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Volume 329:898-904 September 16, 1993 Number 12

Recommendations on Prophylaxis and Therapy for Disseminated Mycobacterium avium Complex Disease in Patients Infected with the Human Immunodeficiency Virus
Henry Masur, M.D., for The Public Health Service Task Force on Prophylaxis and Therapy for Mycobacterium avium Complex

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Mycobacterium avium complex causes disseminated disease in as many as 15 to 40 percent of patients with human immunodeficiency virus (HIV) infection in the United States, causing fever, night sweats, weight loss, and anemia1,2,3,4,5,6,7. Disseminated M. avium complex disease characteristically occurs in patients with very advanced HIV disease and peripheral-blood CD4 T-lymphocyte counts below 100 cells per cubic millimeter. Effective prevention and therapy of M. avium complex infection would probably improve the quality and duration of survival for HIV-infected persons.

During the first decade of the HIV pandemic in the United States, health care providers recognized that M. avium . . . [Full Text of this Article]

Background

Epidemiology

Clinical Manifestations

Prophylaxis

Diagnosis and Susceptibility Testing

Therapy of Disseminated M. avium Complex Disease

Recommendations

Indications for Prophylaxis

Evaluation before Prophylaxis

Prophylactic Regimens

Diagnosis of M. avium Complex Disease

Therapy for Disseminated M. avium Complex Disease

Monitoring Patients Treated for Disseminated M. avium Complex Disease

Recommendations for Children

Ongoing Studies


Source Information

This report represents the recommendations of the Public Health Service Task Force on Prophylaxis and Therapy for Mycobacterium avium Complex. Their publication should not be taken to imply FDA approval or approved labeling for the products and indications in question. Specifically, the terms "safe" and "effective" are not used synonymously with the FDA-defined legal standards for drug approval.
National Institutes of Health
Bethesda, MD 20892

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