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A correction has been published: N Engl J Med 2000;343(9):672.

Review Article
Drug Therapy
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Volume 342:1416-1429 May 11, 2000 Number 19
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Prophylaxis against Opportunistic Infections in Patients with Human Immunodeficiency Virus Infection
Joseph A. Kovacs, M.D., and Henry Masur, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Soon after the acquired immunodeficiency syndrome (AIDS) was first described in 1981,1,2,3,4 it became clear that opportunistic infections occurred with remarkable frequency and caused substantial morbidity and mortality among patients with AIDS. On the basis of a series of clinical trials, chemoprophylaxis to prevent initial episodes of certain opportunistic infections (primary prophylaxis) and subsequent episodes (secondary prophylaxis) became the standard of care. The success of highly active antiretroviral therapy (defined as combination antiretroviral regimens that include either a potent viral-protease inhibitor or a nonnucleoside reverse-transcriptase inhibitor) in reducing the incidence of AIDS-related opportunistic infections and consequent morbidity and mortality has . . . [Full Text of this Article]

Current Epidemiology of Opportunistic Infections

Immunologic Susceptibility to Infection

Prevention of Opportunistic Infections

Reduction of Exposure to Pathogens

Immunization

Primary Chemoprophylaxis

            P. carinii

            Toxoplasma gondii

            M. tuberculosis

            M. avium Complex

            Other Infections

Secondary Prophylaxis

Drug Interactions

Discontinuing Prophylaxis

Conclusions


Source Information

From the Critical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, Md.

Address reprint requests to Dr. Masur at the National Institutes of Health, Clinical Center, Critical Care Medicine Department, 10 Center Dr., Bethesda, MD 20892-1662, or at hmasur@nih.gov.

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