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Medicine General 707f4338

Indication for prophylaxis in pneumocystis carini pneumonia include

A
CD4 count < 200
B
Tuberculosis
C
Viral load > 25,000 copies/ml
D
Oral candidiasis
High-Yield Explanation
Ans. is 'a' i.e., CD4 count < 200 PROPHYLAXIS OF PNEUMOCYSTIC CARINH PNEUMONL4 Primary prophylaxis is indicated for Patients with CD4- cell counts of< 200/4 History of oropharyngeal candidiasis Secondary prophylaxis is indicated for Both HIV infected and non HIV infected patients. Who have recovered from pneumocystosis. Primary and secondary prophylaxis may be discontinued in HIV infected persons once. CD4+ counts have risen to > 200/p1 and remained at that level for 3 months. Also know First choice agent for prophylaxis Trimethoprim, sulphamethoxazole. Other agents used in prophylaxis. Dapsone, pentamidine.

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