Log in with your email address username.


Important notice

doctorportal Learning is on the move as we will be launching a new website very shortly. If you would like to sign up to dp Learning now to register for CPD learning or to use our CPD tracker, please email support@doctorportal.com.au so we can assist you. If you are already signed up to doctorportal Learning, your login will work in the new site so you can continue to enrol for learning, complete an online module, or access your CPD tracker report.

To access and/or sign up for other resources such as Jobs Board, Bookshop or InSight+, please go to www.mja.com.au, or click the relevant menu item and you will be redirected.

All other doctorportal services, such as Find A Doctor, are no longer available.

HIV testing rates and co-infection among patients with tuberculosis in south-eastern Sydney, 2008–2013

- Featured Image

The association between HIV infection and tuberculosis (TB) is well recognised, and the rationale for offering a routine HIV test to all people with TB has been presented previously.1 Recent clinical trials found that commencing antiretroviral therapy for HIV infection before the completion of TB therapy is associated with improved survival, and treatment should be commenced simultaneously for HIV and TB in people with co-infection and a CD4 T-cell count less than 50 cells/mm3.2,3 These recent clinical end point data reinforce the patient benefit of being tested for HIV infection when diagnosed with TB.

In Australia, HIV testing was undertaken in 76%–81% of patients with TB between 2008 and 2010.4,5 In 2010, 3.4% of patients with TB with a known HIV test outcome were reported as testing positive for HIV.5

South Eastern Sydney Local Health District (SESLHD) is a NSW Health district with a population of more than 800 000 people, and is an area of relatively high HIV prevalence and incidence in Australia.6 The district has four publicly funded chest clinics for the management of TB. At 53%, the rate of HIV testing among…