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pcpb_bullet.gif - 845 Bytes   PCP is the most common serious infection among persons with HIV.
      It can be fatal.

pcpb_bullet.gif - 845 Bytes   PCP can be prevented and treated.

pcpb_bullet.gif - 845 Bytes   TMP-SMX, also known as Bactrim, Septra, or Cotrim*, is the best medicine for       preventing and treating PCP.

pcpb_bullet.gif - 845 Bytes   You should take all medicines as prescribed by your doctor.

What is PCP?

Pneumocystis carinii (NEW-mo-SIS-tis CA-RIN- nee-eye) pneumonia, or PCP, is a severe illness found in people with HIV. It is caused by a germ called Pneumocystis carinii. Most people infected with this germ don’t get pneumonia because their immune systems are normal. People whose immune systems are badly damaged by HIV can get PCP. People with HIV are less likely to get PCP today than in earlier years. However, PCP is still the most common serious infection among people with AIDS in the United States.

How do I know if I have PCP?
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If you have PCP, you probably will have fever, cough, or trouble breathing. People with PCP may die if the infection is not treated quickly. See your doctor immediately if you have these symptoms. PCP can be diagnosed only by laboratory tests of fluid or tissue from the lungs.


How do you catch PCP?

Most scientists believe PCP is spread in the air, but they don’t know if it lives in the soil or some- place else. The PCP germ is very common. Since it is difficult to prevent exposure to PCP, you should get medical care to prevent PCP.

How can I protect myself from PCP?

pcpb_3.gif - 6952 Bytes PCP can be prevented. The best drug for prevent- ing PCP is trimethoprim- sulfamethoxazole (try- METH-o-prim - sul-fa- meth-OX-uh-sole), or TMP-SMX. TMP-SMX is a combination of two medicines. It has many different brand names, such as Bactrim, Septra, and Cotrim*. Adults and older children can take TMP-SMX as a tablet. You can also get TMP- SMX as a liquid.

I was vaccinated for pneumonia.
Won’t that protect me against PCP ?

No. The pneumonia vaccine protects you against another kind of pneumonia, but not against PCP. There is no vaccine for PCP.

When should I start treatment to prevent PCP?

You should have your blood tested regularly to check the strength of your immune system. Your doctor should prescribe TMP-SMX to prevent PCP if your CD4 cell count falls below 200. Your doctor may also put you on TMP-SMX if you show certain symptoms, such as having a tem- perature above 100°F that lasts for 2 weeks or longer, or if you get a fungal infection in the mouth or throat (commonly called “thrush”). Having thrush is believed to raise your risk for getting PCP.

What are the side effects of TMP-SMX?

TMP-SMX can make some people have a rash or feel sick. If the drug reaction is not severe, TMP-SMX should be continued because it works so much better than any other medicine to prevent PCP.

Are there other medicines to prevent PCP?

Yes. Check with your doctor about the possibility of other treatments. Take all of your medicines as prescribed by your doctor. Don’t change how many pills you are taking without speaking with your doctor.

Can I get PCP more than once?

Yes. If you have already had PCP you can get it again. TMP-SMX can prevent second infections with PCP. Therefore, you should take TMP-SMX even after you have had PCP to prevent getting it again.

Can children get PCP ?

Yes. Children with HIV or AIDS can also get PCP. To learn more about children and PCP, call the AIDS Treatment Information Service at 1-800- 448-0440.

Is PCP sexually transmitted ?

No. PCP is not sexually transmitted.


For more information about living with HIV or AIDS, call:

Free referrals and information:

CDC National AIDS Hotline

English (800) 342-AIDS (2437)
[24 hours/day]
Spanish

TTY

(800) 344-SIDA (7432)
[8 am-2am EST]

(800) 243-7889
(deaf and hard of hearing)
[Monday-Friday 10am-10pm EST]

Free materials:

CDC National Prevention Information Network (operators of the National AIDS Clearinghouse)
(800) 458-5231
1-301-562-1098
(International)
P.O. Box 6003
Rockville, MD 20849-6003


Free HIV/AIDS treatment information:

AIDSinfo
(800) 448-0440

Project Inform
(800) 822-7422

Drugs undergoing clinical trials:

AIDSinfo
(800) 448-0440

Social Security benefits:


Social Security Administration
(800) 772-1213

(You also may request a personal earnings and
benefit estimate statement to help you estimate
the retirement, disability, and survivor benefits
payable on your Social Security record.)

To obtain information on the Child Health Insurance Program, please call:
1-877 KIDS NOW (1-877-543-7669)


CDC Division of HIV/AIDS Prevention Internet address: http://www.cdc.gov/hiv

Other brochures in this series include:

*Use of trade names does not imply endorsement by the
United States Department of Health and Human Services.


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Updated in: March 1999
Centers for Disease Control & Prevention
National Center for HIV, STD, and TB Prevention
Divisions of HIV/AIDS Prevention
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