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P198 Comparison of recreational drug use (RDU) and sexually transmitted infections (STIs) in HIV positive men who have sex with men (MSM) and HIV negative MSM receiving post exposure prophylaxis (PEP)
  1. Paul Davis,
  2. Vicki Kirby,
  3. Andy Rosiak,
  4. Brian Thornton,
  5. Selena Singh
  1. Bart’s Health NHS Trust, London, UK


Introduction Recreational drug use (RDU) in a sexualised context (“chemsex”) is increasing amongst MSM regardless of HIV status and is associated with poor sexual health outcomes. National guidelines for both PEP and HIV management suggest regular sexual health screens (SHS) and screening for RDU and alcohol use.

Aim(s)/objectives To audit the documentation of SHS and RDU history from HIV positive MSM attending routine outpatient clinics compared to HIV negative MSM accessing PEP.

Methods Retrospective review of 45 randomly selected MSM attending routine HIV care (HIV+ group) OR receiving PEP (PEP group) at each of 2 London clinics during 2014/15.

Abstract P198 Table 1

RDU use in HIV+ and HIV negative MSM

Discussion High levels of STIs and RDU were seen in both groups but most significantly in the PEP group. This highlights the importance of identifying RDU/chemsex in PEP patients, which may be an opportunity for intervention to reduce risk of acquisition of HIV through risky sex.

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