63. Indication to start HAART (Highly active antiretroviral therapy) Note; The higher the viral load; the earlier the treatment should be recommended Consider Monitor 2 monthly Monitor/ recommend based on viral load Recommend Seroconversion >350 200-350 <200 Decision CD4 count (cells/cumm)
76. Prophylaxis of opportunistic infections Clarithromycin or rifabutin azithromycin <50/cumm MAI INH or rifampicin& pyrazinamide Rifampicin & INH (+) ve tuberculin test Tuberculosis Gancyclovir <50/cumm CMV Dapsone & pyrimethamine Co-trimoxazole <100/cumm Toxoplasmosis Dapsone, Co-trimoxazole <200/cumm Pneumocystis Alternative First-line Indication (CD4 count) Organisms/ infection
77.
78. Basic & expanded post- exposure prophylactic regimen As above + Indinavir (Indivan) 800mg 8 hrly OR Efavirenz( Efavir) 600mg OD at night OR Nelfinavir 750mg tds Occupational HIV exposure that posses an increase risk of transmission( e.g. larger volume of blood or higher virus titer in blood) Expanded (28days) Zidovudine 300mg b.d +lamivudine 150mg b.d (Duovir) OR Stavudine 30/40 mg b.d + lamivudine 150mg b.d (Lamivir-s 30/40 ) Occupational HIV exposure for which there is a recognized risk Basic (28days) Drug regimen Indication Category