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Antibiotics As Part of Treatment
Jul 30, 2012

I'm asking a question for someone who has recently been diagnosed with AIDS and his doctor has him on 2 different antibiotics and told him he believed all HIV patients should be on them. Now, this person was very sick and in the hospital for over a month. He has done great and is now back at work. He and I are wondering why is he still taking antibiotics? His viral load is almost undetectable but his CD4 is around 150.

Response from Dr. Young

Hi and thanks for posting.

Antibiotics are recommended for the prevention of certain serious infections in persons with low CD4 counts. For those persons with CD4 count below 200, TMP/SMX (Bactrim, Cotrimoxazole) is recommended to prevent PCP. Azithromycin is another antibiotic recommended for persons with counts below 50 to prevent MAC infection. When the CD4 counts recover, both antibiotics can be discontinued.

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