HIV in Children

PREVENTION OF BACTERIAL INFECTIONS

Dr. Ira Shah
Share
Last Updated : 1st September 2012

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 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.

Drugs & Dosage for of TMP-SMX



Drugs Dosage
TMP/SMX 150 mg of TMP m2/day PO BD on alternate day
5 mg/kg of TMP/day PO HS daily

PREVENTION OF 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.
Pediatric Oncall Book Store
NEW ARRIVAL
Infection in Children - Part 2

By Dr. Ira Shah
Case Rounds in Pediatric Liver Disorders
By Dr. Ira Shah
Tuberculosis
By Dr. Ira Shah
Management of Pediatric HIV
By Dr. Ira Shah
Infection in Children
By Dr. Ira Shah