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To routinely offer testing for HIV infection in all cases of tuberculosis: a rational clinical approach?

Carol R Emerson and Jeffrey J Post
MJA 2008; 188 (3): 162-163
Abstract
  • The strong interaction between the HIV and tuberculosis epidemics has been well described.

  • Australian national surveillance data suggest that HIV status is ascertained by clinicians in less than 50% of people with tuberculosis.

  • Clinicians are not able to reliably predict which people have HIV infection — risk factor assessment alone is insufficient.

  • Because tuberculosis is an AIDS-defining condition and highly effective therapy for HIV infection is available, all patients with Mycobacterium tuberculosis infection should be offered HIV testing.

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©The Medical Journal of Australia 2008 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377