RISK FACTORS THAT CONTRIBUTE TO THE FORMATION OF COMBINED FORMS OF TUBERCULOSIS AND HIV INFECTION IN PRIMORSKY KRAI

Abstract

Objective. An epidemiological situation was assessed for the combined forms of tuberculosis and HIV-infection in the Primorsky territory and factors promoting their formation. Methods. The cards of personal records of patients with tuberculosis combined with HIV-infection (form 263/у-TБ) of Primorskiy Regional Tuberculosis Dispensary for 2003-2017 were analyzed. We used the data of monitoring of the combined forms of HIV infection and tuberculosis of the Primorsky Center for the Prevention and Control of AIDS and Infectious Diseases. During the processing of data, we used common for epidemiology methods. Results. In the last five years, the epidemiological situation of the combined HIV / TB forms in Primorsky territory has gradually improved against the background of a decrease in the incidence of mono-tuberculosis in the population and the continuing increase in the incidence of HIV-infection. Factors that significantly influence the risk of forming mixed forms of HIV-infection and tuberculosis are: male sex, age, socially maladaptive population, the presence of co-morbidities, drug abuse, uncontrolled sexual behavior and alcohol abuse. Conclusions. Unfortunately, the current epidemiological surveillance system does not take into account the factors that currently determine the epidemiological features of tuberculosis and HIV-infection, as well as the risks of forming their combined forms. However, as new data on the conditions conducive to the development of the epidemic process appear, information flows need to be expanded to conduct epidemiological analysis and make timely management decisions in the field of preventing co-infected forms of HIV-infection and tuberculosis.