Rejected at 3:16 a.m. Nov, 01, 2023 ] by dollajas
Author: kfw001
Related Note: 1514576041266
Rationale for change

Easy to remember MACrolide for MAC
Source: Other - Me

Rejection reason

not necessary, add to your own personal fields

Text Text
Extra
- cART = Combined antiretroviral therapy

- Per AMBOSS and UTD, although a macrolide is no longer recommended for MAC prophylaxis in patients taking cART, it is still recommended for patients with a CD4+ count < 50/mm3 who are not immediately started on effective cART (e.g., because they refuse ART)

CD4 count (cells/μL)InfectionIndicationProphylaxis
< 250CoccidioidomycosisReside in endemic area AND If (+) IgG or (+) IgMFluconazole
< 200Pneumocystis pneumoniaEveryoneTMP-SMX
< 100Toxoplasma gondiiPositive serologyTMP-SMX
< 50Mycobacterium avium complexNo active infection + not on fully suppressive ARTAzithromycin OR clarithromycin
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#AK_Step1_v12::#Bootcamp::Microbiology::35_Opportunistic_Infections::07_Cytomegalovirus,_Disseminated_Mycobacterial_Non-Tuberculous_Disease #AK_Step1_v12::#Bootcamp::Microbiology::36_Antibiotics::14_Macrolides #AK_Step2_v12::$AnKingUpdates::$Errata::v10-minor_text_changes #AK_Step1_v12::#B&B::13_Infectious_Disease::02_Bacteria::08_Mycobacteria #AK_Step1_v12::#Physeo::09_Pharm::05_Antibiotics::22_Dapsone,_Rifamycins,_Clofazimine_(Leprosy_Drugs) #AK_Step2_v12::!Shelf::IM::no_dupes #AK_Step1_v12::^Other::^EXPN #AK_Step1_v12::#SketchyPharm::07_Antimicrobials::02_Inhibitors_of_Bacterial_Protein_Synthesis::02_Macrolides #AK_Step2_v12::#Subjects::Microbiology::01_Bacteria::08_Mycobacteria::Mycobacterium_Avium_Complex #AK_Step2_v12::$AnKingUpdates::$Errata::v11 #AK_Step1_v12::#Physeo::09_Pharm::05_Antibiotics::16_Macrolides #AK_Step2_v12::#Resources_by_rotation::IM::amboss_medicalark #AK_Step2_v12::Original_decks::Dorian::im::ome::infection::hiv #AK_Step1_v12::#FirstAid::03_Microbiology::07_Antimicrobials::27_Antimycobacterial_therapy #AK_Step1_v12::#SketchyPharm::07_Antimicrobials::03_Antimycobacterials::02_Leprosy_Drugs::zanki_extra #AK_Step2_v12::#UWorld::Step::3252 #AK_Step2_v12::#AMBOSS::IF0Yj3 #AK_Step2_v12::#UWorld::COMLEX::100060 #AK_Step2_v12::#Resources_by_rotation::IM::ome::infection::hiv #AK_Step2_v12::!Shelf::IM #AK_Step1_v12::#Physeo::^physeo_image_update #AK_Step1_v12::^Other::^FA_Updates::FA2018 #AK_Step2_v12::#B&B::08_Infectious_Disease::03_HIV::01_HIV_Infection::Extra #AK_Original_Decks::Step_1::Zanki_Pharmacology #AK_Step2_v12::#Subjects::Microbiology::01_Bacteria::08_Mycobacteria::Mycobacterium_Avium_Complex::Prophylaxis #AK_Step1_v12::#SketchyMicro::01_Bacteria::08_Mycobacteria::03_Mycobacterium_avium_intracellulare,_Mycobacterium_scrofulaceum,_Mycobacterium_marinum #AK_Step1_v12::#FirstAid::03_Microbiology::07_Antimicrobials::26_Antituberculous_drugs::*Rifamycins #AK_Step1_v12::#Bootcamp::Microbiology::36_Antibiotics::24_Pyrazinamide_Ethambutol_Dapsone_and_Clofazimine #AK_Step1_v12::#OME::PreClinical::Microbiology::Microbiology_2::Antibacterials::Antimycobacterials #AK_Step1_v12::$AnKingUpdates::$Errata::v11 #AK_Step1_v12::#Bootcamp::Microbiology::36_Antibiotics::23_Rifamycins #AK_Step1_v12::^Other::^HighYield::2-RelativelyHighYield #AK_Step2_v12::Original_decks::MedicalArk::im::amboss !AK_UpdateTags::Step1decks::Zanki-Pharmacology #AK_Step2_v12::#SketchyIM::09_Infectious_Diseases::Retired_Lessons::04_HIV_&_AIDS::03_AIDS_SOAP_[OLD_VERSION] !AK_UpdateTags::Table::HIV_Opportunistic_Prophylaxis