Page 120 - HPP ANTIMICROBIAL GUIDELINE 2018

Suggested Treatment
Infection/ Condition Comments
Preferred Alternative

CMV Retinitis Ganciclovir 5mg/kg IV q12h for ** Valganciclovir: 900mg PO q12h Maintenance may need to continue
2-3 weeks for 3 weeks ( induction) followed by until CD4 count is >150 cells/mm3 for
900mg PO q24h (maintenance) 3 consecutive months
PLUS
Intravitreal ganciclovir 2mg/0.1ml Intravitreal **Foscarnet 2.4mg/0.1ml
biweekly (1-2weekly) Intravitreal therapy is indicated in
zone 1 and 2 lesions.

Ganciclovir implant: 4.5gm an option
for prolonged usage of intravitreal
ganciclovir

**Requires DG approval

Ocular Syphilis Ocular Syphilis ( syphilitic uveitis) Referral to Dermatologist/ID
should be treated as Neurosyphilis Physician
Refer to Sexually Transmitted
Infections Section

HPP AMG Ocular Infections 55