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85% In order to implement a multiprofessional approach in healthcare institutions and ensure PLHIV access to non-medical services, care and support, it is advisable to maintain and expand psychological and social counseling, including within the framework of the School of Patients Infected with the Human Immunodeficiency Virus. In accordance with the standards of primary health care for adults with a disease caused by the human immunodeficiency virus (HIV), approved by orders of the Ministry of Health of Russia (dated November 20, 2018 No.
School of patients infected with human immunodeficiency virus should be organized with a certain frequency of provision and frequency of application. When organizing the School of patients infected with the human immunodeficiency virus, it is recommended to reflect the following topics: general information about HIV/AIDS, how to maintain your health with HIV infection, the availability of HIV treatment, the birth of a healthy child, interaction with other people.
Measures to improve ART adherence Program level measures [127,217,218,219] (2A) availability of all types of medical care, social support, psychological support; development, production, registration and strengthening of the drug supply management system; the use of combination drugs with fixed doses; optimization of the system of medical and social rehabilitation of users of psychoactive substances. Measures of an individual nature: patient education and counseling; mutual support; treatment of depression and disorders caused by the use of psychoactive substances; means of reminder and interaction; VL monitoring; counting the number of tablets; self-report. Pathological anatomical diagnostics 1. Features of pathoanatomical autopsy of those who died from HIV infection. The bodies of those who died from infectious diseases or if they are suspected are subject to mandatory autopsy in accordance with Federal Law-323, Order of the Ministry of Health of the Russian Federation dated June 6, 2013 No. 354n “On the procedure for conducting post-mortem autopsies”.
The tactics of pathoanatomical research fundamentally corresponds to the general guidelines for a full-fledged morphological study of those who died from infections.
The most important feature of autopsy in infectious diseases is a wide range of laboratory and histological studies.
2. Morphological diagnosis of lesions caused by HIV infection In macroscopic examination during autopsy, the possibilities of diagnosing HIV infection itself are extremely limited.
Much more information can be obtained from histological examination.
All macroscopically altered foci are subject to histological examination.
3. Features of the course and morphological diagnosis of tuberculosis in HIV infection Tuberculosis should now be considered the leading secondary disease in HIV infection (B20.0).
Tuberculosis can be both a previous pathology and develop again against the background of HIV infection.