The objective of the research was to establish a comparison between the diagnostic tests of the GeneXpert MTB/RIF assay with the conventional smear and culture, for the diagnosis of Pulmonary Tuberculosis in Patients with HIV in Iquitos. For this, the quantitative method of retrospective, comparative and cross-sectional observational design was used. The population and sample used were 4,000 GeneXpert MTB/RIF tests applied to patients diagnosed with pulmonary tuberculosis. The technique was the documentary review and the instrument was the results record of TB diagnostic procedures in patients with HIV. The SPSS statistical package version 25.0 was used for data processing and diagnostic accuracy tests were used for comparative analysis. The results show, according to the hierarchical Bayesian analysis between the GeneXpert MTB/RIF and Culture, the GeneXpert MTB/RIF test obtained an aver...