Soon after the acquired immunodeficiency syndrome (AIDS) wasfirst described in 1981,1,2,3,4 it became clear that opportunisticinfections occurred with remarkable frequency and caused substantialmorbidity and mortality among patients with AIDS. On the basisof a series of clinical trials, chemoprophylaxis to preventinitial episodes of certain opportunistic infections (primaryprophylaxis) and subsequent episodes (secondary prophylaxis)became the standard of care. The success of highly active antiretroviraltherapy (defined as combination antiretroviral regimens thatinclude either a potent viral-protease inhibitor or a nonnucleosidereverse-transcriptase inhibitor) in reducing the incidence ofAIDS-related opportunistic infections and consequent morbidityand 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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