‘PrEP in practice: Guidance for GPs’ – S100 HIV Prescriber Updates have rolled out into a new online learning module (OLM)
As HIV pre-exposure prophylaxis (PrEP) access continues to be expanded nationally in 2016, and with milestone change with recent TGA license approval of Truvada, ASHM continues to work with clinical, community and other stakeholders to ensure that HIV treatment guidance remains up-to-date.
Two evening updates were held for S100 HIV Prescribers: 'PrEP in Practice – Case Discussions' on 31 March; and 'EPIC-NSW Practical Issues in Implementation' on 12 May, hosted as a dinner forum by NSW Health.
Vincent Cornelisse, GP and registrar in sexual health medicine at Prahran Market Clinic, Melbourne, presented a broad overview on the latest data on HIV PrEP.
Dr Kerry Chant, NSW Chief Health Officer hosted the dinner forum 'EPIC-NSW Practical Issues in Implementation' on 12 May. This interactive session, facilitated by Dr Phil Read, included an overview of the 2015 NSW HIV Data Report; presentations covering the NSW PrEP Guidelines; reports on the implementation of Expanded PrEP Implementation in Communities (EPIC-NSW) study investigating the use of PrEP among people at high risk of HIV transmission.
A panel consisting Robert Finlayson (Director of Taylor Square Private Clinic), Dr Kerry Chant, Dr Rohan Bopage (Infectious Diseases and Sexual Health Staff Specialist of Albion Centre), Karen Price (Director of HIV and Sexual Health, ACON), John McAllister (CNC, St Vincent's Hospital) and Dr Rick Varma (Clinical Services Manager at Sydney Sexual Health Centre) concluded the evening's program with a panel discussion (see: below photo).
'PrEP in practice: Guidance for GPs'
The online learning module, which takes 40 to 60 minutes to complete, is now publicly available via the ASHM Learning Management System (LMS). It aims to enable course participants to:
- Describe emerging PrEP research and its relevance to Australian practice
- Determine which patients should be recommended to start PrEP
- Safely prescribe and manage patients on PrEP
- Discuss other preventive behaviours with patients who are prescribed PrEP
Once registered and logged in, the OLM can be found in the HIV Courses menu.
National PrEP Guidance
ASHM coordinates and participates as a member of the PrEP working group. The working group developed commentary on the US Centers for Disease Control and Prevention (CDC) PrEP clinical practice guidelines in February 2015 and sits under the ASHM sub-committee responsible for providing commentary on the US DHHS ARV Guidelines.
The group is currently developing bespoke Australian national PrEP guidance that is intended to launch at the Australasian HIVAIDS Conference in November 2016. The updated guidance will incorporate the latest PrEP developments and evidence including guidance on intermittent/periodic PrEP, better alignment with other biomedical prevention approaches like PEP, and revised eligibility criteria.
ASHM will continue to update on HIV PrEP for HIV Clinicians on its website here.