2001 USPHS

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2001 USPHS/IDSA Rules for the Anticipation of Deft Contaminations in Persons Tainted With Human Immunodeficiency Infection. Module 3: Counteractive action of Presentation. A Preparation Slide Set Arranged by the AETC National Asset Center. Disclaimer.

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2001 USPHS/IDSA Guidelines for the Prevention of Opportunistic Infections in Persons Infected With Human Immunodeficiency Virus Module 3: Prevention of Exposure A Training Slide Set Prepared by the AETC National Resource Center OI Guidelines 11/28/01

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Disclaimer These slides were created utilizing the latest treatment rule data at the season of generation. Notwithstanding, in the quickly changing field of HIV care this data could get to be distinctly obsolete rapidly. The client is urged to analyze the date of this slide set with the date of the latest rules. Additionally, it is expected that these slides be utilized, as readied, without changes in either substance or attribution. Clients are made a request to respect this plan. AETC National Resource Center OI Guidelines 11/28/01

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Prevention of Exposure Currently there are no suggestions for anticipating introduction to: P. carinii – no information to bolster seclusion M. avium Complex (MAC) – no information S. pneumoniae and H. influenzae – not down to earth Candidiasis - not useful Cryptococcosis - not handy OI Guidelines 11/28/01

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Toxoplasmosis Test for Toxoplasma IgG counter acting agent not long after the determination of HIV contamination to recognize idle disease Counsel all HIV + people, especially if IgG Ab-, to maintain a strategic distance from the different wellsprings of toxoplasmic contamination including: nourishment, pets, soil exposures, and so on. OI Guidelines 11/28/01

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Cryptosporidiosis Educate and advise HIV-contaminated people about transmission of Cryptosporidium : Contact with tainted grown-ups and youngsters. Contact with contaminated creatures. Drinking or contact with tainted water (e.g. Lakes, streams). Drinking debased open water supplies. Eating defiled sustenance. OI Guidelines 11/28/01

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Cryptosporidiosis Use standard precautionary measures to keep transmission of cryptosporidiosis from a contaminated patient to a defenseless HIV-tainted individual. A few specialists prescribe that HIV-contaminated persons,especially the individuals who are seriously immunocompromised, ought not impart a space to a patient with cryptosporidiosis. OI Guidelines 11/28/01

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Tuberculosis Counsel on potential danger of charitable effort or work in high-chance settings. In examining danger of humanitarian effort or business consider: particular obligations, pervasiveness of tuberculosis in the group, and the safety measures taken to keep the transmission of tuberculosis in the working environment Continuation of such exercises may influence TB screening recurrence. OI Guidelines 11/28/01

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Bacterial Enteric Infections Food Do not eat crude or undercooked eggs, crude or undercooked poultry, meat, fish or other high-hazard nourishments. Maintain a strategic distance from delicate cheeses, meat pates and frosty store things. Maintain a strategic distance from cross defilement of sustenances and wash hands after arrangement. OI Guidelines 11/28/01

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Bacterial Enteric Infections Pets Avoid: another pet < 6 months old, particularly those that have loose bowels. contact with creatures that have loose bowels. contact with pets' dung. contact with reptiles, chicks and ducklings in view of the hazard for salmonellosis. Wash hands subsequent to taking care of pets. OI Guidelines 11/28/01

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Bacterial Enteric Infections Travel The hazard for sustenance/water-borne diseases is higher amid go to creating nations. Keep away from high-chance sustenances and drinks: crude nourishments, tap water, those sold by road sellers. For the most part protected: steaming-hot nourishments and drinks, organic products that are peeled by the explorer, and packaged refreshments. Bubble water or utilize iodine or chlorine when bubbling is not reasonable. OI Guidelines 11/28/01

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Histoplasmosis Exposure in histoplasmosis-endemic ranges can't totally stayed away from. Patients with CD4+ < 200 cells/µL ought to keep away from hazardous exercises (e.g., dusty surface soil; cleaning chicken coops, and so on.). OI Guidelines 11/28/01

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Coccidioidomycosis Exposure in Coccidioidomycosis - endemic regions can't totally maintained a strategic distance from. Keep away from hazardous exercises (e.g. presentation to aggravated local soil, building uncovering destinations or clean tempests). OI Guidelines 11/28/01

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Cytomegalovirus Disease Persons in hazard bunches with low rates of CMV seropositivity ought to be tried for counter acting agent. Utilize condoms reliably Counsel on transmission from youngsters. CMV seronegatives requiring blood transfusion ought to be given just CMV immunizer negative or leukocyte-lessened cell blood items in nonemergency circumstances. OI Guidelines 11/28/01

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Herpes Simplex Virus Disease Consistent utilization of condoms amid sex. OI Guidelines 11/28/01

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Varicella-Zoster Virus Disease Avoid introduction to others with zoster. Inoculate family unit contacts of HIV+ people. OI Guidelines 11/28/01

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Human Herpesvirus 8 Infection (Kaposi's Sarcoma-Associated Herpes Virus) Counsel about profound kissing and sex with high hazard people. Reliable utilization of condoms amid sex. Try not to share IV medicate gear OI Guidelines 11/28/01

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Human Papillomavirus Infection Consistent utilization of condoms amid sex albeit no confirmation this diminishes chance for HPV OI Guidelines 11/28/01

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Hepatitis C Virus Infection Drug utilizing patients ought to be encouraged to: Cease tranquilize utilize and enter and finish sedate treatment. Utilize standard techniques to dodge transmission on the off chance that they keep on using drugs. Keep away from tatoos Do not share dental machines, razors, or other individual care articles. Safe-sexual practices to lessen the hazard for introduction to sexually transmitted pathogens. OI Guidelines 11/28/01

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For Additional Information: Sources of Complete Guidelines: AETC Resource Center: www.aids-ed.org AIDS Treatment Information Service: www.hivatis.org OI Guidelines 11/28/01

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OI Guideline Slides December 2001 Author: John G. Bartlett, M.D. Editorial manager: Richard W. Dunning, M.H.S. Commentators: Renslow Sherer, M.D. Caroline Teter, PAC, M.P.H. OI Guidelines 11/28/01