Skip to main content
. 2021 May 14;6(5):e005250. doi: 10.1136/bmjgh-2021-005250

Table 1.

Standardised patient case descriptions

Standardised patient case Opening statement Relevant history Ideal TB management strategy Ideal HIV management strategy
Case 1: typical symptoms ‘I have a cough and am feeling hot, and it’s not getting better’ Cough duration 2 weeks, experiencing loss of weight/appetite and night sweats, known HIV+, not on ART Offered/sent for any TB test or referred to public sector for any reason Offered/sent for tests to assess CD4 cell count and/or viral load or referred to public sector for any reason
Case 2: confirmed TB ‘I have a cough that is not getting better. I have been to a clinic back home and they gave me some tablets and took my spit’ Carrying GeneXpert pos/Rif inconclusive laboratory report. Cough duration 3 weeks, experiencing loss of weight/appetite and night sweats, HIV− at last test 1 year ago Offered/sent for any TB test or referred to public sector for any reason Offered/sent for rapid or ELISA test for HIV or referred to public sector for any reason
Case 3: previous TB ‘I am suffering from a bad cough. About a year ago I had got tablets in the hospital, and it had got better. But now again I’m having this cough’ Cough duration 2 weeks, experiencing loss of weight/appetite and night sweats, diagnosed and treated with TB last year at which time took 3–4 months TB treatment, known HIV+, not on ART Offered/sent for any TB test or referred to public sector for any reason Offered/sent for tests to assess CD4 cell count and/or viral load or referred to public sector for any reason

ART, antiretroviral therapy; TB, tuberculosis.