Analysis of the causes of death in patients with HIV infection in the Russian Federation
T N Yermak , A V Kravchenko , V I Shakhgildyan , V G Kanestri , N N Ladnaya , O G Yurin
Epidemiology and Infectious Diseases ›› 2010, Vol. 15 ›› Issue (3) : 19 -22.
Analysis of the causes of death in patients with HIV infection in the Russian Federation
The causes of death are analyzed among HIV-infected patients in the Russian Federation in the past years. There has been a rise in fatal outcomes among the entire population of patients and those with late-stage (4B, 4C, 5) HIV infection, in whom the main causes of death are severe lesions, primarily tuberculosis (66.5%). There has been an increase in the number of patients with new-onset HIV infection with the development of severe secondary diseases; in these cases their treatment is frequently late. The regions of the Russian Federation show a low regular medical check-up and treatment coverage (43.2% patients are given antiretroviral therapy late - when the CD4 lymphocyte count is less than 200 per μl) and a low treatment coverage in patients with chronic hepatitis B and C, who constitute a considerable (13.5-14.5%) proportion in the pattern of fatal outcomes.
HIV infection / fatal outcomes / secondary diseases / tuberculosis / chronic hepatitides
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