Management of HIV and TB Co-Infection

Training Materials: 
Course description

Name of the Course
TB/HIV Co-Infection
Main Learning Objectives
  • Understand the current epidemiological situation of tuberculosis (TB) and HIV/AIDS in the world and in the country.
  • Learn about HIV/AIDS etiology, pathogenesis, classification systems (staging systems for HIV infection and case definition for AIDS), and diagnosis of HIV/AIDS, as well as antiretroviral drugs and current guidelines for ART (TB specialists).
  • Learn about TB etiology, pathogenesis, classification systems, and diagnostic criteria, as well as current approaches to diagnosis and treatment of TB disease (Infectious disease specialists).
  • Learn how HIV infection influences a course of tuberculosis and vice versa.
  • Learn current approaches to diagnosis of TB disease in HIV/AIDS patients.
  • Learn approaches to diagnosis of latent tuberculosis and indications of chemoprophylaxis for TB in HIV-infected patients.
  • Learn diagnostic criteria for pulmonary TB in HIV-infected patients, how to differentiate pulmonary TB from AIDS-associated diseases, and how to treat pulmonary TB in HIV/AIDS patients.
  • Learn clinical manifestations and how to use diagnostic criteria for differential diagnosis and treatment of extrapulmonary TB in HIV-infected patients depending on the organs involved.
  • Learn basic counseling skills.
  • Learn the impact of pre-and post-test counseling on HIV and TB detection.
  • Learn about adherence monitoring.
  • Learn current guidelines for providing ARV and anti-TB therapy in patients with HIV/TB co-infection.
  • Understand special considerations for providing ART and anti-TB therapy in patients with HIV/TB co-infection belonging to special groups (i.e. pregnant women, IDUs).
  • Learn about infection control in TB facilities, precautions in the management of HIV-infected patients, and post-exposure prophylaxis.
  • Understand current guidelines for monitoring/reporting HIV/TB co-infections.
  • Understand the importance of teamwork in the management of patients with HIV/TB co-infection.
  • Understand how to put new knowledge into practice.
Key Topics TB and HIV infection. Tuberculosis as HIV-related disease. Clinical symptoms of TB at each stage of HIV disease. TB detection. Chemoprophylaxis for TB in HIV-positive patients. Differentiating latent TB infection from active TB. Differential diagnosis between pulmonary TB and other HIV-related pulmonary diseases. Mixed infection. Extrapulmonary TB in HIV-positive patients. Diagnosis, clinical features, treatment approaches. ART in patients with HIV/TB co-infection. Adherence promotion and monitoring. Basic principles of counselling. Special considerations for treatment of IDUs with HIV/TB co-infection. Team approach in providing care and treatment to patients with TB/HIV co-infection.
Basis of Curriculum, Key Teaching Documents and Materials provided
  • WHO Protocols on HIV/AIDS Care and Treatment for European Region, 2006;
  • Relevant national protocols and policies;
  • Comprehensive set of course slides and handouts.

All materials available printed or electronically, in Russian and English.

Teaching Methods Presentation, small group discussion, role play, case study, bed-side training.
Target Audience Care teams (infectious disease physician and TB physician). Maximum class size: 18-24 participants.
Faculty Multidisciplinary, international and national.
Duration 5 days didactical/clinical course at training facility affiliated with the site of clinical excellence.