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Sexual Health Quick Guide
 
Sexual health is an essential element of overall health and well-being that medical providers and patients often do not discuss. While many patients have sexual health questions and want your insight, they may be hesitant to start the conversation. By asking all your adult and adolescent patients a few essential questions, you help to remove the stigma around discussing sex and normalize these discussions.

This quick guide provides strategies to help you discuss sexual health with your patients and sample questions for taking a sexual history.

 
What is HIV PrEP?
 
PrEP is short for pre-exposure prophylaxis. It is the use of antiretroviral medication to prevent HIV infection among people who could be exposed to HIV through sex or injection drug use. PrEP reduces the risk of getting HIV from sex by about 99% and from injection drug use by at least 74%.

PrEP is less effective when not taken as prescribed. Since PrEP only protects against HIV, condom use is still important for protection against other STIs. Condom use is also essential to help prevent HIV if
PrEP is not taken as prescribed.

In 2021, the US Preventive Services Task Force issued a graded recommendation to inform all sexually active adults and adolescents about PrEP [grade IIIB].

The HIV Nexus CDC Resources for Clinicians is a one-stop location for information across the HIV continuum, including up-to-date tools and guidelines for your practice, and educational materials for your patients.
 
Learn How to Assess, Initiate, and Monitor HIV PrEP
in New National HIV PrEP Curriculum
 
The new National HIV PrEP Curriculum (NHPC) is a free, up-to-date educational website to help health care professionals develop proficiency in assessing, initiating, and monitoring HIV PrEP. The HIV PrEP Fundamentals and HIV PrEP In-Depth Topics modules have 11 lessons and offer 14 free CME credits, CNE and CE contact hours, ten free pharmacology CE for APNs, and Certificates of Completion. Registered learners who complete the five HIV PrEP Fundamentals Module lessons may earn an HIV PrEP Training Certificate.

National HIV PrEP experts help health care professionals and administrative staff learn how to provide HIV PrEP via clinically relevant and practical mini-lectures, panel discussions, and interviews. NHPC’s concise, illustrated HIV PrEP Clinical Guides address injectable cabotegravir, on-demand dosing, laboratory monitoring, and HIV PrEP studies.

The National HIV PrEP Curriculum offers the custom-built HIV PrEP Tools for Clinicians app to support interactions with patients from initial assessment and medication selection to what labs to order. The app can be accessed on the website, www.hivprep.uw.edu, or find HIV PrEP Tools on the Apple Store or the Google Play Store.
This graphic shows a clinic's essential elements and basic flow of PrEP care. PrEP clinical care includes identifying and engaging patients in need of PrEP, conducting necessary exams and lab tests, prescribing PrEP for the patients, and monitoring ongoing patients with follow-up visits and prescriptions—for as long as the patient needs PrEP.
 
 
CDC's Let's Stop HIV Together Campaign
 
CDC’s Let’s Stop HIV Together campaign is the national campaign of the Ending the HIV Epidemic in the U.S. (EHE) initiative and the National HIV/AIDS Strategy. Together is an evidence-based campaign created in English and Spanish. It aims to empower communities, partners, and health care providers to reduce HIV stigma and promote HIV testing, prevention, and treatment.
 
Ordering Extencilline
 
FDA | Drug Shortages
  • Select Drug Shortages Database (red button) and enter penicillin into the search field (searching for Bicillin or benzathine will not produce a result)
  • Select Penicillin G Benzathine Injection (currently in shortage)
  • Choose either of the listed presentations 1,200,000 units or 2,400,000 units and select the appropriate hyperlink (note: this is an active hyperlink even though the type/font does not denote a visual hyperlink)

NIH – National Library of Medicine (NLM) | DailyMed - Extencilline
This site includes information from the heath care provider letter which indicates the prescribing information as well as ordering instructions

Contact Direct Success at Distribution@dsuccess.com or 877-404-3338 to place an order. Additional resources and forms can be found here.
 
Upcoming Events
 
 Insights and Strategies for STI and HIV Prevention and Treatment
April 4 | 12:00 pm - 1:00 pm CT/11:00 am - 12:00 pm MT

Join the National Council for Urban Indian Health for an overview of findings and recommendations from the 2023 NCUIH STI Questionnaire for Urban Indian Organizations (UIOs). Participants will exchange insights to enhance prevention, diagnosis, and treatment strategies for HIV and STIs to better equip UIOs and other health centers in implementing evidence-based interventions and overcoming health care challenges within Indigenous communities.

While the focus is on American Indian and Alaska Native people, anyone interested in STI and HIV prevention and treatment is welcome to attend. This event is made possible by the Minority HIV/AIDS Fund through the Indian Health Service.

Register here.
 
 
 
The Mountain West AIDS Education and Training Center (MWAETC) program is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $3,333,289 with 0% financed with non-governmental sources. The content in this presentation are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government.

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