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avium-intracellulare , disseminated or extrapulmonary; Pulmonary tuberculosis in an adult or adolescent over 13 years of age, in the presence of severe immunodeficiency: CD4 1% of the total population) HIV prevalence.

unprotected sex, with a partner whose HIV status is unknown (last examination more than 3 months before sexual contact), lack of practice of using a condom for every sexual contact, taking psychoactive substances, non-medical parenteral interventions 1. Complaints and anamnesis In order to assess the risk of HIV infection and choose the tactics of diagnosing the disease, when collecting anamnesis, it is recommended to obtain information on [14-22] (2A): forms of behavior associated with the risk of HIV infection ; time and route of HIV infection (probable or known) ; HIV testing (date of first positive HIV test, reason for testing, last negative HIV test) ; the presence of diseases that have the same mechanism of transmission as HIV infection (viral hepatitis B and C, sexually transmitted diseases) or contribute to HIV infection ; sexual and reproductive health (current methods of contraception, data on pregnancies) ; smoking, drinking alcohol and other psychoactive substances .

When collecting anamnesis of the disease, it is recommended to pay attention to the presence in the anamnesis of diseases that may be the result of HIV infection (viral, fungal, bacterial lesions of the skin and mucous membranes, repeated pneumonia, tuberculosis, swollen lymph nodes, "mononucleosis-like syndrome", changes in body weight, physique) [16,17,23,24] (2A). When taking anamnesis of the disease in a patient with suspected HIV, it is recommended to pay special attention to possible manifestations of tuberculosis (fever, cough, weight loss, night sweats) [3,5] [25] (1B). Physical examination As part of

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physical examination, it is necessary to pay attention to the clinical manifestations characteristic of HIV infection and signs indicating past or existing secondary diseases. When conducting a physical examination of all patients in order to diagnose HIV infection, determine its stage, the presence of secondary diseases, opportunistic infections, and identify complications [3,5, 25] (1C): assess the general condition, paying attention to changes in body weight, physique (presence of signs of lipodystrophy); a complete examination of the skin and mucous membranes of the whole body, including the perianal and inguinal regions, pay attention to the presence of jaundice of the skin and mucous membranes, elements of a rash of herpes zoster (fresh or traces of previously transferred episodes), seborrheic dermatitis, fungal lesions, elements of Kaposi's sarcoma, chancriform elements, papillomas, warts, traces of injections in injecting drug users. assess the neurological and mental status, paying attention to: symptoms of neuropathy, visual impairment, clarity of consciousness, adequacy of answers to questions, the presence of delusional ideas, the pace of mental processes (inhibition or acceleration), the presence of mood disorders (complaints of depression, apathy, indifference, fatigue, irritability), the presence of suicidal thoughts, impaired memory and attention, motor awkwardness.

Laboratory diagnostic studies HIV testing should be voluntary and based on the following principles: 1. Informed consent of the patient; 2. Confidentiality; 3. HIV counseling, incl. before and after the test; 4. Ensuring the reliability of test results and the timeliness of submission to the clinician; 5. Cooperation with services for the provision of medical, social and psychological assistance; 6. Anonymity at the request of the patient.