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