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Pre-exposure prophylaxis (PrEP) for men who have sex with men in Europe: review of evidence for a much needed prevention tool
  1. Thijs Reyniers1,
  2. Elske Hoornenborg2,
  3. Bea Vuylsteke1,
  4. Kristien Wouters3,
  5. Marie Laga1
  1. 1Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
  2. 2Department of Infectious Diseases, Public Health Service Amsterdam, Amsterdam, Netherlands
  3. 3Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium
  1. Correspondence to Dr Thijs Reyniers, Department of Public Health, Institute of Tropical Medicine, Antwerp, Nationalestraat 155, Antwerp 2000, Belgium; treyniers{at}itg.be

Abstract

In many Western countries with good coverage of antiretroviral treatment (ART) programmes the annual number of HIV infections is still high and not (yet) declining among men who have sex with men (MSM). This might indicate that antiretroviral treatment roll-out alone will not turn around the course of the epidemic and that new, additional tools are needed. Antiretrovirals used as prevention tools for people not yet infected with HIV, such as pre-exposure prophylaxis (PrEP) could be such important additional tools. PrEP is a new type of biomedical prevention, which involves the use of antiretrovirals before, during and after (periods of) sexual exposure to HIV. In this review, we will focus on PrEP as a new prevention tool for MSM at high risk in Europe, including its evidence for effectiveness, challenges for implementation, ongoing European demonstration studies; as well as how PrEP relates to other existing prevention tools. In light of European Medicines Agency's recent recommendation for approval of PrEP we briefly review the potential implications.

  • POSTEXPOSURE PROPHYLAXIS (HIV)
  • GAY MEN
  • HIV
  • PREVENTION

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Footnotes

  • Handling editor Jackie A Cassell

  • Contributors All authors contributed to drafting the first version of the manuscript. The final version was drafted by TR and ML.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.

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