Parasitic Infections in HIV-Infected Patients

  • Authors: José M. Miró, MD, PhD; Miriam J. Álvarez-Martínez, MD, PhD (More Info)
  • Editors in Chief: Joseph J. Eron, Jr., MD; Daniel R. Kuritzkes, MD
  • Last Reviewed: 10/20/21 (What's New)

Summary

  • Guidelines on opportunistic infections recommend that antiretroviral-naive patients who present with an OI should start ART immediately if no effective antimicrobial is available to treat the OI (Management Guidelines)[CDC OI] the European AIDS Clinical Society (Management Guidelines)[EACS]
  • With OIs for which effective antimicrobial treatment is available, ART should be initiated within the first 2-4 weeks following initiation of antimicrobial therapy[Kaplan 2009; GESIDA OI; Zolopa 2009; EACS]
  • Early ART initiation in the context of treatment of opportunistic infection does not necessarily increase the incidence of IRIS in patients with parasitic infections[Grant 2010]

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