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Addressing HIV/AIDS issues in TB contact investigation; a guide for contact investigators, managers, and trainers

Corporate Authors: Harlem Hospital Center (New York, N.Y.); Centers for Disease Control and Prevention (U.S.)
Published Date: 2004
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Tuberculosis (TB) contact investigations are conducted to find persons who have been exposed to patients with active tuberculosis and to evaluate and treat those persons for TB infection and active TB. Someone with latent TB infection (LTBI) and HIV is up to 800 times more likely to develop active TB disease during his or her lifetime than someone without HIV.1 HIV is the leading factor for activation of LTBI to active disease. Until recently, the efforts to control TB among HIV-infected people have focused mainly on active TB patients. While voluntary HIV testing for TB contacts has been recommended since 1996, a recent CDC study2 has shown that most of the country had limited documentation of HIV status of TB contacts. As a result of not knowing their HIV status, some contacts might experience delayed diagnoses of LTBI or active TB, resulting in missed opportunities for TB treatment and the prevention of TB transmission. This Guide aims to strengthen the Contact Investigator's skills in engaging clients in discussion about HIV counseling, testing, and referral. HIV counseling and testing must be seen as the standard of care for TB assessment and treatment of tuberculosis.

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