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Author Topic: Traveling with HIV-CDC recommendations  (Read 978 times)

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Offline Mishma

  • Member
  • Posts: 190
    • Marquis de Vauban
Traveling with HIV-CDC recommendations
« on: August 23, 2012, 11:55:23 AM »
From CDC Expert Commentary

Preparing an Immunocompromised Patient for International Travel

The Division of Global Migration and Quarantine Disease, US Centers for Disease Control and Prevention
Authors and Disclosures
Posted: 08/22/2012
 
http://www.medscape.com/viewarticle/769304?src=nl_topic
 
Travel and the Immunocompromised Patient

Preparing an immunocompromised patient for travel can be a challenge because of the risk for infectious diseases. However, careful consideration of the cause and degree of compromise, potential for drug interactions, and health hazards at the destination will mitigate this risk.

Live-Virus vs Inactivated Vaccines

Live-virus vaccines are contraindicated in severely immunocompromised people. Inactivated vaccines can, in general, be used as in immune-competent people. The inactivated versions of influenza and typhoid vaccines should be used in immunocompromised people. Live-virus oral polio vaccine (OPV) is no longer available in the United States but continues to be used in other countries. Immunocompromised people should avoid contact with people who were vaccinated with OPV in the previous 6 weeks, because they may shed OPV virus.

Patients With HIV

Vaccine recommendations differ according to the extent of immune compromise, as determined by CD4 counts. Categorize patients according to reconstituted, not nadir, CD4 counts. If possible, wait 3 months after reconstitution before administering vaccines............
2016 CD4 25% UD (less than 20). 27+ years positive. Isentress, Truvada, Acyclovir, Clonazepam, Zolpidem, Bupropion, Lisinopril, Pravastatin, Quetiapine, Doxcycline, Testosterone, Suatriptan/Naproxen, Restasis, Dorzolamide, Latanoprost, Asprin, lortab, Levothyroxine, Fioricet, Restasis, Triamclinolone, Nitrostat.

 


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