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Within the framework of dispensary observation, treatment of HIV infection, prevention and treatment of secondary and concomitant diseases with HIV infection are carried out in accordance with section “3.
When filling out the card, you should take into account the information with filling in the relevant fields: SNILS, unique registration number (UNRZ) from the Federal Register of HIV-infected people, place of detection, and also indicate the category of the population (a Russian citizen, a resident of this subject, a resident of another subject, a foreign citizen, a stateless person ; a person without a fixed place of residence, without citizenship (citizenship is not known); was in an institution of the penitentiary system (UIS), including in a pre-trial detention center, a colony; when he was released.
In addition, it is advisable to indicate the social status of an HIV-infected person: worker; employee, incl. an employee of the Ministry of Internal Affairs, the Ministry of Defense; pensioner; disabled person; preschooler, incl.
attending a preschool institution; schoolboy; student, incl.
vocational education secondary, higher; unemployed; does not work and does not study at the age of: men - 16-59 years old, women - 16-54 years old; assigned contingent. Also, the outpatient card reflects: diagnoses and conditions, comorbidities, treatment regimens and the reasons for its change, obstetric history (birth, children). Diagnostic measures during dispensary registration - see section 2 "Diagnosis of the disease". The decision to initiate ART is made: Organization of medical care Medical care for patients with HIV infection is provided on the basis of standards of medical care and taking into account clinical recommendations (treatment protocols) on the provision of medical care.
Indications for hospitalization of the patient: hospitalization of patients with HIV infection is carried out taking into account the severity of the condition and clinical data, depending on the presence of secondary or concomitant diseases Indications for discharge of the patient: there are no special rules for discharge.
Discharge from the hospital is carried out after an additional examination, selection of adequate therapy and improvement in the condition of patients.?
Additional information affecting the course and outcome of the disease 1. Formation of adherence to dispensary observation and treatment in a patient with HIV infection [216, 217] (2A) Treatment of HIV infection is carried out for life and requires patients to strictly follow the recommendations of doctors and the regimen of therapy.
Compliance with ART and dispensary observation should be considered in the same context of the timeliness and effectiveness of therapy. At present, the task of attracting and retaining patients within the existing system of care is of paramount importance. The formation of patients' adherence to dispensary observation and treatment of HIV infection is carried out within the framework of a multiprofessional patient-oriented approach using counseling technology.