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Inpatient HAART protocol
The results of ACTG 5164 suggest that initiating HAART early after the initiation of treatment of an opportunistic infection (OI) may lead to fewer deaths and other AIDS defining illnesses. [Zolopa, PLoS One. 2009;4(5):e5575. Epub 2009 May 18].
Of note, the investigators excluded patients with tuberculosis and 86% of randomized patients had non-mycobacterial OIs (63% Pneumocystis pneumonia, 13% cryptococcal meningitis and 10% community-acquired pneumonias).
Because of these data medicine teams may want to initiate HAART while patients are inpatients. When starting HAART on inpatients the following procedure should be followed:
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