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Dispensary supervision is aimed at realizing the rights of citizens to improve the quality and length of life, maintain the working capacity of HIV-infected people, maintain health and prevent late diagnosis in people who were at risk of contracting HIV.
The main task of dispensary observation is dynamic laboratory and clinical monitoring of the state of health in order to prevent the disease, timely detection of an infectious process, treatment, prevention and / or timely detection of complications, opportunistic infections and secondary diseases, medical rehabilitation of persons and psychosocial support for patients infected HIV [21, 31].
Place of observation: AIDS Center and in the office of an infectious disease specialist working with patients with HIV infection in the Moscow Region at the place of residence / registration of the patient in an authorized medical organization, under the supervision of the medical commission of the AIDS Center [22]. Dispensary observation by an infectious disease doctor at the place of residence / registration can be carried out after confirming the diagnosis and choosing a treatment regimen by specialists of the AIDS Center, under the supervision of an infectious disease specialist of the AIDS Center.
In case of virological, immunological or clinical treatment failure, all decisions to change the therapy regimen, further dispensary observation tactics are made jointly with the AIDS Center infectious disease doctor.
Thereafter ?500 ?L every -1 and 6BH months below (at CD4 definitions) - anamnesis; - physical examination; - ART counseling; - ART adherence assessment - study of VL, CD4; - general (clinical) blood test; - determination of the activity of ALT, AST in the blood, - study of the level of creatinine in the blood; - general (clinical) urinalysis Specialist performing "D"-observation: dispensary observation of patients with HIV infection is carried out by a specially trained infectious disease doctor of the center for the prevention and control of AIDS and infectious diseases and / or infectious disease doctors of other authorized medical organizations (federal, regional and municipal subordination) Buy Clomid (Clomiphene) 100mg, 25mg, 50mg online - Women's Health who have been trained to work with patients with HIV -infection, which are responsible in their MO.
The volume of dispensary observation - see section 2 "Diagnosis of the disease" and subsection 2 "Dispensary observation" of section 5.