The U.S. Centers for Disease Control and Prevention is poised to recommend use of a powerful antibiotic to prevent sexually transmitted infections.
The CDC is expected to advise doctors that prescribing a 200 mg dose of doxycycline "should be considered" for these patients within 72 hours after oral, vaginal or anal sex.The CDC isn't the first to back this strategy. Health departments in California, Michigan and New Mexico, among other agencies, already have guidance on Doxy-PEP.Directors, hailed the proposed recommendation.. "So this development is profound for our field.
The CDC recommendations could help cover the cost of the pills through public health budgets and insurance, he said. As part of the CDC draft recommendation, there is a request for doctors to assess side effects of Doxy-PEP and to screen every three to six months for breakthrough infections. "Larger evaluations can sometimes show negative outcomes that have been missed in smaller randomized trials," Mermin told. "So we are going to be continuing to monitor and evaluate the implementation of Doxy-PEP over time."is a concern. Experts speaking at a meeting of the National Association of County and City Health Officials last year warned about that issue."There are important questions that remain regarding potential risks," he added.
The CDC is taking comments for 45 days on the recommendations through Nov. 16. A final version will likely be published early next year.More informationSOURCES: U.S. Centers for Disease Control and Prevention, draft recommendation, Oct. 2, 2023;
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