Abstract
The present lecture provides evidence on the spread of HIV infection in the Russian Federation. Epidemiological situation in maritime regions is described. Some of regions are leaders by HIV spread. To treat and prevent HIV in this group of people, a special branch represented by territorial HIV centers that organize all necessary measures to carry out voluntary examination in different groups of people was created. Common factors of HIV progression and ways of suppression of viral replication are presented. HIV is considered as chronic medicamentally manageable disease with long course. Antiretroviral therapy (ART) is used to treat HIV infection at the present time. HIV medications are designed to affect HIV at the molecular biological level. Current medications are incapable to eliminate genetic material of virus integrated in DNA of human target cells, so, active viral replication in human body and disease progression will go back up again as soon as a patient stops taking ART medications. In the Armed Forces of the Russian Federation, HIV ranks fourth out of the other diseases. At the same time, there is a growing number of primary disease incidence in 2018 in comparison with earlier periods.
Highlights
To treat and prevent HIV in this group of people, a special branch represented by territorial HIV centers that organize all necessary measures to carry out voluntary examination in different groups of people was created
Current medications are incapable to eliminate genetic material of virus integrated in DNA of human target cells, so, active viral replication in human body and disease progression will go back up again as soon as a patient stops taking Antiretroviral therapy (ART) medications
Приоритетными направлениями совершенствования профилактики вирус иммунодефицита человека (ВИЧ)-инфекции в ВС Российской Федерации (РФ) в настоящее время должны стать: введение обязательного периодического серологического скрининга на ВИЧинфекцию военнослужащих контрактной службы; обеспечение диагностических лабораторий приборным оборудованием для определения CD4-клеток и вирусной нагрузки в плазме крови; разработка механизма межведомственного взаимодействия между медицинскими организациями Министерства обороны (МО) РФ и Министерства здравоохранения (МЗ) РФ по вопросу обмена информацией о выявленных
Summary
При постановке диагноза указывается нозологическая единица по МКБ-10 — ВИЧ-инфекция, далее стадия ВИЧ-инфекции, фаза, осложнения (вторичные заболевания). В случае если на фоне ВИЧ-инфекции хотя бы одно из вторичных заболеваний имеет степень проявления, соответствующее критериям синдрома приобретенного иммунодефицита, после фазы заболевания указывается синдром приобретенного иммунодефицита (СПИД).
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