The principles underpinning nursing in this specialty sector have been translated into practice standards by the Australasian Sexual Health and HIV Nurses Association (ASHHNA). (9) These standards were developed and updated, by referencing current national and international sexual health and HIV nursing competency and practice standards. The standards account for differences in practice for both …
There are vast differences between HIV nursing models nationally and internationally due to epidemiological variability, differences in health system infrastructure including the scope of nursing practice and access to resources worldwide. The models of care that exist reflect the need of the population they were developed for and change according to the needs of that population. …
Australian Sexual Health and HIV Nurses Association (ASHHNA) Inc Australian and New Zealand Association of Nurses in AIDS Care (ANZANAC) via Facebook
Crock E, Butwilowsky J. The HIV resource nurse at the Royal District Nursing Service (Melbourne): making a difference for people living with HIV/AIDS in the community. Australian Journal of Primary Health 2006; 12(2), pp. 83-89. Hopwood M, Newman C, Persson A, Watts I, de Wit J., Reynolds R., . . . Kidd, M. Expert perspectives …
John McAllister: St. Vincent’s Hospital, Sydney Revised and updated by Cherie Bennett Year Updated: 2024 Summary This chapter describes biomedical HIV prevention technologies in the Australian setting, evidence for their effectiveness, and the settings in which they can be used. It discusses nurses ‘roles in the implementation of biomedical prevention, guidelines and education. Introduction Non-occupational …
NPEP has been in wide-spread use in Australia since 1999 and is recommended by the Australian Government’s Department of Health and Ageing.[11] The Australian National NPEP guidelines recommend 28 days of ART (at prescriber’s discretion) with two or three drugs for an HIV transmission risk event of ≥ 1: 15,000. Australian men who have sex with …
Non-occupational postexposure prophylaxis (NPEP) Read More »
NPEP appears to be most effective when administered as soon as possible after exposure. In macaque monkeys, tenofovir initiated within 24 hours of a simian immunodeficiency virus (SIV) challenge provided 100% protection from infection vs 50% and 25% when initiated at 48 and 72 hours, respectively.[14] In seven human cases of seroconversion following NPEP, the …
Intolerable side-effects result in many clients failing to complete the prescribed course of NPEP. In a meta-analysis of PEP adherence, completion rates were 57% overall and 67% in MSM.[15] Toxicity driven discontinuation was commoner with three-drug regimens than with two-drug regimens (2% vs 9% respectively).[16] The World Health Organization (WHO) recommends that three antiretroviral drugs be …
NPEP use is a good indicator of future HIV risk and acquisition. Australian men who have sex with men who have ever used NPEP are around three times more likely to eventually acquire HIV infection when compared to men who had never used NPEP.[22] This heightened risk is less about drug failure and more about inability …
Up to 1:8 Australian men who have sex with men has HIV infection.[23] High levels of adherence to daily co-formulated TDF/FTC has been shown to be highly effective at preventing HIV infection in populations at high risk of HIV acquisition (Table 11).[24] It is estimated that 20% of gay men in Sydney are now taking …