high

• Inform and encourage health workers with TB symptoms to undergo TB diagnostic
investigation as well as HIV testing and counselling.
• Provide a package of care for HIV positive-workers (ART and isoniazid preventive therapy).
• Relocation for health workers living with HIV to a lower-risk area.

TB treatment should be initiated first, followed by ART as soon as possible within the first 8
weeks of treatment.

Adults and adolescents living with HIV who have an unknown or positive tuberculin skin test
(TST) status and are unlikely to have active TB should receive at least 6 months of IPT as part
of a comprehensive package of HIV care. IPT should be given to such individuals regardless of
the degree of immunosuppression and also to those on ART, those who have previously been
treated for TB and pregnant women.

TB patients with known positive HIV status and TB patients living in HIV-prevalent settings
should receive at least 6 months of a rifampicin-containing treatment regimen. The
optimal dosing frequency is daily during the intensive and continuation phases.

ART should be started in all TB patients living with HIV regardless of CD4 count.