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TABLE 419-2 -PROPHYLAXIS OF OPPORTUNISTIC INFECTIONS











INFECTION AVAILABLE AGENTS COMMENTS
Pneumocystis carinii pneumonia SMX-TMP
Dapsone
Atovaquone
Aerosolized pentamidine
SMX-TMP most effective and least expensive but potentially toxic
Mycobacterium avium complex (MAC) Rifabutin
Azithromycin
Clarithromycin
Delay in disseminated MAC infection; potential pharmacokinetic interactions with protease inhibitors and zidovudine; resistant isolates possible
Toxoplasmic encephalitis SMX-TMP

Dapsone-pyrimethamine

 
Cryptococcal meningitisFluconazoleDelay in deep fungal infections but costly; resistant isolates possible
CytomegalovirusOral ganciclovirDelay in CMV disease but costly

SMX-TMP = Sulfamethoxazole-trimethoprim.