Table 2. Definitions of symptoms to exclude active tuberculosis before providing tuberculosis preventive treatment to adults and children living with human immunodeficiency virus (HIV) in countries with the highest burdens of tuberculosis or HIV-associated tuberculosis .
Country | Adults living with HIV |
Children living with HIV |
|||
---|---|---|---|---|---|
Symptoms defined by WHO | Additional symptoms or findings | Symptoms defined by WHO | Additional symptoms or findings | ||
Angola | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; weight loss or poor weight gain | Chest X-ray findings suggestive of tuberculosis | |
Bangladesh | N/A | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | Fatigue, lethargy, neck mass, wheeze, ascites | |
Botswana | N/A | N/A | N/A | N/A | |
Cambodia | Current cough; fever; night sweats | Fatigue; lethargy; wheeze; neck mass; abdominal mass; ascites | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | Failure to thrive, enlarged lymph nodes | |
Cameroon | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; weight loss or poor weight gain | N/A | |
Central African Republic | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | N/A | |
Democratic Republic of the Congo | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | N/A | |
Ethiopia | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | N/A | |
Ghana | N/A | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | Fatigue, lethargy, neck swelling, wheeze | |
India | Current cough; fever; night sweats; weight loss | N/A | N/A | N/A | |
Indonesia | Current cough; fever; night sweats; weight loss | Signs of extrapulmonary tuberculosis | N/A | N/A | |
Kenya | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | Lethargy, less playful than usual | |
Lesotho | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | N/A | |
Malawi | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever | Failure to thrive, night sweats, malnutrition | |
Mozambique | N/A | N/A | Current cough; fever; weight loss or poor weight gain | N/A | |
Myanmar | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | N/A | |
Namibia | Current cough; fever; night sweats; weight loss | Chest pain; shortness of breath; haemoptysis; loss of appetite; diarrhoea; fatigue; enlarged lymph nodes | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | Enlarged lymph nodes | |
Nigeria | Current cough; fever; night sweats; weight loss | N/A | N/A | N/A | |
Pakistan | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | N/A | |
Papua New Guinea | Current cough; night sweats; weight loss | N/A | N/A | N/A | |
Philippines | Current cough; fever; night sweats; weight loss | N/A | N/A | N/A | |
Sierra Leone | Current cough; fever; night sweats; weight loss | N/A | N/A | N/A | |
South Africa | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | Fatigue | |
Swaziland | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | N/A | |
Thailand | N/A | N/A | N/A | N/A | |
Uganda | Current cough; fever; night sweats; weight loss | N/A | N/A | N/A | |
United Republic of Tanzania | Current cough; fever; night sweats; weight loss | N/A | Fever; contact history with a tuberculosis case; weight loss or poor weight gain | N/A | |
Viet Nam | Current cough; fever; night sweats; weight loss | N/A | N/A | N/A | |
Zambia | Current cough; fever; night sweats; weight loss | N/A | Current cough; fever; contact history with a tuberculosis case; weight loss or poor weight gain | N/A | |
Zimbabwe | Current cough; fever; night sweats; weight loss | Haemoptysis | N/A | N/A |
HIV: human immunodeficiency virus; N/A: data not available; WHO: World Health Organization.
Notes: WHO recommended four-symptom algorithm for people living with HIV includes: current cough, fever, night sweats and weight loss for adults and current cough, fever, poor weight gain and contact history with a tuberculosis case for children.10