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The objectives of the clinical and laboratory examination conducted against the background of ART are: assessment of the course of HIV infection; evaluation

Planned diagnostic measures during dispensary observation of patients with HIV infection before and during ART - see the section "Diagnostics of diseases", subsections 3-5. recommended that doctors responsible for monitoring HIV-infected people carry out planned diagnostic and advisory activities during the course of ART in order to identify its effectiveness and safety, as well as adherence to treatment (Table 10) [3, 4, 5, 37, 5mg, 2,5mg, 202] 15mg, online Anti-Depressants 7,5mg, 20mg - (Olanzapine) Zyprexa Buy 10mg, (2B). Table 10 Timing of routine examinations in patients on ART [150, 161, 203–209] (3B). Timing from start of ART Inspection, consultation Research 1 month after starting ART - anamnesis; - physical examination; - ART counseling; - ART adherence assessment - VN study (quantitative determination of human immunodeficiency virus RNA HIV-1 in blood plasma by the method PCR) [131]; - general (clinical) blood test [150]; Buy Celexa (Citalopram) 10mg, 20mg online - Anti-Depressants - determination of the activity of ALT, AST in the blood, - blood creatinine test 2 months after starting ART - anamnesis; - physical examination; - ART counseling; - ART adherence assessment - study of VL (carried out in the case if during the first month of treatment VL decreased by less than 10 times) 3 months after starting ART - anamnesis; - physical examination; - ART counseling; - ART adherence assessment - study of VL, CD4; - general (clinical) blood test; - determination of ALT activity, creatinine; - general (clinical) urinalysis Then every 3 months until VL drops below detection level -1 and CD4 growth ?500 µl - 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 AST Comment: if 1.5 years after the start of ART, the patient has no clinical manifestations of secondary diseases for 6 months or more, and in the last two studies conducted at least 3 months apart, the CD4 count is ?500 ?l -1 and VL is below the level determination, planned visits can be carried out at intervals of 6 months. 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].