Primary Care for HIV-Infected Patients in Resource-Limited Settings

  • Authors: Charles van der Horst, MD; F. Parker Hudson, MD (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 9/4/18 (What's New)

Summary

  • WHO guidelines on preventing TB in HIV-infected patients include the following recommendations (Management Guidelines)[WHO TB]:
    • All children and adults living with HIV without clinical symptoms of active TB should receive isoniazid preventive therapy
    • Tuberculin skin test is not needed before starting prophylaxis but if used a reaction ≥ 5 mm in diameter in HIV-infected patients is considered positive; a negative tuberculin skin test does not rule out TB infection or active TB in HIV-infected individuals

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