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OI Treatment Chart

From Women Alive

Fall 1999

A note from TheBody.com: Since this article was written, the HIV pandemic has changed, as has our understanding of HIV/AIDS and its treatment. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information!

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)


A note from TheBody.com: Since this article was written, the HIV pandemic has changed, as has our understanding of HIV/AIDS and its treatment. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information!




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