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Hiv And Cd4 Prophylaxis Guidelines

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The Well Project

Understanding CD4 Cells and CD4 Cell Tests

The Basics CD4 Count and HIV CD4 Count and HIV Treatment CD4 Cell Test The Bottom Line The Basics Your immune system protects your body by fighting germs and infections.White blood cells are an important part of your immune system. HIV infects and destroys a type of white blood cell called aCD4 cell (sometimes called a T-cell). As the immune system loses CD4 cells, it becomes weaker and is less able tofight off germs. When it...
Ask the Experts

CD4 Count V. CD4% Count (ABSOLUTE CD4 COUNT VERSUS CD4%, 2010) (WHEN TO START TREATMENT, 2010)

Hi,I was diagnosed with HIV around 15 months ago. Since then my health has been good (especially in the last six months) but my CD4 count has fallen a bit rapidly from 470 to 371 to 324 over this time period. However, my CD4 percentage count has...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
Hello,You are correct: The CD4% is generally considered the more accurate indicator of immune integrity, as it doesn't tend to fluctuate as much due to intercurrent illnesses and other non-HIV-related factors. (See below.)Regarding beginning... Read more »

Change in CDC guidelines about frequency of CD4 test for people with stable CD4 levels??

Yesterday at my quarterly meeting with my doctor to discuss my latest bloodwork, he told me that a couple of months ago the CDC had changed its guidelines regarding how frequently people with stable CD4 levels ought to have their CD4 levels...
Mark Holodniy, M.D., F.A.C.P., C.I.C.

Response from Mark Holodniy, M.D., F.A.C.P., C.I.C.

Stanford University, School of Medicine
Yes, the new national guidelines issued last month indicate that in those people who have had stable HIV infection for some time, CD4 counts can now be monitored every 6-12 months. This is on a case by case basis and is based on a long term pattern... Read more »

CD4% and PJP Prophylaxis

Dear Dr. Holodniy,I at one time heard at a conference, that you must take into consideration the CD4% in addition to the CD4 count when evaluating for the need for PJP prophy.I believe what was mentioned was that a percent less than 20 required PCP...
Mark Holodniy, M.D., F.A.C.P., C.I.C.

Response from Mark Holodniy, M.D., F.A.C.P., C.I.C.

Stanford University, School of Medicine
Go to: http://www.aidsinfo.nih.gov/Guidelines and look at the OI prophylaxis guideline. I believe it is still < 200 or < 14%.... Read more »

history of cd4 and cd8 lymphopenia but hiv 1 and hiv 2 and western blot has been ruled out

my cd4 count is at 478/ul lymph is at 36.8% my cd8 count is at 113/ul lymph 8.7% but have never tested pos for hiv 1 or hiv 2 or western blot . in 2005 i had a pneumocystis carinii pneumonia i was also tested and tested neg for hiv . i was ok after...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
Hello,You should be evaluated and treated by a clinical immunologist. There are other immunological conditions that can cause lymphopenia other than HIV-1 or HIV-2. It appears that HIV has more than been ruled out by your 32 negative tests!... Read more »
Connect With Others

CD4+Tcell count indicative of nothing.

Posted by TonyF, 4 Replies
This, rather than being a myth the public promotes, could be considered a myth that the medical establishment promotes. We are led to believe that our bi-yearly doctor checkup of our CD4+Tcell count is a good baseline determination of where we... Read more »

High VL/High CD4: what to do?

Posted by Anonymous, 7 Replies
Hi from Italy.
I'm HIV+ since Feb 00 and I discovered my status in June.
Since then I have regularly checked my situation having always high VL (from 60K to 240K) and high CD4 (from 750 to 1000).
My last analysis are VL: 200K and CD4: 907.
My doctor is... Read more »

Negative but with a very low CD4 and CD4/CD8

Posted by tobeabetterman, 1 Reply
Hi everyone , sorry to bother again .
I was once told by dear kicker and riverprincess that my 3 months result is conclusive , thank you very much with my best wishes , and I'm sorry I have bother you again .
Some new situation make me nervous again .... Read more »