HIV in Children

RECURRENT BACTERIAL INFECTIONS

Dr. Ira Shah
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Last Updated : 1st September 2012

Prevention of Bacterial Infections


Primary importance



Vaccination


  • Hib and pneumococcal vaccination in HIV infected children less than 5 years of age will be highly recommended.
  • Administer all the routine bacterial vaccines.

Secondary prevention


  • TMP-SMX prophylaxis (150 mg TMP/m2/day in 2 divided doses on alternative days) for patients with recurrent bacterial infections. [Recurrent bacterial infections is defined as 2 or more systemic bacterial infections including septicemia, meningitis, pneumonia and osteomyelitis that occur within a two-year period]
  • Intravenous Immunoglobulin [IVIG] at 400 mg/kg monthly for children with hypogammaglobulinemia if there are recurrent bacterial infections inspite of TMP-SMX prophylaxis.

RECURRENT BACTERIAL INFECTIONS
Dr. Ira Shah
Incharge Pediatric HIV and TB Clinic, B.J.Wadia Hospital for Children, Mumbai, India Consultant in Pediatric Infectious Diseases, Nanavati Hospital, Mumbai, India.