A candidate for HIV preexposure prophylaxis – all of the following
(1) adult
(2) without established HIV infection or acute HIV infection
(3) has engaged in sexual activity with a member of the opposite sex in the past 6 months
(4) not in a monogamous partnership with an HIV-negative partner (confirmed by recent testing)
(5) one or more of the following:
(5a) male who is bisexually active (has sec with both men and women)
(5b) ongoing sexual relationship with an HIV-positive partner
(5c) infrequently uses condoms during sex with >= 1 partner(s) of unknown HIV status AND the partner is at substantial risk for HIV infection
where:
• An adolescent can be sexually active and so may be at risk. However, providing prophylaxis to this population may require involvement of the patient’s parents or guardians.
• Substantial risk for HIV infection includes intravenous drug use or bisexual male partner.
