Just want to make sure I’m getting this right: @Ahmed7 @thomas.holmes
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Patient with no active MAC infection + NOT on cART → Macrolide (azithromycin or clarithromycin)
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Patient with no active MAC infection + NOT on fully effective cART (= ineffective cART) → Macrolide (azithromycin or clarithromycin)
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Prophylaxis to be stopped with viral load becomes undetectable (i.e., fully suppressive regimen)
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Patient on fully effective cART → No prophylaxis to be given
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Patient starting cART → No prophylaxis to be given
On this card, because the patient’s CD4 count is <50 (normal CD4 value is > 500 cells/mm3), that means that the patient is on ineffective cART, so according to point #2, we need to give prophylaxis for MAC, which would be azithromycin (or clarithromycin, or alternative of rifabutin)