Introduction

The overall purpose of these guidelines is to help physicians manage adults with tuberculosis (TB)/human immunodeficiency virus (HIV) co-infection. Recommendations for the treatment of TB in adults living with HIV are similar to those in HIV-negative adults. Of note, the term ‘HIV’ refers to HIV-1 throughout these guidelines.

The 2021 interim update to the 2018 BHIVA guidelines for the management of tuberculosis in adults living with HIV was published to ensure that guidance reflects new research data, including data from the World Health Organization, on management of drug-resistant TB. All changes are highlighted.

Downloads

British HIV Association guidelines for the management of tuberculosis in adults living with HIV 2018 (2021 interim update)

Additional information
Literature search strategies

Consultation comments
Download the comments received by the BHIVA Secretariat during the public consultation process

Declaration of interests
Download the declaration of interests from writing group members

Non-technical summary

View non-technical summary

Please note: The non-technical summary is less detailed than the full guideline and if you are reading this because it is relevant to your own healthcare, please do discuss any concerns or questions with your healthcare professionals.

Writing group

Anton Pozniak (Chair), Margherita Bracchi, Clare van Halsema, Frank Post, Funmi Awosusi, Alison Barbour, Steve Bradley, Katherine Coyne, Esther Dixon-Williams, Andrew Freedman, Pauline Jelliman, Saye Khoo, Clifford Leen, Marc Lipman, Sebastian Lucas, Rob Miller, Kay Seden

Peer review

The guidelines were peer reviewed by Dr Jose Miro, University of Barcelona, Spain, and Professor Graeme Meintjes, University of Cape Town (UCT), South Africa.

Guideline updates and date of next review

We aim to revise these guidelines by 2023. In the meantime, the writing group will confer at least annually to consider new information from high-quality studies and will issue revisions or updates should clinically important and relevant data become available.

Reference

Bracchi M, van Halsema C, Post F et al. British HIV Association guidelines for the management of tuberculosis in adults living with HIV 2019. HIV Med 2019; 20 Suppl 6: s2-s83.