[Prevention of opportunistic infections in HIV seropositive patients. Prevention of bacterial infections].
TUBERCULOSIS: Primary prophylaxis is indicated in subjects at risks, i.e. those with a positive tuberculine test or a negative test and major immunodepression. BCG vaccine is definitely contraindicated in case of AIDS. Prescription of isoniazid in combination with vitamin B6 has been found to be effective. MYCOBACTERIUM AVIUM INTRACELLULARE: Prophylaxis concerns highly immunodepressed patients and is based on rifabutine. Prophylaxis is contraindicated in case of active tuberculosis. OTHER GERMS: Preventive care in food intake for potential digestive tract infections is required as well as antipneumococcal vaccine. Secondary prophylaxis is based on continuous antibiotics. The positive effect of intravenous immunoglobulins, especially in children, remains a question of debate.
Casassus
P
P
Service de Médecine interne, Hôpital Avicenne, Bobigny.
Padrazzi
B
B
Lhote
F
F
Jarrousse
B
B
D017088:AIDS-Related Opportunistic Infections / Q000382:microbiology / Q000517:prevention & control*; D001424:Bacterial Infections / Q000517:prevention & control*; D006801:Humans; D015270:Mycobacterium avium-intracellulare Infection / Q000517:prevention & control; D012307:Risk Factors; D014376:Tuberculosis / Q000517:prevention & control