What is the primary reason for TB screening in people with HIV?

• A. TB infection is a common opportunistic infection and early detection improves outcomes.
• B. TB prophylaxis cures HIV.
• C. TB screening replaces HIV testing.
• D. TB is not a concern in HIV.

Answer: (A)

TB infection is a frequent opportunistic issue in people with HIV, and screening is done to catch it early so treatment can start before illness worsens. HIV weakens the immune system, making latent TB more likely to become active and TB disease more severe if it occurs. Detecting TB early allows prompt anti-TB therapy for active disease and, for those with latent infection, preventive therapy to reduce the chance of progressing to active TB. This approach lowers illness and death, decreases transmission, and ensures TB care is integrated with HIV management. TB screening does not cure HIV, it does not replace HIV testing, and TB remains a major concern in people with HIV, not something to overlook.