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Correspondence
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Volume 334:195 January 18, 1996 Number 3
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Bacterial Pneumonia in HIV

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To the Editor: Hirschtick et al. (Sept. 28 issue)1 report an increased frequency of bacterial pneumonia among persons positive for the human immunodeficiency virus (HIV) as compared with seronegative controls, even among patients with CD4 counts of more than 500 per cubic millimeter. Although the authors suggest smoking cessation and prophylaxis with trimethoprim–sulfamethoxazole as strategies to use for persons at risk, they do not comment on vaccination to prevent pneumonia. The two pathogens cultured most frequently from the sputum in their series were Streptococcus pneumoniae and Haemophilus influenzae. Pneumococcal vaccine is recommended and H. influenzae type b vaccine should be . . . [Full Text of this Article]

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