaxis (PrEP) to prevent HIV in high-risk individuals. In addition, pharmacologic post-exposure prophylaxis (PEP) guidelines and treatments aimed at preventing HIV infection in persons with potential exposure were also examined and discussed.

Prescribing principles of both PrEP and PEP were reviewed. Evidence-based data regarding traditional clinical and public health HIV prevention approaches were also critiqued. The relationships between HIV RNA level (viral load), CD4 count, and HIV communicability were explored, with emphasis on an understanding of the recent CDC declaration regarding non-communicability of HIV in infected persons with an undetectable viral load. Finally, strategies direct future research initiatives in HIV prevention and advance the nurse practitioner’s role in preventing HIV infection were provided.

The presentation can be accessed here: http://drchristopherblackwell.com/documents/hivprevention_2019_AANP_000.pdf

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