P454 Emergency Department (ED)-based HIV Pre-Exposure Prophylaxis (PrEP) referral program – using EDs as a portal for PrEP services

Abstract

increased CT and/or NG risk (aHR=1.03, p<0.001), and men reporting having sex in exchange for money at screening were 2.35 times more likely to be infected (p=0.072). Number of sex partners, sexual positioning, condom use, lubricant use, and self-reported PrEP adherence were not associated with infection. Conclusion The incidence of urethral CT/NG infection was high in our cohort of MSM taking PrEP, despite risk reduction counselling and repeated testing and treatment, supporting need for ongoing etiologic testing and more effective risk reduction intervention. Additional analyses will examine risk compensation. Disclosure No significant relationships.

Identifying Missed Opportunities in the Prevention of Acute HIV Infection: The Need to Provide Pre-exposure Prophylaxis Referrals to Emergency Department Patients With Increased Risk for Acquiring HIV

“…13 One of the study EDs, the JH Hospital ED, recently implemented a pilot program that inte-grated PrEP referral assessment with the long-standing HIV testing program for patients who tested negative. 14 The preliminary data from these 2 programs yielded high interest among ED patients, but the screening and referral workflow might need enhancements to reach its full potential. Increasing PrEP awareness, developing an effective and efficient EMR-facilitated PrEP assessment tool, and introducing PrEP peer navigation in the ED may improve the promising rates of PrEP initiation from ED referral.…”