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TB & HIV COINFECTION

Last Updated: October 30, 1998


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Prevention and Treatment of Tuberculosis Among Patients Infected with Human Immunodeficiency Virus: Principles of Therapy and Revised Recommendations. Published in the Morbidity and Mortality Weekly Report October 30, 1998.

Summary
Introduction
Part I. Background and Scientific Rationale
Part II. Recommendations
- Active TB
- Treatment Options
- Coadministration of TB & HIV Therapy
- Monthly Medical Evaluation
- Drug Interaction & Absorption
- Special Situations
- Latent TB
- Testing Among HIV Infected Individuals
- Prevention
Conclusions
Acknowledgments
References

Figure I. Recommended Management Strategies for Patients with HIV Infection and TB
Table I. Annual Rates of TB Among Persons with HIV, by TST Status - Selected Years and U.S. Areas
Table II. Percentage of TB Patients with Drug-Resistant Isolates, + By Drug and HIV Serostatus - U.S. 1993-1996
Table III. Post-Treatment Relapse and CD4+ T-Cell Counts Among Patients Enrolled in Prospective Studies of Regimens, by HIV Serostatus
Table IV. Effects of Co-Administering Rifamycins and Protease Inhibitors on the Systemic Exposure of Each Drug
Table V. Known and Predicted Effects of Co-Administering Rifamycins and NNRTI Exposure of Each Drug
Table VI. Feasibility of Using Different Antiretroviral Drugs and Rifabutin
Table VII. Results From Clinical Trials That Compared Rifabutin with Rifampin in Treatment for Pulmonary Tuberculosis
Table VIII. Post-Treatment Relapse Rates Associated with Tuberculosis Treatment Regimens Containing Minimal or No Rifampin Among Patients Not Known to be Co-Infected with HIV
Table IX. Results from Studies of TB Preventive Therapy Among Persons Co-Infected with HIV
Table X. System Used to Rate the Strength of Recommendations and the Quality of Support Evidence
Box 1. Components of the Medical Evaluation for HIV-Infected Patients Suspected of Having Tuberculosis
Box 2. Components of the Monthly Medical Evaluation for HIV-Infected Patients Undergoing Treatment for Active TB
Box 3. Components of the Baseline Medical Evaluation for TB Preventive Treatment for Patients Infected with HIV
Box 4. Components of the Monthly Medical Evaluation for HIV-Infected Patients Undergoing Preventive Treatment for Latent Mycobacterium tuberculosis Infection





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