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As described in the ISTC, all physicians should:
- Provide HIV counseling and testing to all patients with, or suspected of having tuberculosis. This is of special importance in areas with a high prevalence of HIV infection, for patients with symptoms of HIV related conditions and patients with a history of risk for HIV exposure. (Standard 14)
- Evaluate HIV positive patients with TB for indications for antiretroviral therapy (ART) and provide co-trimoxazole as prophylaxis for other infections (Standard 15)
- Evaluate persons with HIV infection for active TB and if active TB is ruled out, treat for presumed latent tuberculosis infection. (Standard 16)
- Identify patients who are at risk for MDR-TB and treat confirmed MDR-TB as soon as possible with appropriate regimens. (Standards 11 and 12)
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