TY - JOUR
T1 - Sexual safety and HIV prevention in travel medicine:Practical considerations and new approaches
AU - Cornelisse, Vincent J.
AU - Wright, Edwina J.
AU - Fairley, Christopher K.
AU - McGuinness, Sarah L.
PY - 2019/4
Y1 - 2019/4
N2 - Travellers who engage in sexual contact with a new sexual partner abroad may be at high risk of HIV and other sexually transmitted infections (STIs), but these risks can be reduced through appropriate planning during the pre-travel clinic visit. Here we discuss strategies available to the clinician to maximise travellers’ sexual safety during travel. Strategies may include immunizations, condoms, HIV pre-exposure prophylaxis (PrEP), HIV post-exposure prophylaxis (PEP), self-initiated treatment of symptomatic bacterial STIs, post-exposure prophylaxis for bacterial STIs and hormonal contraception. We discuss the role of these different strategies for travellers, and provide resources to assist clinicians in making clinical decisions and in educating travellers about sexual safety.
AB - Travellers who engage in sexual contact with a new sexual partner abroad may be at high risk of HIV and other sexually transmitted infections (STIs), but these risks can be reduced through appropriate planning during the pre-travel clinic visit. Here we discuss strategies available to the clinician to maximise travellers’ sexual safety during travel. Strategies may include immunizations, condoms, HIV pre-exposure prophylaxis (PrEP), HIV post-exposure prophylaxis (PEP), self-initiated treatment of symptomatic bacterial STIs, post-exposure prophylaxis for bacterial STIs and hormonal contraception. We discuss the role of these different strategies for travellers, and provide resources to assist clinicians in making clinical decisions and in educating travellers about sexual safety.
KW - Anti-bacterial agents
KW - HIV
KW - Immunization
KW - Post-exposure prophylaxis
KW - Pre-exposure prophylaxis
KW - Sexually transmitted diseases
UR - http://www.scopus.com/inward/record.url?scp=85059143270&partnerID=8YFLogxK
U2 - 10.1016/j.tmaid.2018.12.006
DO - 10.1016/j.tmaid.2018.12.006
M3 - Review Article
AN - SCOPUS:85059143270
VL - 28
SP - 68
EP - 73
JO - Travel Medicine and Infectious Disease
JF - Travel Medicine and Infectious Disease
SN - 1477-8939
ER -