Analysis of the causes of death in patients with HIV infection in the Russian Federation


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Abstract

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.

About the authors

T N Yermak

Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

Email: ermak@hivrussia.net
Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

A V Kravchenko

Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

V I Shakhgildyan

Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

V G Kanestri

Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

N N Ladnaya

Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

O G Yurin

Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

Federal Research and Methodological Center for AIDS Prevention and Control, Moscow

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