strong

Adults and adolescents living with HIV should be screened for TB according to a clinical
algorithm. Those who do not report any of the symptoms of current cough, fever, weight loss or
night sweats are unlikely to have active TB and should be offered preventive treatment, regardless
of their ART status.

All individuals with active TB should receive
(i) an assessment of their nutritional status
and (ii) appropriate counselling based on their
nutritional status at diagnosis and throughout
treatment.

Partners of known HIV-positive TB patients should be offered voluntary HIV testing and counselling
with mutual disclosure.

Xpert MTB/RIF should be used rather than conventional microscopy, culture and drug
susceptibility testing (DST) as the initial diagnostic test in adults and children suspected of
having HIV-associated TB or multidrug resistant TB.