|HIV/TB coinfection. ART and antibiotics?
Sep 18, 2009
We represent a PLWHA group in Kyrgyzstan. We care of a patient with HIV and TB co-infection. Can ART be ordered with antibiotics, like biseptol?
| Response from Dr. Young
Thank you for your question from Kyrgyzstan.
Antiretroviral therapy can indeed by administered at the same time as other antibiotics. Further, all persons with HIV/TB coinfection should definitely receive Biseptol (trimethoprim/sulfa) prophylaxis, in order to prevent Pneumocystis and Toxoplasmosis (DHHS and WHO treatment guidelines).
Additionally, there is emerging and compelling data that HIV/TB coinfected persons should initiate ART as soon as possiblenot as previously thought, after the completion of TB therapy. In one analysis, early initiation of ART among HIV/TB coinfected persons resulted in a ~6-fold reduction in death (Tabarsi, et al., Journal of the International AIDS Society 2009, 12:14).
Thank you for the valuable work that you do.
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