Do you routinely prescribe PCP prophylaxis for patients who will be on steroids long-term?

Yes. This is something I don't think is emphasized enough given the ease of the intervention and seriousness of infection. In my first year of practice, I saw 3 fatal cases of PCP in patients that were receiving steroids from medical oncology without PCP prophylaxis. So I prescribe it for virtually ...

Agreed. Another recommendation comes from the American Thoracic Society: recommendation for PCP prophylaxis during the time period of treatment with >20 mg/day of prednisone for longer than 1 month. Options are TMP-SMX one double-strength tablet daily or three times per week.