Profilaxis preexposición (PrEP) frente al VIH: eficacia, seguridad e incertidumbres
Resumen
En los últimos años se ha objetivado un incremento de las nuevas infecciones por el VIH en el grupo de hombres que tienen sexo con hombres, lo que indica la ausencia de eficacia de las campañas y medidas preventivas instauradas en dicho grupo.
Es necesario, por tanto, implementar medidas preventivas alternativas, siendo la profilaxis farmacológica pre-exposición (PrEP) una de las opciones mejor evaluadas tanto en ensayos clínicos como en la vida real, habiéndose demostrado tasas de protección superiores al 80% cuando se administra en los casos indicados y con buen cumplimiento terapeútico.
La estrategia ha demostrado, además, un perfil adecuado en seguridad,
tolerancia y efectos adversos, siendo además coste-efectiva según los
estudios realizados para valorar este importante aspecto.
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DOI: http://dx.doi.org/10.7399%2Ffh.10821
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