同时,机会性感染也会增加手术风险。 因此,需要评估感染者的CD4+T淋巴细胞计数和机会性感染病史,如CD4+T淋巴细胞计数<200个/μl或有口腔念珠菌患病史的患者应预防肺孢子菌肺炎(PCP),药物可选择复方磺胺甲噁唑;<50个/μl的AIDS患者可选择克拉霉素或阿奇霉素预防鸟型分支杆菌复合体(...
表3非HIV血液病患者PCP预后不良因素 注:ECOG PS:东部肿瘤协作组的绩效评分;HSV:单纯性疱疹病毒;CMV:巨细胞病毒;BAL:支气管肺泡灌洗;ARDS:急性呼吸窘迫综合征 参考文献: [1]Maschmeyer G, Helweg-Larsen J, Pagano L, et al. ECIL guideli...
艾滋病期可以发生各种各样的感染,如反复发生的细菌感染、肝脏感染、真菌及寄生虫感染、病毒感染、肿瘤等。有研究显示,HIV患者住院的常见原因是细菌感染、肺孢子菌肺炎(PCP)共感染,其次是结核病、隐球菌病、淋巴瘤、巨细胞病毒感染和马尔尼菲篮状菌病[1]。HIV患者免疫功能低下,很容易出现血流感染,其常见的病原...
Introduction Pneumocystis Pneumonia (PCP) prophylaxis is often continued despite acceptable CD4 counts in HIV positive individuals on antiretroviral (ARV) treatment. Both BHIVA and EACS guidelines advise discontinuing prophylaxis if the CD4 count is 200 cells/mm3 for 3 months, EACS additionally states ...
中国的一项HIV感染者机会性感染流行病学研究[9]显示,低CD4细胞计数是机会性感染的独立风险因素,总机会性感染,以及细菌性肺炎、念珠菌感染、肺孢子菌肺炎(PCP)和隐球菌感染等发生风险均随CD4细胞计数降低而显著升高。 欧洲的一项纳入了12844例HIV感染者的研究[10]显示,与CD4细胞计数为351-500个/μL相比,201-350个...
Acquired immunodeficiency syndrome (AIDS) was first recognized in Los Angeles and New York in 1981 when outbreaks of what was then called Pneumocystis carinii pneumonia (PCP; now called pneumocystis pneumonia) and Kaposi’s sarcoma were observed in previ
(其中以不明原因高烧为主)有39例(7.10%)病例出现了机会性感染;其中出现PCP的患者最多,共11例(2....
PCP:pneumocystis pneumonia,卡氏肺孢子菌肺炎,一种发生于免疫缺陷个体的机会性感染。 IM:infectious mononucleosis,传染性单核细胞增多症,以发热、扁桃体咽炎和淋巴结肿大三联征为特征,实验室检查特征包括异型淋巴细胞百分比>10%,以及淋巴细胞绝对计数>4500/μL(相当于4.5×10⁹/L)/淋巴细胞百分比>50%。 EM:erythema...
A 34-year-old female emergency room nurse sustains an accidental needle stick while caring for a patient. The patient she was administering an IV push of Lorazepam to is HIV positive. The nurse is referred to employee health services for treatment and is advised to take a PEP regimen (post...
Rates of opportunistic infections with pathogens such as Mycobacterium tuberculosis (Mtb) and Pneumocystis jirovecii (PCP) remain similarly elevated3,4,5. At the same time, people with HIV are more likely to have impaired lung function and non-infectious chronic lung diseases such as emphysema6,7...