Treatment and Monitoring
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation
 

Prophylactics Against First Episode of Opportunistic Infections in Adults
Pathogen
Indication
First Choice
P. carinii CD4 count <200 Trimethoprim-sulfamethoxazole, 
1 double strength tab qd.
M. tuberculosis
    INH sensitive
TST >5mm, or prior 
+ reaction, or contact with known TB case
INH, 300 mg po plus pyridoxine, 50 mg po qd X 12 mo.
M. Tuberculosis
     INH resistant
Same as above Rifampin, 600 mg qd X 12 mo.
Toxoplasmosis     gondii IgG antibody to to Toxo and CD4 <100 Trimethoprim-sulfamethoxazole, 
1 double strength tab qd.
Mycobacterium avium (complex) CD4 <75 Azithromycin, 1200 mg qw

Antiretroviral therapy                 Back

 

 

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