Is he a candidate for pre-exposure prophylaxis today

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Assignment:

A patient at an STI clinic is a worried-looking 28-year-old gay man who until a month ago was in a long-term mutually monogamous relationship. He became inebriated at a party last night and went home with a new acquaintance. Consensual unprotected sex occurred several times, and the patient was both a top and bottom partner. On awakening the partner was gone. This morning the patient is concerned about STI and HIV risks. His last HIV test, performed 2 weeks ago, was negative. He does not know how to contact the partner from last night, and he asks whether he should have another ELISA or that new "fast test" performed today.

  • Does the patient have cause for concern? Why or why not?
  • What will you tell him about testing today?
  • Is he a candidate for pre-exposure prophylaxis today? Why or why not?
  • Is he a candidate for postexposure prophylaxis today? Why or why not?
  • What other teaching or considerations are needed at this time?

Reference no: EM133863171

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