TABLE 2

Testing in patients prescribed preexposure prophylaxis for HIV prevention

PrEP medicationsEmtricitabine/tenofovir disoproxil fumarateEmtricitabine/tenofovir alafenamideCabotegravir
Initial testing
Human immunodeficiency virus (HIV) antigen/antibodyXXX
HIV RNAXXX
Creatinine/estimated creatinine clearanceXXX
Rapid plasma reagin syphilis screeningXXX
Gonorrhea/chlamydia nucleic acid amplification testingaXXX
Hepatitis A virus specific immunoglobulin GXXX
Hepatitis B surface antigenXXX
Hepatitis B surface antibodyXXX
Hepatitis B core antigenXXX
Hepatitis C virus-specific immunoglobulin GXXX
Pregnancy testbXX
One month
HIV antigen/antibodyXXX
HIV RNAX
Every 2 months
HIV antigen/antibodyX
Rapid plasma reagin syphilis screeningcNot applicableNot applicableX
Gonorrhea/chlamydia nucleic acid amplification testinga,c,dX
Pregnancy testbX
Every 3 months
HIV antigen/antibodyXX
CreatinineeXX
Rapid plasma reagin syphilis screeningXXNot applicable
Gonorrhea/chlamydia nucleic acid amplification testinga,dXX
Pregnancy testbX
Annually
CreatinineeXXX
Hepatitis C virus-specific immunoglobulin GfXXX
Lipid panelX
  • a3-site testing of self-collected urine or vaginal specimen, pharyngeal swab, and rectal swab.

  • bUrine pregnancy testing if childbearing potential.

  • cTesting intervals may be extended to every 4 months.

  • dGonorrhea testing semiannually and chlamydia testing at least yearly for cisgender women.

  • eRenal function testing may be performed semiannually.

  • fHepatitis C virus immunoglobulin G may be tested more regularly and as requested.

  • Based on information from references 2,6,14,2225.