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CD4 Count < 200
</aside>
| Asymptomatic CD4 count | Tm Decision | Tm |
|---|---|---|
| > 500 | Defer treatment (ARVs) unless VL >100,000 (and asx or sx at any VL, primary infection, recent seroconversion, high risk exposure) | ARVs |
| 200-500 | Individualize tx based on rate of CD4 decline, HIV RNA level, patient interest in tx, toxicity, PCP prophylaxis if previous PCP or oral candida | |
| < 200 | ARVs + PCP prophylaxis with Septra |