• Drink boiled and filtered water


• Clean raw fruits and vegetables adequately before consumption


• Proper hand washing


• TMP-SMX given as prophylaxis against PCP pneumonia will also prevent against recurrent bacterial infections

Vaccination:

• Hib and pneumococcal vaccination in HIV infected children less than 5 years of age will be highly recommended.
• Administer all the routine bacterial vaccines.

Secondary prevention

• TMP-SMX prophylaxis for patients with recurrent bacterial infections. [Recurrent bacterial infections is defined as 2 or more systemic bacterial infections including septicemia, meningitis, pneumonia and osteomyelitis that occur within a two-year period]
• Intravenous Immunoglobulin [IVIg] at 400 mg/kg monthly for children with hypogammaglobulinemia if there are recurrent bacterial infections inspite of TMP-SMX prophylaxis.

Drugs & Dosage for of TMP-SMX