A TYPICAL PATIENT WITH HIV TODAY: COMPREHENSIVE CHARACTERIZATION AND ANTIRETROVIRAL TREATMENT OPTIONS (BASED ON DATA OF THE ST. PETERSBURG AIDS CENTER)
https://doi.org/10.22625/2072-6732-2018-10-1-62-69
Abstract
The objective of the study was to describe patients with HIV infection, who were diagnosed in 2016 in St Petersburg AIDS Center, including provided antiretroviral therapy (ART).
A retrospective review of 521 patients’ case histories was performed. The case history selection was done by random sampling, in which the only criterion was the year of HIVinfection registration.
The majority of patient were young people (middle age -), socially adapted, with higher or secondary special education (%),acquired HIV by sexual rout (%). 44% of patients had a CD4-lymphocyte count less than 350 cells / mm3, indicating a late detection of HIV and advanced stage of the disease at the moment of HIV registration. 25% of patients with a CD4 counts more than 350 cells / mm3 also had clinical symptoms of HIV-infection and needed ART.
41% of patients with HIV had different concomitant noncommunicable diseases, of which one third (29%) received therapy for these diseases. This situation dictates the need for careful choice of ART regimens taking into account the clinical features of patients, concomitant therapy and drugdrug interactions.
About the Authors
D. A. GusevRussian Federation
N. V. Sizova
Russian Federation
S. O. Mayorova
Russian Federation
V. V. Bratkova
Russian Federation
A. L. Sotnikova
Russian Federation
T. V. Malkova
Russian Federation
References
1. Spravka. VICH-infekciya v Rossijskoj Federacii na 31 dekabrya 2016 goda. Federal’nyj nauchno-metodicheskij centr po profilaktike i bor’be so SPIDom FBUN Central’nogo NII ehpidemiologii Rospotrebnadzora.
2. Belyakov N.A. Ehvolyuciya VICH-infekcii v SanktPeterburge – snizhenie zabolevaemosti, starenie i utyazhelenie bolezni / N.A. Belyakov, T.N.Vinogradova, V.V.Rozental’, N.V.Sizova, V.V.Rassohin, Z.N.Lisicina, O.V.Panteleeva, S.I.Dvorak // VICH-infekciya i immunosupressii, 2015. – № 2. – T. 7. – S. 7–17.
3. Sizova N.V. Osobennosti antiretrovirusnoj terapii i ehvolyuciya lekarstvennoj ustojchivosti v usloviyah megapolisa: Avtoref. …dis. d-ra med. nauk. SPb.,2014.-44s.
4. Lioznov D.A. Harakteristika ehpidimiologicheskoj situacii po VICH-infekcii v Severno-Zapadnom Federal’nom okruge Rossijskoj Federacii / Lioznov D.A, N.V.Konovalova, S.V .Ogurcova, M.R.Asadulaev i dr., // VICH-infekciya i immunosupressii – 2015. –№2. –T. 7 ¬– S.93–100.
5. Pokrovskij V.V. Protokoly dispansernogo nablyudeniya i lecheniya bol’nyh VICH-infekciej 2016 / V.V. Pokrovskij, O.G.YUrin, A.V.Kravchenko, V.V.Belyakva i dr. // EHpidemiologiya i infekcionnye bolezni. Aktual’nye voprosy – 2016 – № 6, prilozhenie 1. – 112s
6. Guidelines for the Clinical Management and Treatment of HIV-infected Adults in Europe (Version 8.1; October, 2016). European AIDS Clinical Society (http://www.europeanaidsclinicalsociety.org).
7. VICH 2014/15 g. /pod red. K. Hoffman, YU. K. Rokshtro. – M. 2014. – 924 s. www.hivbuch.de
Review
For citations:
Gusev D.A., Sizova N.V., Mayorova S.O., Bratkova V.V., Sotnikova A.L., Malkova T.V. A TYPICAL PATIENT WITH HIV TODAY: COMPREHENSIVE CHARACTERIZATION AND ANTIRETROVIRAL TREATMENT OPTIONS (BASED ON DATA OF THE ST. PETERSBURG AIDS CENTER). Journal Infectology. 2018;10(1):62-69. (In Russ.) https://doi.org/10.22625/2072-6732-2018-10-1-62-69