What is included in the monitoring of antimicrobial prophylaxis for the prevention of opportunistic infections in patients with HIV infection?

Updated: Mar 09, 2021
  • Author: Justin R Hofmann, MD; Chief Editor: John Bartlett, MD  more...
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Answer

Answer

Once initiated, prophylaxis should be ideally accompanied by education from a trained educator and such teaching should be documented; the same educator should reinforce ART. At each visit, patients should bring their prescription bottles and explain the purpose of their medications. Failure to give correct answers or to bring bottles warrants a return visit to the educator.

As a patient improves, CD4 counts rise, and the immune system is reconstituted, prophylaxis can often be terminated. The containers of terminated drugs may need to be removed from the patient’s possession, and repeated calls and email messages may need to be sent to the pharmacy to ensure delivery of the drugs to the patient stops. Continuing unnecessary medication could be a significant problem, especially with electronic prescribing, unless specific efforts are made to stop the drug.


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