Created at 9:43 p.m. Apr, 03, 2026
Author:
minerandrew
Type of change:
Updated content
Rationale for change
This should say <200, not <50. MAC prophylaxis is no longer recommended and therefore you should start prophylaxis for PCP at <200
Source: UWorld - Step 1 3252
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- For patients not on ART (or not immediately starting ART), prophylaxis also includes azithromycin for Mycobacterium avium complex
- TMP-SMX is used for PJP prophylaxis at CD4 < 200 (all patients) and toxoplasma prophylaxis at CD4 < 100 (only patients with positive serology)

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Watch associated Bootcamp video - Opportunistic Infections: Cytomegalovirus, Disseminated Mycobacterial Non-Tuberculous Disease
Watch associated Bootcamp video - Positive-sense RNA Viruses : HIV Diagnosis and Management
Watch associated Bootcamp video - Positive-sense RNA Viruses : HIV Diagnosis and Management
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