Women Alive

OI Treatment Chart

Fall 1999

This article is part of TheBody.com's archive. Because it contains information that may no longer be accurate, this article should only be considered a historical document.

Disease	Begin prophylaxis	First Choice	Alternative
Pneumocystis	T-cell <200 or % <14 or oropharyngeal candidiasis (oral thrush) or unexplained fever >2 weeks	TMP-SMX (Bactrim) 1 double strength (DS) everyday or 1 single strength (SS) everyday or 1 double strength three times a week	Dapsone 50-100mg day or aerosolized pentamidine each month or Mepron (atrovoquone) 10 mL everyday (1500mg/day)
Toxoplasmosis gondi	T-cell count <100 with a positive Toxoplasmosis IgG titer	Bactrim, double strength tablet everyday -- Bactrim, 1 DS everyday	Dapsone, 50-100 everyday plus pyrimethamine 50mg three times a week plus leucovorin 5mg three times a week
Mycobacterium Avium Complex	T-cell <50	Azithromycin: 1200mg two pills once a week	Clarithromycin: 500 mg twice daily; Rifabutin: 300 mg each day
Mycobacterium tuberculosis	PPD reaction >5mm (skin testing) or history of a prior PPD result without treatment or contact with someone who has active disease	Isoniazid 300mg + pyridoxine (vit B6) everyday for 12 months or Isoniazid 900mg + pyridoxine 50mg twice weekly for 12 months	Rifampin 600mg everyday for 12 months
CMV Disease	T-cell <50 with routine eye screening done every 3-6 months	Oral Gancyclovir 1 gm three times a day (not routinely used as a primary prophylaxis because of poor absorption and the number of pills)	None
Deep Fungal Infections, Cryptococcal neoformans or Histoplasmosis capsulum	T-cell <100	Fluconazole 100mg everyday or 200mg three times a week (not widely recommended because of possible resist oral/esophagitis from Candidiasis	None
Streptococcus pneumonia	All patients regardless of T-cell count	Pneumoncoccal vaccine, 0.5 mL once	IV or IM IgG
Varicella virus	Significant exposure to chicken pox or shingles for patients with no history of either condition or, if available, negative antibody titer	Varicella zoster immune globulin (VZIG), 5 vials (1.25 mL each) IM, given <96 hours after exposure, ideally within 48 hours	Acyclovir 800mg five times a day
Influenza A	All patients (annually before influenza season, between September and November)	Whole or split virus, 0.5 mL IM/year	Rimantadine, 100mg two times daily or amandtadine, 100mg two times daily
Hepatitis B	All susceptible (anti-HBc negative) patients	Energix B, 20 ug IM on month 1, 2 and 6	Recombinvax HB, 10ug IM (intramuscular)

Back to the Women Alive Fall 1999 Contents Page.

This article is part of TheBody.com's archive. Because it contains information that may no longer be accurate, this article should only be considered a historical document.

This article was provided by Women Alive. It is a part of the publication Women Alive Newsletter.

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