BHIVA guidelines for adult TB/HIV coinfection (2018)

Simon Collins, HIV i-Base

The latest BHIVA adult TB guidelines are now online.

They have been fully revised from the 2011 version using the modified GRADE system to evaluate evidence.

The guidelines make recommendations for diagnosing and treating all TB related complications

These are broadly similar for HIV positive adults as for HIV negative adults. However, the complexity of TB and HIV infection makes it essential to involve specialists in HIV, respiratory and/or infectious diseases.

Additional recommendations including timing and choice of ART.

The guidelines are designed be used in conjunction with:

  • NICE. Tuberculosis. (
  • BHIVA guidelines for the treatment of HIV-1-positive adults with antiretroviral therapy (2015).
  • WHO 2016 guidelines for the treatment of drug-resistant TB.


BHIVA. BHIVA guidelines on the management of HIV in pregnancy and postpartum 2018.

Links to other websites are current at date of posting but not maintained.