Glucocorticoids, Concomitant Immunosuppression, and Pneumocystis jirovecii Pneumonia Prophylaxis Among US Adults.

Chastain, Daniel B; Thompson, George R; Henao-Martínez, Andrés F · Clin Infect Dis · 2025

retrospective_cohort · Level III

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Abstract

The impact of glucocorticoids, comorbid conditions, and immunosuppressive therapies on Pneumocystis jirovecii pneumonia risk remains understudied, and prophylaxis is underused. Among US adults in TriNetX prescribed glucocorticoids for ≥2 weeks, 44.6% received >20 mg prednisone equivalents daily. Prophylaxis rates were low, with higher glucocorticoid doses associated with lower prophylaxis odds.

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