ART should be started in all TB patients living with HIV irrespective of their CD4 counts.

Routine co-trimoxazole preventive therapy should be administered in all HIV-infected patients with
active TB disease regardless of CD4 counts.

All people living with HIV with CD4 counts of ≤350 cells/mm3
irrespective of the WHO clinical stage
should start ART.

All children living with HIV after successful completion of treatment for TB disease should receive
isoniazid for an additional 6 months.

In children living with HIV who are less than 12 months of age, only those who have contact with a
TB case and who are evaluated for TB (using investigations) should receive six months IPT if the
evaluation shows no TB disease.

Children living with HIV who are more than 12 months of age and who are unlikely to have active
TB on symptom-based screening and have no contact with a TB case should receive six months
of IPT (10mg/kg/day) as part of a comprehensive package of HIV prevention and care services.

Adults and adolescents living with HIV should be screened for TB with a clinical algorithm; those
who report any one of the symptoms of current cough, fever, weight loss or night sweats may have
active TB and should be evaluated for TB and other diseases.

Routine HIV testing should be offered to all patients with presumptive and diagnosed TB.

The GRADE evidence assessment confirmed that the quality of evidence for
commercial serodiagnostic tests was very low, with harms/risks far outweighing any potential benefits. It is therefore recommended that these tests should not be used
in individuals suspected of active pulmonary or extra-pulmonary TB, irrespective of their HIV status.

TB patients should be screened for diabetes at the start of TB treatment,
where resources for diagnosis are available. Type of screening and
diagnostic tests should be adapted to the context of local health
systems and the availability of resources, while awaiting additional
evidence on the best screening and diagnostic approach.