USPSTF suggests universal HIV screening, PrEP for high-risk patients

USPSTF suggests universal HIV screening, PrEP for high-risk patients

(HealthDay)—The U.S. Preventive Services Task Force (USPSTF) recommends HIV screening for individuals aged 15 to 65 years, including all pregnant women, and pre-exposure prophylaxis (PrEP) should be offered to those at high risk of HIV. These findings form the basis of three draft recommendation statements published online Nov. 20 by the USPSTF.

Roger Chou, M.D., from Oregon Health & Science University in Portland, and colleagues reviewed the evidence for HIV screening in adolescents and adults. The authors did not find any studies on benefits or harms of screening versus no screening. In two new randomized controlled trials, initiation of in people with CD4 counts >500 cells/mm³ correlated with a reduced risk for composite clinical outcomes. In a second evidence review, Chou and colleagues evaluated recommendations on HIV screening in pregnancy. The found that antiretroviral therapy was highly effective for reducing the risk of mother-to-child HIV infection transmission, especially if started early in pregnancy.

In a third review, Chou and colleagues examined the for the effects of PrEP on HIV acquisition, mortality, harms, and other clinical outcomes. The researchers found that PrEP correlated with a reduced risk for HIV infection versus placebo or no PrEP in populations at higher risk for acquiring HIV infection (11 trials, relative risk, 0.46).

These findings form the basis of three draft recommendation statements, which are available for comment from Nov. 20 to Dec. 26, 2018.


Explore further

USPSTF: evidence lacking for lead screen in kids, pregnancy

More information: Draft Evidence Review - Adolescents/Adults
Draft Recommendation Statement - Adolescents/Adults
Comment on Recommendation Statement - Adolescents/Adults
Draft Evidence Review - Pregnancy
Draft Recommendation Statement - Pregnancy
Comment on Recommendation Statement - Pregnancy
Draft Evidence Review - PrEP
Draft Recommendation Statement - PrEP
Comment on Recommendation Statement - PrEP

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Citation: USPSTF suggests universal HIV screening, PrEP for high-risk patients (2018, November 21) retrieved 22 October 2019 from https://medicalxpress.com/news/2018-11-uspstf-universal-hiv-screening-prep.html
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