MDCalc

Menza Score

Predicts 4-year risk of HIV for MSM.

Does your patient/client have gonorrhea, chlamydia, or syphilis, or does he have a history of these infections?

Has your patient/client used methamphetamine or inhaled nitrites (poppers) in the prior 6 months?

Does your patient/client report unprotected anal intercourse with a partner of positive or unknown HIV status in the prior year?

Does your patient/client report 10 or more male sexual partners in the prior year?

Result:

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Management
  • Validation and clinical studies used a cutoff score of ≥1 for identifying high-risk individuals.
  • Patients determined to be high risk should receive targeted prevention strategies. These may include (but are not limited to) counseling on safe sex practices and condom use, more frequent HIV and STI screening, more frequent follow-up, and consideration for PrEP therapy.
  • Click here for the CDC’s guidance on HIV infection prevention strategies.
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