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. 2018 Feb 5;96(3):173–184F. doi: 10.2471/BLT.17.199414

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