Gaidarov G M, Apkhanova N S, Alekseeva N Yu, Alekseevskaya T I, Dushina E V
The Federal State Budget Educational Institution of Higher Education "The Irkutsk State Medical University" of Minzdrav of Russia, 664003, Irkutsk, Russia.
The Federal State Budget Educational Institution of Higher Education "The Irkutsk State Medical University" of Minzdrav of Russia, 664003, Irkutsk, Russia,
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2022 Jan;30(1):97-101. doi: 10.32687/0869-866X-2022-30-1-97-101.
In The Russian Federation, the current epidemic situation of tuberculosis is characterized by stabilization and decreasing of morbidity with simultaneous increasing of number of cases of tuberculosis combined with HIV infection within the structure of newly diagnosed diseases and contingents of patients with tuberculosis. In the Siberian Federal Okrug, the indices of morbidity of tuberculosis combined with HIV infection exceed similar ones by almost twice that testifies significant input into burden of morbidity of tuberculosis in the subjects of the Siberian Federal District and their role in further dynamics of morbidity. The shift in morbidity of tuberculosis combined with HIV infection towards increasing of age both in patients with diagnosed HIV infection for the first time and in entire accumulated contingent of HIV patients. The positive dynamics of indices of efficiency of anti-tuberculosis measures in contingents of HIV-infected patients being registered testifies availability of reserves for improving medical care quality. The priority directions of developing program activities to achieve control over spreading of tuberculosis combined with HIV infection are early detection and increasing of commitment to dispensary observation of patients with HIV infection and decreasing infection of population with tuberculosis and increasing efficiency of treatment of patients with tuberculosis.
在俄罗斯联邦，当前结核病疫情的特点是发病率稳定且呈下降趋势，与此同时，在新诊断疾病结构和结核病患者群体中，结核病合并艾滋病毒感染的病例数不断增加。在西伯利亚联邦区，结核病合并艾滋病毒感染的发病率指标几乎比其他地区高出一倍，这表明其对西伯利亚联邦区居民结核病发病负担有重大影响，并在发病率的进一步动态变化中发挥作用。首次诊断出感染艾滋病毒的患者以及所有累积的艾滋病毒患者群体中，结核病合并艾滋病毒感染的发病率都呈现出向年龄增长的趋势。登记在册的艾滋病毒感染患者群体中，抗结核措施效率指标的积极动态变化证明了在提高医疗质量方面仍有潜力可挖。为实现对结核病合并艾滋病毒感染传播的控制而开展项目活动的优先方向是早期发现并提高对艾滋病毒感染患者进行门诊观察的依从性，降低人群结核病感染率，并提高结核病患者的治疗效率。
