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8.4

Provision of ART in co-infected TB patients

National TB Management Guidelines, 2018 Edition. Chapter 8, TB and HIV.

Clinical description

  • Regardless of CD4 count, all TB/HIV co-infected patients should be started on ART

within the first 2 weeks of TB treatment.

  • If the TB/HIV co-infected patient is clinically stable, ART and TB treatment may be

started concurrently on the same day. ART should be started at least within 14 days of diagnosis.

  • The ART regimen for TB patients initiating ART is a combination of tenofovir/

lamivudine/efavirenz [TDF/3TC/EFV (Regimen 5A)].

Refer to the 2016 Integrated National PMTCT/ ART Guidelines7 for additional details.

Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.

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