HIV vaccinations and prophylaxis

All patients
Annual influenza vaccination
Polyvalent pneumococcal vaccine
HSV, candida (if multiple recurrences)
Hepatitis A vaccine (if positive for Hep B or C)

CD4+ < 200, prior PCP infxn, oral- candidiasis , FUO X 2 weeks

P. jiroveci pneumonia ( bactrim )

CD4+ < 100, positive IgG serologies
Toxoplasma gondii (double strength bactrim )

CD4+ < 50-100
Mycobacterium avium complex (MAC)
Weekly azithromycin or daily clarithromycin

CMV infection
Treat and prophylaxis with gancyclovir

PPD > 5mm or "high risk"
M. tuberculosis
INH X 9 months, plus pyridoxine



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August 5th 2010