Empiric tuberculosis treatment and 12-month mortality among sputum GeneXpert-negative adults living with HIV in Uganda in the era of widespread Antiretroviral therapy: A prospective cohort study
This prospective cohort study in Uganda reveals that despite widespread antiretroviral therapy, Xpert-negative adults living with HIV face high 12-month mortality, which is significantly elevated among those receiving empiric tuberculosis treatment, suggesting that negative molecular results should prompt extensive evaluation for alternative diagnoses like cryptococcosis and bacteremia rather than immediate empiric TB therapy.