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
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Mycobacterium avium complex causes disseminated disease in asmany as 15 to 40 percent of patients with human immunodeficiencyvirus (HIV) infection in the United States, causing fever, nightsweats, weight loss, and anemia1,2,3,4,5,6,7. Disseminated M.avium complex disease characteristically occurs in patientswith very advanced HIV disease and peripheral-blood CD4 T-lymphocytecounts below 100 cells per cubic millimeter. Effective preventionand therapy of M. avium complex infection would probably improvethe 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
References
Appendix
This article has been cited by other articles:
Hammer, S. M.
(2005). Clinical practice. Management of newly diagnosed HIV infection.. NEJM
353: 1702-1710
[Full Text]
Masur, P. b. H., Kaplan, J. E., Holmes, K. K.
(2002). Guidelines for Preventing Opportunistic Infections among HIV-Infected Persons--2002: Recommendations of the U.S. Public Health Service and the Infectious Diseases Society of America. ANN INTERN MED
137: 435-478
[Abstract][Full Text]
Hayashi, T., Rao, S. P., Takabayashi, K., Van Uden, J. H., Kornbluth, R. S., Baird, S. M., Taylor, M. W., Carson, D. A., Catanzaro, A., Raz, E.
(2001). Enhancement of Innate Immunity against Mycobacterium avium Infection by Immunostimulatory DNA Is Mediated by Indoleamine 2,3-Dioxygenase. Infect. Immun.
69: 6156-6164
[Abstract][Full Text]
Ferrario, G., Gori, A., Rossi, A., Catozzi, L., Molteni, C., Marchetti, G., Bandera, A., Rossi, M. C., Esposti, A. D., Franzetti, F.
(2001). PCR-Hybridization Assay for Mycobacterium avium Complex: Optimization of Detection in Peripheral Blood from Humans. J. Clin. Microbiol.
39: 1638-1643
[Abstract][Full Text]
Purdy, B. D.
(2000). Management and Prevention of Opportunistic Infections in the HIV-Infected Patient. Journal of Pharmacy Practice
13: 475-498
[Abstract]
Fattorini, L., Baldassarri, L., Li, Y.-J., Ammendolia, M. G., Fan, Y., Recchia, S., Iona, E., Orefici, G.
(2000). Virulence and drug susceptibility of Mycobacterium celatum. Microbiology
146: 2733-2742
[Abstract][Full Text]
Kovacs, J. A., Masur, H.
(2000). Prophylaxis against Opportunistic Infections in Patients with Human Immunodeficiency Virus Infection. NEJM
342: 1416-1429
[Full Text]
Rossi, M. C., Gori, A., Zehender, G., Marchetti, G., Ferrario, G., De Maddalena, C., Catozzi, L., Bandera, A., Esposti, A. D., Franzetti, F.
(2000). A PCR-Colorimetric Microwell Plate Hybridization Assay for Detection of Mycobacterium tuberculosis and M. avium from Culture Samples and Ziehl-Neelsen-Positive Smears. J. Clin. Microbiol.
38: 1772-1776
[Abstract][Full Text]
Hackner, D., Tu, G., Weingarten, S., Mohsenifar, Z.
(1999). Guidelines in Pulmonary Medicine: A 25-Year Profile. Chest
116: 1046-1062
[Abstract][Full Text]
Saunders, B. M., Frank, A. A., Cooper, A. M., Orme, I. M.
(1998). Role of gamma delta T Cells in Immunopathology of Pulmonary Mycobacterium avium Infection in Mice. Infect. Immun.
66: 5508-5514
[Abstract][Full Text]
Fattorini, L., Xiao, Y., Mattei, M., Li, Y., Iona, E., Ricci, M. L., Thoresen, O. F., Creti, R., Orefici, G.
(1998). Activities of Isoniazid Alone and in Combination with Other Drugs against Mycobacterium avium Infection in Beige Mice. Antimicrob. Agents Chemother.
42: 712-714
[Abstract][Full Text]
Piersimoni, C, Nista, D, Bornigia, S, De Sio, G
(1998). Evaluation of a new method for rapid drug susceptibility testing of Mycobacterium avium complex isolates by using the mycobacteria growth indicator tube [In Process Citation]. J. Clin. Microbiol.
36: 64-67
[Abstract][Full Text]
(1997). Diagnosis and Treatment of Disease Caused by Nontuberculous Mycobacteria. Am. J. Respir. Crit. Care Med.
156: 1-25
[Full Text]
Havlir, D. V., Dube, M. P., Sattler, F. R., Forthal, D. N., Kemper, C. A., Dunne, M. W., Parenti, D. M., Lavelle, J. P., White, A. C., Witt, M. D., Bozzette, S. A., McCutchan, J. A., The California Collaborative Treatment Group,
(1996). Prophylaxis against Disseminated Mycobacterium avium Complex with Weekly Azithromycin, Daily Rifabutin, or Both. NEJM
335: 392-398
[Abstract][Full Text]
Spector, S. A., McKinley, G. F., Lalezari, J. P., Samo, T., Andruczk, R., Follansbee, S., Sparti, P. D., Havlir, D. V., Simpson, G., Buhles, W., Wong, R., Stempien, M. J., The Roche Cooperative Oral Ganciclovir Study Group,
(1996). Oral Ganciclovir for the Prevention of Cytomegalovirus Disease in Persons with AIDS. NEJM
334: 1491-1497
[Abstract][Full Text]
Selik, R. M., Chu, S. Y., Ward, J. W.
(1995). Trends in Infectious Diseases and Cancers among Persons Dying of HIV Infection in the United States from 1987 to 1992. ANN INTERN MED
123: 933-936
[Abstract][Full Text]
Advisory Group on HIV Early Intervention, Second E,
(1994). Human Immunodeficiency Virus Early Intervention Physician Guidelines, Second Edition. Arch Fam Med
3: 988-1002
[Abstract]
Fuller, J. D., Stanfield, L. E.D., Craven, D. E.
(1994). Rifabutin Prophylaxis and Uveitis. NEJM
330: 1315-1316
[Full Text]
Narang, P. K., Trapnell, C. B., Schoenfelder, J. R., Lavelle, J. P., Bianchine, J. R.
(1994). Fluconazole and Enhanced Effect of Rifabutin Prophylaxis. NEJM
330: 1316-1317
[Full Text]
Frank, M. O., Graham, M. B., Wispelway, B.
(1994). Rifabutin and Uveitis. NEJM
330: 868-868
[Full Text]
Goldschmidt, R. H., Hearst, N., Chambers, D. B., Zbrozek, A. S., von Reyn, C. F., Brown, S. T., Arbeit, R. D., Reichman, L. B., McDonald, R. J., Mangura, B. T., Nightingale, S. D., Cameron, D. W.
(1994). Rifabutin Prophylaxis against Mycobacterium avium Complex Infection. NEJM
330: 436-438
[Full Text]
(1993). PROPHYLAXIS AGAINST M. AVIUM COMPLEX IN AIDS. JWatch General
1993: 5-5
[Full Text]