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TB and HIV services must be fully integrated, says WHO

BMJ 2012; 344 doi: https://doi.org/10.1136/bmj.e1653 (Published 05 March 2012) Cite this as: BMJ 2012;344:e1653
  1. Anne Gulland
  1. 1London

Patients with suspected or diagnosed tuberculosis should routinely be offered testing for HIV, the World Health Organization has said.

In new guidance on the treatment of HIV and TB, WHO calls for the full integration of services for the two diseases, with treatment and care at the same time and in the same place. The policy talks about the “three Is”: intensive screening for TB; isoniazid preventive treatment; and infection control.

As well as calling for routine tests for TB among all people with HIV and their families and partners, WHO says that all HIV patients with TB should be started on antiretrovirals …

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