Academy Exchange

Recent Discussions

  • Primary MAC prophylaxis is not recommended anymore in the OI guidelines because people at risk for MAC will be started immediately on ART, resulting in a rapid rise in CD4 count and a sharp reduction in risk. Starting a macrolide in addition to ART could ...

  • Hi IRIS definition itself requires CD4 cells to increase and decrease in Viral load >1log10 copies/ml including the parodoxical worsening of a pre-existing infection or presentation ( called unmasking) of previously undiagnosed condition in HIV soon ...

  • I would recommend prophylaxis based on CD4 counts (cell/mm3): 1. < 200 for PCP = Bactrim or alternatively Dapsone (check G6PD deficiency) 2. <100 for toxoplasmosis = Bactrim 3. < 50 for Mycabacterium = azithromycin Is prednisone proved efficacy as IRIS-prophylaxis? ...

  • He is on a lot of preventative medications. I am assuming he has cryptococcus via a positive crypto latex antigen and you are consistently monitoring his titers? Biktarvy and Bactrim DS should suffice unless he has very symptomatic Herpes 1,2; or Herpes ...

  • Hello! I only prescribe 30 days (one bottle) worth of Truvada with instructions to follow up every 6 months or when the bottle is out for repeat testing… this way I can gauge the amount of use and still have them come back.I also find yearly physical ...

Unanswered Posts

  • Posted in: Academy Exchange

    This eNewsletter was sent out to all PA members last week on Friday, Sept 3rd. I wanted to share our newsletter in case there are PA non members in the community that did not get a chance to see our updates!! enjoy ---- On behalf of the Physician ...

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    Cabenuva Billing

    Posted in: Academy Exchange

    Hello! Writing from a Health System Owned Specialty Pharmacy. We have implemented Cabenuva at our hospital system, with our pharmacy acting as a "hub"; we complete benefit investigation, prior authorization, calling prescription for oral lead in to ...

  • Posted in: Academy Exchange

    Hello colleagues, If you know anyone that has worked in a correctional setting during COVID-19, I would love to hear from you. See below. Many thanks! https://www.surveymonkey.com/r/YTKQF7J ------------------------------ Gina Tomkus San Diego CA ...

  • Posted in: Academy Exchange

    Greetings from Tucson! I have an over 60 year old patient moving to Ocala, Florida and I'm wondering if anyone has recommendations on a local provider. He's not limited to Ryan White programs given his income. Thank! Paul Sacamano El Rio Health, ...

  • Posted in: Academy Exchange

    I thought this webinar might be useful for those interested in HIV-1 proviral DNA drug resistance testing as it can be a useful tool to guide treatment adjustments or regimen switches (due to adverse events, regimen intolerance or drug-drug interactions). ...

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