Universal HIV screening at a major metropolitan TB clinic: HIV prevalence and high-risk behaviors among TB patients

Objectives. This study assessed the outcome of implementing a policy of uni versal screening of patients with tuberculosis (TB) for HIV infection at a major metropolitan public health TB clinic. Methods. HIV serologic testing was completed on 768 (93%) of 825 eligible p atients. Ninety-eight HIV-positive eases (13%) were compared with 670 HIV-n egative cases. The presence of adult HIV risk factors was determined by str uctured interview and review of medical records. Results. One or more HIV risk factors were present in 93%. of HIV-positive cases and 42% of HIV-negative cases. Conclusions. The metropolitan TB clinic is well suited for HIV screening, a nd HIV-antibody testing and counseling should be provided to all TB patient s.