Abstract
Objective. To assess the manifestations of the epidemic process of tuberculosis (TB) in HIV-infected persons and the frequency of infection depending on the level of immunodeficiency and viral load.
Materials and methods. The epidemiological manifestations of TB incidence among HIV-infected and HIV-negative population of the Perm Region for 20142019 were studied. The frequency of TB in HIV-infected patients was determined depending on the level of immunodeficiency (96 patients) and viral load (61 patients).
Results. On average, the incidence of TB among HIV-infected persons was by 36 times higher than that of noninfected persons. Among those infected and noninfected with HIV, TB was registered significantly more often among adults, and mainly men. The incidence of TB among HIV-infected persons is higher among urban population, while HIV-negative among rural residents. The incidence of TB in HIV-infected persons increases with an increase in the immunodeficiency and viral load.
Conclusions. Persons with HIV infection are at risk for TB. The incidence of TB in HIV-infected persons increases with an increase in immunodeficiency and viral load.
Reference14 articles.
1. Getahun H., Gunneberg C., Granich R., Nunn P. HIV infection-associated tuberculosis: the epidemiology and the response. Clin Infect Dis 2010; 50: 201-207.
2. Zimina V.N., Mikova O.E., Varetskaya T.A. et al. Detection of tuberculous mycobacteria in sputum and intensity of bacillary excretion in tuberculosis patients with various HIV status. Tuberculosis and lung Diseases 2017; 95 (7): 17-23 (in Russian).
3. Mikova O.E., Zhdanova S.N., Sergevnin V.I. et al. High prevalence of genotype B0 / W148 Mycobacterium tuberculosis in HIV infected patients in connection with tuberculosis in Perm and Irkutsk Regions. Bulletin of the East Siberian Scientific Center of the Siberian Branch of the Russian Academy of Medical Sciences 2016; 1 (5): 142-145 (in Russian).
4. Nechaeva O.B. Socially significant infectious diseases posing a biological threat to the population of Russia. Tuberculosis and Lung Diseases 2019; 97 (11): 7-17 (in Russian).
5. Galkin V.B., Elenkina Zh.V., Epifantseva N.A. et al. TB / HIV in the Russian Federation. Epidemiology, features of clinical manifestations and treatment results. Moscow: Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation 2017; 52 (in Russian).