UTAH AFP – Strong Medicine for Utah



LGBT resources Sexual history taking: Fenway Institute and their learning modules ’s 5 Ps Prep/PEP Toolkits: CDC 2017 PrEP Provider Guidelines Clinician’s Guide PrEP Provider FAQ PEP Provider FAQ LGBT Health: Fenway Institute/National LGBT Health Education Center: Risk and Prevention for LGBTQ People specific resources: Callen-Lorde in NYC Institute in Boston in San Francisco, Center of Transgender Excellence A Transgender Medical Consultation Service Standards of Care Version 7 Society Clinical Practice Guideline resources in Salt Lake City, Utah University of Utah Transgender Health Program Pride Center Therapist Guild of Utah PrEP Order Panels: “Prep NEW” HIV Ag/Ab 4th gen, reflexive panelBasic metabolic panel (EGFR)Chlamydia and gonorrhea urineChlamydia and gonorrhea pharynxChlamydia and gonorrhea rectumRPR with reflex to titer and TP-PAHepatitis C by CIA with reflex to HCT quant NAATHepatitis B surface Ag with reflexHepatitis B core AbHepatitis B surface AbHepatitis A AbPregnancy (POC)Drug optionsEmtricitabine-tenofovir disoproxil fumerate (?Truvada) 200-300mg Take one tablet by mouth daily 90 tablets 0 refills OR Emtricitabine-tenofovir alafenamide (?Descovy) 200-25mg Take one tablet by mouth daily 90 tablets 90 refills “Prep Established”HIV Ag/Ab 4th gen, reflexive panelBasic metabolic panel (EGFR)Chlamydia and gonorrhea urineChlamydia and gonorrhea pharynxChlamydia and gonorrhea rectumRPR with reflex to titer and TP-PA(+/- Hep C, Hep B, Hep A and pregnancy testing)PEP order panelComprehensive metabolic panelObtain at baseline and 4-6 weeks after exposureChlamydia and gonorrhea urineChlamydia and gonorrhea pharynxChlamydia and gonorrhea rectumPregnancy*RPR with reflex to titer and TP-PABaseline, 4-6 weeks and 6 months after exposureHepatitis C by CIA with reflex to HCT quant NAATBaseline and 6 months after exposureHepatitis B surface Ag with reflexHepatitis B core AbHepatitis B surface AbHepatitis A AbObtain if Hep A status unknownHIV Ag/Ab 4th gen, reflexive panelBaseline, 4-6 weeks, 3 months and 6 months after exposureHIV viral loadBaseline, repeat if HIV infection confirmed at any visitHIV genotypic resistanceBaseline, repeat if HIV infection confirmed at any visit Drugs for PEP:Emtricitabine-tenofovir disoproxil fumerate (?Truvada) 200-300mg Take one tablet by mouth daily 28 tablets 0 refillsPLUSDolutegravir (?ticivay) 50mg Take one tablet by mouth daily Dispense 28, 0 refills ORRaltegravir (?Istentress) 400mg Take one tablet by mouth twice daily Dispense 56, 0 refills ................
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