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  • Prevention of TB in HIV Settings

    Learning Objectives

    Discuss in brief: ICF, control of TB Infection in health-care facilities and congregate settings, art, ipt, cpt,HIV testing and counselling to patients with presumptive and diagnosed TB​.

H5Content
Content

Strategies for prevention of TB in HIV care settings:

Primordial prevention (Prevention of Exposure)

1. Airborne Infection Control (AIC) measures in HIV congregate settings

2. Health promotion - IEC regarding cough etiquette, Provision of AIC kits etc. 

Primary prevention (When TB disease has not developed)

1. IPT, including post treatment IPT to prevent TB recurrence

Secondary prevention: (Early diagnosis and prompt treatment of TB)

1. Early diagnosis of TB using ICF - 4 S/ Xray/ NAAT as per the setting

2. Early Diagnosis of HIV by Provider initiated HIV testing and counselling for presumptive TB cases (PICT)

3. Timely initiation of ATT 

4. Early initiation of ART irrespective of CD4 counts (as long as ATT is tolerated/ within 2 weeks of initiation of ATT)

5. Nutritional support for TB and HIV patients

6. Monitor adherence to both ART and ATT

7. Timely management of ADR

 

References:

1. National Guidelines for HIV Care and Treatment 2021

2. National Framework for HIV - TB Collaboration 2009

 

Question

Question

 

 

Answer1

 

 

Answer2

 

 

Answer3

 

 

Answer4

 

 

Correct Answer

 

 

Explanation

 

 

Page ID

 

 

Part of Pre-test

 

 

Part of Post-test

 

 

Which of the following are used to prevent/control TB in PLHIV?

ICF

 

 

IPT

 

 

Early initiation of ART within 2 weeks of ATT initiation

 

 

all the above

 

 

4

 

 

All are strategies used to prevent/treat TB in PLHIV

 

 

3213

 

 

yes

 

 

yes
..
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Comments

Namrata Mon, 03/10/2022 - 15:14

Dear Dr Abhimanyu,

 

Good morning!

 

To remove content duplication, we would like to change the name of the page: Interventions for Screening of TB in TB-HIV Patients | Knowledge Base (ntep.in) to Interventions for Prevention of TB in HIV Patients. 

 

Alternatively, we can keep the same name but change the LO as: Importance of bilateral screening in TB and HIV care settings for co-infections. Highlight why HIV screening is important in TB diagnostic labs and vice versa. Provide some studies showing this importance. But this might clash with TB-HIV Bidirectional Screening | Knowledge Base (ntep.in) which already exists [as you mentioned earlier] but no content is available on Kbase so we cannot compare for now.

 

Looking forward for your response at the earliest.