Prevention: the challenge continues

Juliet Bennett
Independent Nurse Advisor

Happy New Year and welcome to the spring issue for 2016. We have some varied and interesting articles in our first issue of the year, looking in particular at prevention of infection and also at the relevance of female gender on the risk of HIV acquisition and onward transmission. We also commence a new series of short articles aimed at guiding those of you who would like to present a piece of research, audit findings or a practice development initiative, either at conference or through publication.We start, in this issue, with instructions on abstract preparation and poster preparation (for conference). We hope that you will find the series useful, and as always we welcome your feedback and any suggestions for continuing the series.
The last five years has seen the HIV prevention ‘toolbox’ growing very significantly. Based on scientific and technological advances, new guidelines and recommendations have expanded the number of options for prevention available to us. Options include male circumcision, sero-sorting, post-exposure and pre-exposure prophylaxis, and microbicides. In addition, the changing rationale for starting treatment early, driven by evidence supporting treatment as prevention (TasP), has also resulted in new recommendations, advising treating all who are diagnosed with HIV, irrespective of CD4 cell count, with the additional benefit of reducing onward transmission. Rebekah Webb’s informative article provides us with the ‘big picture’: an encouraging overview of these and other prevention strategies which have developed in the last decade. Read more. . .