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Screening for tuberculosis (TB) at HIV-testing sites may be an effective approach to early detection of active disease among both HIV-positive and HIV-negative persons, according to a report from the Dominican Republic.
In an effort to develop strategies to prevent TB associated with HIV-infection, the U.S. Centers for Disease Control and Prevention (CDC), the International Union Against Tuberculosis and Lung Disease (IUATLD), and the World Health Organization (WHO) recommend TB skin testing of HIV-positive persons. It is advised that those who are dually infected should be offered prophylactic isoniazid.
In most developing countries, however, preventive therapy …