Among PLHIV, what should be done at every visit if the patient is not on TB treatment?

For people living with HIV (PLHIV), regular monitoring for tuberculosis (TB) is crucial due to their increased vulnerability to the disease. Screening for TB signs and symptoms at every visit serves as a proactive measure to catch any potential infections early.

This approach allows healthcare providers to identify patients who may be developing TB, as symptoms such as prolonged cough, fever, night sweats, and weight loss can indicate an active TB infection. By implementing this screening consistently, healthcare workers can ensure timely diagnosis and treatment of TB, which is essential in managing the health of PLHIV and preventing complications.

While chest X-rays and diagnostic tests like the Xpert test can be important diagnostic tools, they are typically used in specific circumstances and not necessarily required at every visit if the patient has no signs or symptoms of TB. Hence, regular screening for TB symptoms stands out as the most effective routine practice for managing PLHIV who are not currently undergoing TB treatment.