Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Pulmonary Disease


Answer 2
  1. TMP/SMX and azithromycin. Immunosuppression that results from HIV infection significantly increases the risk for acquiring opportunistic bacterial, viral, fungal, and protozoan infections. These opportunistic infections are a major cause of morbidity and mortality in the HIV population. For this patient with a CD4+ cell count of 10 cells/µL, prophylaxis should have included TMP/SMX and azithromycin for prevention of PCP, toxoplasmosis, and M. avium complex (Table).3 Fluconazole is effective for preventing cryptococcal infection in patients with a CD4+ cell count less than 50 cells/µL, but it is not routinely recommended. Additionally, fluconazole is only recommended for the prevention of Candida infection if the patient has had frequent or severe recurrences.

    REFERENCE
    3. Kaplan JE, Masur H, Holmes KK. Guidelines for the prevention of opportunistic infections among HIV-infected persons—2002. Recommendations of the U.S. Public Health Service and the Infectious Diseases Society of America. Available at http://aidsinfo.nih.gov/contentfiles/OIpreventionGL.pdf. Accessed 5 May 2008.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 7/18/08 • nvf