Primary Care for Men Who Have Sex with Men

被引：17

作者：

Wilkin, Timothy ^{[1
]}

机构：

[1] Cornell Univ, Weill Med Coll, New York, NY 10010 USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2015年 / 373卷 / 09期

关键词：

C VIRUS-INFECTION; HIV-INFECTION; PREEXPOSURE PROPHYLAXIS; INTRAEPITHELIAL NEOPLASIA; NEISSERIA-MENINGITIDIS; COST-EFFECTIVENESS; HPV VACCINE; TRANSMISSION; PREVENTION; GAY;

D O I：

10.1056/NEJMcp1401303

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 43-year-old gay man presents to a physician's office for primary care. He has one long-term partner who is not infected with the human immunodeficiency virus (HIV) and with whom he has anal sex without condoms. He reports having had occasional anal sex with two other men during the past 6 months, with inconsistent use of condoms. He reports no tobacco or drug use and has one alcoholic drink daily. The patient has received vaccinations against infection with hepatitis A virus (HAV) and hepatitis B virus (HBV). A test for HIV infection is negative. What additional tests would be appropriate, and what would you advise the patient to help him reduce his risk of HIV infection?

引用

页码：854 / 862

页数：9

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