DR TB with HIV Co-infection

Drug-resistant TB (DR-TB) can affect people living with HIV (PLHIV) and cause a co-infection of both DR-TB and HIV. Compared to HIV-negative persons, PLHIV have a 24% higher risk of contracting multidrug-resistant TB (MDR-TB). As per the Global TB Report 2021, India has a dual high burden of HIV and DR-TB. 

Multi/extensively drug-resistant (M/XDR)-TB may be associated with HIV due to:

F-ICTC

Facility-integrated Integrated Counselling and Testing Centre (F-ICTC) takes HIV Counselling and Testing Services (HCTS ) closer to the people, increasing the uptake of services while reducing transportation costs and waiting times. F-ICTC s can be mobile or fixed.

 

Prevention of TB in facilities caring for HIV-infected persons

With a high burden of TB patients in close proximity to large numbers of vulnerable patients frequently visiting the ART centre, there is an increased risk of TB transmission. Factors like overcrowding, inadequate natural ventilation and re-circulating air-conditioners add to this risk.

ART centres are required to initiate the following measures aimed at reducing the exposure of HIV-infected patients to M. tuberculosis:

1. Infection control activities

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