Beruflich Dokumente
Kultur Dokumente
for management of TB
and HIV co-infection
Dr.Avinash Kanchar
Medical Officer,
TB/HIV and community engagement,
Global TB Programme,
World health Organization
Geneva
http://www.who.int/tb/publications/2012/tb_hiv_policy_97892415
03006/en/
http://www.who.int/hiv/pub/guidelines/arv2013/downl
oad/en/
The 3 Is
Managerial control
Administrative measures
Environmental measures
Personal protective
measures
http://apps.who.int/iris/bitstream/10665/44148/1/978924159
8323_eng.pdf
The 3 Is
Treatment
Routine co-trimoxazole preventive therapy should be
administered in all HIV-infected patients with active TB
disease regardless of CD4 counts
ART should be started in all TB patients living with
HIV irrespective of their CD4 counts
Antituberculosis treatment should be initiated first, followed by ART as
soon as possible within the first 8 weeks of treatment
Those HIV positive TB patients with profound immunosuppression (e.g.
CD4 counts less than 50 cells cells/ mm3 ) should receive ART
immediately within the first 2 weeks of initiating TB treatment
Efavirenz should be used as the preferred non-nucleoside reverse
transcriptase inhibitor in patients starting ART while on antituberculosis
treatment
Thank you