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last
update October 2002
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| Bacterial
Infections: Gram Stain of Pneumococcus |
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Pnumococcal
pneumonia and sinusitis are common in some HIV-infected patients;
hemophilus infections have also been reported. The increased risk
of conventional bacterial infections in HIV disease is probably
related to difficulties with opsonizing antibody formation to
encapsulated organisms. Their clinical manifestations and treatment
are similar to those in immunocompetent patients.
TMP-SMX is effective in reducing the likelihood of these infections
but may preomote colonization with resistant organisms. Pneumococcal
vaccine is recommended in HIV-infected patients with a CD4 count
greater than 200. More information about prevention of bacterial
infections is provided in
the Clinical Aspects of HIV Infection Tutorial:
Routine Health Care Maintenance
- Immunizations
(Note: this link will open in a new window.
Close the new window to return to this tutorial). |
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