Integrate these updates into your practice as part of a comprehensive approach to preventing sexually transmitted and bloodborne infections (STBBI).
Doxy-PEP
Doxycycline post-exposure prophylaxis involves taking doxycycline within 72 hours after condomless oral, vaginal or anal sex to prevent syphilis, chlamydia, and possibly gonorrhea.
Consider off-label use of Doxy-PEP for cisgender gay, bisexual and other men who have sex with men and transgender women at higher risk of bacterial sexually transmitted infections.
Visit Canada.ca for full guidance. Developed by the National Advisory Committee on STBBI. Published by the Public Health Agency of Canada.
HIV PrEP
HIV pre-exposure prophylaxis involves taking oral or injectable antiretroviral medications on an ongoing basis to prevent an HIV infection.
Prescribe HIV PrEP for all adults and teens who want it. Assess HIV risk and recommend HIV PrEP to people who would benefit.
HIV PEP
HIV post-exposure prophylaxis involves taking oral antiretroviral medications as soon as possible within 72 hours after exposure to prevent an HIV infection.
Prescribe HIV PEP to patients with a moderate or high-risk exposure to a person with substantial risk of having transmissible HIV infection.
Visit cmaj.ca for full guidance.Developed by the Canadian Institutes of Health Research Pan‑Canadian Network for HIV and STBBI Clinical Trials Research (CTN+).
Note: These recommendations do not supersede any provincial/territorial legislative, regulatory, policy and practice requirements or professional guidelines that govern the practice of health professionals in their respective jurisdictions, whose recommendations may differ due to local epidemiology or context.
