Prophylaxis for PCP Pneumonia

Indications

•  All HIV exposed infants from 4 weeks of age (Infants born to HIV infected mothers) till prove to be negative.
•  All HIV infected asymptomatic infants till 1 year of age
•  All symptomatic HIV infected children
• After initial treatment for PCP
• All HIV infected children with CD 4 % less than 15% irrespective of symptoms

• In HIV exposed infants till proved to be HIV negative
• All HIV infected children who are symptomatic should receive till started on ART and there is evidence of immune reconstitution. i.e., in a CD 4 count of > 15% on 2 occasions no less than 3 months apart. If CD 4 count not available, then stop TMP/SMX only after 6 months of ART with clinical evidence of immune reconstitution.
• All HIV infected children who do not receive ART and are symptomatic - prophylaxis should be continued indefinitely.