CD4 and tuberculosis: This study indicated that drinking alcohol, previous TB history in the family, functional status being bedridden and ambulatory, CD4 cell count <500cells/μl, BMI < 18.5 k g/m2 were predictors of increased tuberculosis infection among HIV infected adults visiting ant-retroviral treatment centers in East and West Gojjam Zone and attention is given for these predictors for TB diagnosis.