Prophylaxis with Cotrimoxazole is recommended in the following situation except: (A) All symptomatic HIV infected children>5 years of age irrespective of CD4, (B) All HIV exposed infants till HIV infection can be ruled out, (C) All HIV infected infants less than 1 year age irrespective of symptoms or CD4 counts, (D) As secondary prophylaxis after initial treatment for pneumocystis carini pneumonia
Answer is A. *Cotrimoxazole prophylaxis is recommended for all HIV exposed infants staing at 4-6 weeks of age and continued until infection can be excluded. *All children who begin cotrimoxazole prophylaxis should continue until the age of 5 yrs ,when can be reassessed. Reference : OP Ghai 9th edition pg:229