Sexual safety and HIV prevention in travel medicine: Practical considerations and new approaches.

Abstract

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.

• Authors: Vincent J Cornelisse, Edwina J Wright, Christopher K Fairley, Sarah L McGuinness
• Journal: Travel medicine and infectious disease (Travel Med Infect Dis) 2019 Mar - Apr Vol. 28 Pg. 68-73 ISSN: 1873-0442 [Electronic] Netherlands
• PMID: 30562582 (Publication Type: Journal Article)
• Copyright: Copyright © 2018 Elsevier Ltd. All rights reserved.

Topics

• Female
• HIV Infections (prevention & control)
• Humans
• Male
• Sexual Behavior
• Sexually Transmitted Diseases (prevention & control)
• Travel Medicine (methods)