When are HIV patients at risk for Mycobacterium avium complex infection?

Updated: Mar 05, 2020
  • Author: Shelley A Gilroy, MD, FACP, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

CD4+ counts below 50/µL place the patient at risk for Mycobacterium avium complex infection, and weekly azithromycin or clarithromycin is recommended as prophylaxis. In individuals with ART-induced viral suppression, the incidence and overall mortality of M avium complex disease are low enough that primary M avium complex prophylaxis is no longer recommended. [120]


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