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close this bookNational Guidelines for the Clinical Management of HIV/AIDS - Tanzania (NACP; 2005; 131 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the documentFOREWORD
Open this folder and view contentsCHAPTER 1: INTRODUCTION
Open this folder and view contentsCHAPTER 2: ORGANIZATION OF HIV/AIDS CARE AND TREATMENT
Open this folder and view contentsCHAPTER 3: HIV/AIDS PREVENTION
Open this folder and view contentsCHAPTER 4: PROTECTIVE MEASURES AGAINST HIV TRANSMISSION
Open this folder and view contentsCHAPTER 5: LABORATORY TESTS IN HIV/AIDS
Open this folder and view contentsCHAPTER 6: HIV/AIDS AND PREGNANCY
Open this folder and view contentsCHAPTER 7: PEDIATRIC HIV/AIDS AND RELATED CONDITIONS
Open this folder and view contentsCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
Open this folder and view contentsCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
Open this folder and view contentsCHAPTER 10: MANAGEMENT OF COMMON SYMPTOMS AND OPPORTUNISTIC INFECTIONS IN HIV/AIDS
Open this folder and view contentsCHAPTER 11: MANAGEMENT OF MENTAL HEALTH PROBLEMS IN HIV/AIDS
Open this folder and view contentsCHAPTER 12: MANAGEMENT OF HIV INFECTED PATIENTS USING ANTIRETROVIRAL DRUGS
Open this folder and view contentsCHAPTER 13: ARV THERAPY IN INFANTS AND CHILDREN
close this folderCHAPTER 14: USE OF ARVS IN SPECIAL CIRCUMSTANCES
close this folder14.1 People with tuberculosis disease and HIV co-infection
View the document14.1.1 Patient presents with TB before commencing ART
Open this folder and view contents14.2 Post Exposure Prophylaxis-(PEP)
Open this folder and view contents14.3 HIV PEP in men and women who have been raped/sexually assaulted
Open this folder and view contentsCHAPTER 15: HIV/AIDS AND NUTRITION
Open this folder and view contentsCHAPTER 16: MANAGEMENT OF ANTIRETROVIRAL MEDICINES
Open this folder and view contentsCHAPTER 17: CERTIFICATION OF HEALTHCARE FACILITIES AS CARE AND TREATMENT SITES
 

14.1.1 Patient presents with TB before commencing ART

If the patient has a CD4 count of more than 350 cells/mm³, antiretroviral therapy is not yet needed. The need for antiretroviral treatment should be reassessed on completion of TB treatment.

If the patient has a history of WHO Stage 4 illness and/or a CD4 count of 200 -350 cells/mm³, complete 2 months of TB therapy before commencing ART.

If the patient has a CD4 count of less than 200 cells/mm³ or other serious HIV related illness, make sure that the patient is tolerating TB treatment before initiating ART. Patients in this group should be started on first-line therapy consisting of d4T/3TC/EFV.

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