Abstract
Objective. To analyze the frequency of concomitant pathology in HIV-infected outpatients of the Chechen Republic. Materials and methods. The study was conducted according to the data of the "Republican Clinical Center for Infectious Diseases", "Republican Center for the Prevention and Control of AIDS" of the Ministry of Health of Chechen Republic. The data of inpatient records of 378 HIV-infected outpatients (male – 64.5%, female – 35.5%) of "Republican Clinical Center for Infectious Diseases" Grozny for the period from 2013 to 2020 were analyzed. Results. As a result of the retrospective analysis, it was found that chronic viral hepatitis C leads among the causes of HIVinfected outpatients in the infectious hospital – 51% of cases. Respiratory diseases were registered in 33.2% of cases, including pneumonia without an established etiological factor in 19.3% of cases; pneumocystis pneumonia – in 10%; bronchitis of unknown etiology – in 3.9%. Acute respiratory viral infections were registered in 5.4% of cases; acute gastroenteritis – in 3.7%; meningoencephalitis of unknown etiology – in 2.2%; herpes simplex virus – in 1.2%; chronic viral hepatitis B – in 0.7%; ascariasis – in 0.4%; fever of unknown origin – 0.4%. Conclusion. The structure of secondary diseases in outpatients with HIV is dominated by chronic viral hepatitis C and pneumocystic pneumonia, while mortality is significantly higher in patients with respiratory diseases. Not timely diagnosis of various secondary diseases in the HIV-infected patient complicates treatment tactics, which increases the l unfavorable outcomes and requires optimization of diagnostic algorithms. Key words: HIV infection, Co-infection, outpatient, chronic viral hepatitis C
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