Screening and treatment of MSM on PrEP: Too much of a good thing?

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SEXUAL HEALTH

Screening and treatment of MSM on PrEP: Too much of a good thing?

By Massimo Giola
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We joked that Tom could collect loyalty points for his attendance at the sexual health clinic [Image: Andrey Popov on FreeImages]

Sexual health specialist Massimo Giola discusses whether we are over-screening for sexually transmitted infections in certain populations and overusing antibiotics for asymptomatic positive cases

Key points, Men who have sex with men who are on HIV pre-exposure prophylaxis have a very high incidence of sexually transmitted infections. Antibiotic exposure, Pract Green w Pale Yellow
References

1. Kenyon C, Baetselier I, Wouters K. Screening for STIs in PrEP cohorts results in high levels of antimicrobial consumption. Int J STD AIDS 2020;31(12):1215–18.

2. Traeger MW, Guy R, Asselin J, et al. Real-world trends in incidence of bacterial sexually transmissible infections among gay and bisexual men using HIV pre-exposure prophylaxis (PrEP) in Australia following nationwide PrEP implementation: an analysis of sentinel surveillance data. Lancet Infect Dis 2022;22(8):1231–41.

3. Coyer L, Prins M, Davidovich U, et al. Trends in sexual behavior and sexually transmitted infections after initiating human immunodeficiency virus pre-exposure prophylaxis in men who have sex with men from Amsterdam, the Netherlands: A longitudinal exposure-matched study. AIDS Patient Care STDS 2022;36(6):208–18.