The DC Cohort Longitudinal HIV Status Neutral Study

Inclusion Criteria

• •Patient is receiving care for HIV at one or more of the twelve participating clinics in the DC Cohort.
• •Patient is either age 18 years or older, or seeks HIV care independently and is able to understand and sign informed consent.
• •Patient is a minor who is consented by a parent or legal guardian.
• •Persons receiving any antiretroviral prescription without evidence of HIV or Hepatitis B infection
• •PrEP (e.g., TDF/FTC, Descovy, Apretude)
• •Combination ART indicative of nPEP in an HIV-uninfected person
• •Persons receiving an antiretroviral prescription indicative of DoxyPEP Doxycycline 200mg PO taken within 72 hrs of unprotected sexual encounter (or variations thereof where clearly not prescribed as a treatment course)
• •Test positive for ≥1 bacterial STI (positive gonorrhea (GC/NG) or chlamydia (CT) test or positive syphilis test requiring treatment within one year)
• •* 2 bacterial STI (GC, chlamydia, syphilis) tests at 2 or more different encounters
• •* 2 HIV tests at 2 or more different encounters
• •Patient requesting PrEP at their clinical visit
• •Patient requesting nPEP at their clinical visit
• •People who identify as injecting drugs
• •Patients with a Z29.81 Encounter for HIV pre-exposure prophylaxis