Episode 136.0 HIV Related Infections in the ED

This week we discuss some pearls and pitfalls when caring for HIV+ patients in the ED.

March 12th, 2018 Download One Comment Tags: , , , , ,

Show Notes

HIV Associated Infections Based on CD4 Count (cooperhealth.org)

Total Lymphocyte Count  = (% lymphocytes x WBC count)/100

  • TLC 1200 cells/mm3 correlated with CD4 count of < 200 cells/mm3 with a maximal sensitivity of 72.2%, and specificity of 100%
  • TLC1500 cells/mm3 correlated with CD4 count of 200 – 499 cells/mm3 with a maximal sensitivity of 96.7% and specificity of 100%
  • TLC 1900 cells/mm3 correlated with CD4 count of ≥ 500 cells/mm3 with a maximal sensitivity of 98.5% and specificity of 100%

Show Notes

REBEL EM: REBEL Cast Episode 1 – Total Lymphocyte Count as a Surrogate Marker for CD4 Count

LITFL: HIV and AIDS

References

Obirikorang C et al. Total Lymphocyte Count as a Surrogate Marker for CD4 Count in Resource-Limited. BMC Infectious Diseases Journal 2012; 12 (128): 1 – 5. PMID: 22676809

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