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cotromoxaxole and HIV

Aug 7, 2012

I have noted people with cd4 500 and above put on cotri is it okay, can Hiv be isolate in a person with normal cd4 count

Response from Dr. Young

Hello and thanks for posting.

If I understand your questions:

1) Yes, cotrimoxazole (Bactrim, TMP/SMX) is an antibiotic that is commonly administered to people HIV+ and HIV-. It is also recommended as a first-line preventative treatment in HIV+ persons with CD4s less than 200 in order to prevent Pneumocystis pneumonia.

2) Absolutely. In people not on HIV treatment, HIV can be detected in body fluids- independent of CD4 cell count.


Supplement with Efavir and combivir
prophylaxis for superinfection

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