Clinical Guidelines on Pre-Exposure Prophylaxis (PrEP)
On May 14, 2014, the US Public Health Service released the first comprehensive clinical practice guidelines for PrEP, which were subsequently updated in 2017. The guidelines recommend a daily HIV preventive medication for persons at substantial risk of HIV, as identified in the guidelines. When taken daily as directed, PrEP can reduce the risk of HIV by more than 90 percent.
The Centers for Disease Control and Prevention (CDC) has published the clinical guidelines and a variety of resource materials for clinicians and consumers, including web-based facts sheets and videos on the CDC website.
This Guide for Wisconsin PrEP Providers, P-01197 (PDF) summarizes the recommended practices for HIV prevention through Pre-exposure Prophylaxis (PrEP) using the drug combination of tenofovir and emtricitabine (Truvada®). The guide has been compiled and reviewed by the Wisconsin Department of Health Services—HIV Program, in collaboration with experienced local HIV clinicians and other health care providers.
Sample Clinical Protocol for PrEP
This sample clinical protocol, Guidelines for Implementing Pre-Exposure Prophylaxis For The Prevention of HIV in Youth, was developed by the Wisconsin Primary Care Support Network at Children's Hospital of Wisconsin. While this resource covers the provision of PrEP for youth, it is an example of a PrEP protocol that providers can adapt and use as a starting point for their practice.
Case Reporting of HIV Infection and AIDS
Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV) diseases shall be reported to the state epidemiologist within 72 hours after identification of a case or suspected case:
See: Wis Stat. § 252.15(7)(b) Communicable Diseases (PDF) and Wis. Admin. Code § DHS 145.04 (3) (b)
Case Reporting and Investigation Protocol (EpiNet): P-01116 AIDS-HIV (PDF)
Warmline, PEPline, Perinatal HIV Hotline National HIV/AIDS Clinicians' Consultation Center
Clinical Guidelines: National Institute of Health (NIH)
Combined HIV Infection and AIDS Case Report form
The Wisconsin HIV Infection and AIDS Case Report Form collects important public health surveillance information which is crucial for understanding the HIV epidemic and providing important public health services to persons with HIV and those at risk for HIV.
HIV Partner Services
HIV Partner Services Information Sheet
This fact sheet provides information to health care providers and people with HIV regarding public health services known as HIV Partner Services. During HIV Partner Services, people with HIV are confidentially interviewed by skilled public health professionals to elicit information about their sex and drug using partners and social contacts in order to notify them confidentially of their possible exposure or potential risk.
Wisconsin Statutes and Administrative Code Related to HIV Infection and AIDS
Revision to Wisconsin HIV Statutes Related to Act 209
2009 Wisconsin Act 209 eliminated the requirement for written informed consent for HIV testing by replacing it with a verbal consent process. This change reduces the time and paperwork formerly associated with HIV testing and will encourage health care providers to routinely test in a variety of medical settings. Act 209 also simplifies legislative language and revises laws on disclosure of test results, discrimination, significant exposure, and HIV case reporting.
The following resources include a summary of statutory changes, related guidance for clinicians, and sample HIV testing facts sheets that address new statutory provisions on HIV testing and consent.
HIV Testing Guidance and Forms
Centers for Disease Control and Prevention: Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings (Published September 22, 2006)
Sample Clinician Script – Verbal Consent for HIV Testing (PDF)
Sample Consent for HIV Testing form
The following sample form may be used to record client consent for HIV testing services. It may be adapted without permission.
Consent for HIV Testing Form, F-43018 (includes English, Spanish, and Hmong versions)
Biotin Fact Sheet, P-02717 (PDF)
This fact sheet is for clients undergoing HIV testing, to inform them that biotin may interfere with certain lab tests and to remind them to discuss this with their service provider if they have questions.
Sample Authorization for Release of Confidential HIV Test Results, F-42016, (includes English and Spanish versions)
HIV Counseling, Testing and Referral Protocol, P-00539 (PDF)
This protocol was developed to provide an overview of the Wisconsin HIV Counseling, Testing, and Referral (CTR) Program and to identify requirement of agencies contracted to provide CTR services related to counseling, testing, referral, data collection, and record-keeping. CTR sites are required to adhere to this protocol and the terms and conditions of contractual agreements and memorandum of understanding with the Division of Public Health.
Linkage to Care Specialist Program Manual, P-01089 (PDF)
This manual provides an overview of a patient navigation program developed as part of the federally funded Special Projects of National Significance Systems Linkages initiative. The manual includes program planning and implementation information for HIV service providers interested in adapting or replicating a similar patient navigation program for persons living with HIV.
Social Networks HIV Testing Program Manual, P-01130 (PDF)
This manual provides an overview of the Social Networks Testing (SNT) strategy as it was delivered within Wisconsin's federally funded Special Projects of National Significance Systems Linkages initiative. A SNT strategy uses existing social networks to reach persons who are unaware of their HIV status and provide HIV testing and linkage services. The purpose of this manual is to provide strategy planning and implementation information for service providers interested in adapting or replicating a local SNT initiative.