Prophylaxis with Cotrimoxazole is recommended in the following situation except –
Correct Answer: All symptomatic HIV infected children > 5 years of age irrespective of CD4
Description: A) Cotrimoxazole prophylaxis in HIV exposed infant is recommended for :-
All HIV exposed infants (started at 4-6 weeks of age and continued until HIV infection can be excluded).
HIV exposed breast feeding children of any age (Prophylaxis should be continued until HIV infection can be excluded at least six weeks after complete cessation of breast feeding).
B) Cotrimoxazole prophylaxis in HIV infected children is recommended for
1) All children younger than 1 year of age, regardless of symptoms or CD4 percentage.
2) For symptomatic children (clinical stages 2, 3 or 4) or children with CD4 < 25% --> In children older than one year of age.
All HIV infected children who begin cotrimoxazole prophylaxis should continue until the age of five years
(irrespective of the age of initiation).
At 5 year, children can be reassessed.
Category:
Pediatrics
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