Pathophysiology
Clinical Framing
PrEP (pre-exposure prophylaxis) for HIV is an NP-level prescribing competency with profound public health impact. Gay and bisexual men, transgender women, people with injection drug use (PWID), and serodiscordant couples represent the populations with highest PrEP benefit. Effective NP-led PrEP programs require: inclusive assessment language, evidence-based eligibility determination, correct regimen selection, and rigorous monitoring. Stigma and assumptions are the primary barriers to PrEP access โ the NP encounter must actively counter both.
