PRIMARY PROPHYLAXIS PROTOCOLS FOR COMMON OPPORTUNISTIC INFECTION

Question 1

When do you initiate PCP prophylaxis in HIV patients and what is the treatment

Answer 1

1. CDC 4 count < 350 cells / ml
2. Presence of oral candidiasis

Prophylaxis :
Give BACTRIM 1D/S or 2 SS one tab a day for 3 months

Treatment :

Question 2

What is the alternative therapy for PCP

Answer 2

Dapsone 100 mg/ day

Question 3

When do you indicate Prophylaxis for TOXOPLASMA GONDII
and what is the treatment

Answer 3

CD4 count < 100/mm

Give BACTRIM 1 DS Tablet / day
Or

dapsone 50mg / day + pyrimethamine 50mg / week

Question 4

Treatment for TPG

Answer 4

Pyrimethamine (100mg loading dose orally followed by 25-50 mg/day) plus sulfadiazine (2-4 g/day divided 4 times daily)