Question to my transplant nephro followers: after recovery from PJP pneumonia and years of prophylactic dose septrin is it safe to stop or would you continue septrin prophylaxis forever 🤔
Comments
Log in with your Bluesky account to leave a comment
My patient is years after PJP and still on prophylaxis. My respiratory colleagues claim that this situation warrants prophylaxis dose septrin for life. Dont think I have ever done that 🤔
It looks like ‚never change a winning horse’, and if nothing happened for so many years on TMP-SMX, it’s hard to guess what will be after its discontinuation 🧐 but data about long-term prophylaxis almost do not exist 🤷♀️
We used to do Bactrim lifelong after kidney txp in all pts until a few years ago but now stop after a year. But for someone who has had PJP, I would prefer to continue lifelong.
Comments
But in this study prophylaxis was used for 12 months and most PJP cases were diagnosed after 4y
Until a few years ago we did SMX/TMP for a year only
Then we had an outbreak (preCOVID) irrespective of transplant vintage - and now we do it for life!
cc @anujajava.bsky.social and #IDSky for any input