Prevention of Bacterial Infections

Primary importance

• Drink boiled and filtered water
• Clean raw fruits and vegetables adequately before consumption
• Proper hand washing
• TMP-SMX given as prophylaxis against PCP pneumonia will also prevent against recurrent bacterial infections

• Hib and pneumococcal vaccination in HIV infected children less than 5 years of age will be highly recommended.

• Administer all the routine bacterial vaccines.

• 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.