<<
>>

CHAPTER 3. TUBERCULOSIS DIFFUSION, SOCHETANNOGO FROM A HIV - THE INFECTION, AMONG CHILDREN OF 0-14 YEARS IN THE RUSSIAN FEDERATION

Cases sochetannoj infections - a tuberculosis and a HIV-infection, as well as each infection separately, meet among children at the age of 0-14 years less often, than among adult population. Nevertheless, diffusion level as tuberkuyoleza, and the HIV-infection among the children's population is reflexion naprjayozhennosti an epidemiological situation on the given diseases, and in case of its growth, - a disturbing prognostic sign [125].

In the world the share of cases tuyoberkuleza among the children's population makes from 10 % to 20 % from all cases of a tuberculosis [218].

The statistical information on sochetannoj pathologies at children, both in the world, and in domestic publications, is insufficiently wide, that is bound with neskolyokimi the reasons.

First of all, as it has already been noticed, prevalence, as tuberkulezyonoj, and a HIV-infection among the children's population of 0-14 years essentially menyoshe, than among adult population. In 2012 the case rate of a HIV-infection of adult population is more senior 14 years exceeded value of the given indicator for children of 0-14 years in 13,6 times (accordingly 48,8 and 3,6 on 100 thousand population ukayozannyh age), and a case rate a tuberculosis - in 4,7 times (accordingly

77,8 and 16,4 on 100 thousand population) [83].

Besides an establishment of the diagnosis of a tuberculosis at children's age oslozhyonjaetsja the limited possibilities of laboratory and radial methods diagnoyostiki. At children the tuberculosis with bakteriovydeleniem (among vperyovye the diseased at the age of 0-14 years the share bakteriovydelitelej is stably small and makes about 6,0 % - 5,0 % [124]) is seldom observed, at traditional radial methods issleyodovanija thorax organs (the survey roentgenogram and linear tomoyo
Gramme) errors of diagnostics of a tuberculosis (hypodiagnostics or giperdiagnostiyoka) make about 40 % [33, 63, 119].

Limitation of the information on tuberculosis cases, sochetannogo from a HIV - an infection (further a HIV-TB), among the children's population became the reason of absence of corresponding sections and indicators in so-called "routine" (it is constant dejstyovujushchih) national systems of the account and the reporting of the majority of the countries of the world. There are no data about diffusion of a HIV-TB among children and in registration forms, on koyotorym the statistical information in the Global report the CART on tuberyokulezu gathers. In last edition also there is no expert estimation such pokazayotelej while it is underlined, that by an estimation the CART of 2012 in the world are ill with a tuberculosis of 530 000 children, and 74 000 HIV-negative deyotej have died for one year, that makes, accordingly, 6 % and 8 % from the general number of cases [35]. As it is underlined in the given edition, the estimation of epidemiological indicators the CART for the present is not developed for a HIV-positive of children.

In the countries with the developed system of supervision, such, for example, as the USA, cases sochetannoj infections among children of unit, and their account is not included into number prioriyotetnyh problems. On the other hand, in the countries where tuberculosis diffusion, soyochetannogo with a HIV-infection, becomes a problem of system of public health services, regular data gathering about quantity of such patients among children's naseyolenija, as a rule, is absent. Thus, now data on tuberculosis diffusion, sochetannogo with a HIV-infection, it is enough ograniyocheny.

In the Russian Federation there is developed enough routine system of supervision of a tuberculosis and reporting system on a HIV-infection, each of koyotoryh includes the certain information in disease cases tuberkuleyozom, sochetannym with a HIV-infection. So, annual forms of account № 33 «SvedeYOnija about sick of a tuberculosis» and № 61 «Data on contingents of sick HIV - an infection» contain mutually supplementing information about sochetannoj infekyotsii, including data on ill children of 0-14 years and teenagers of 15-17 years [124].

Data in the form № 61 arrive on the basis of notice data № 263/at - TB (a card of the personal account on sick of a tuberculosis, sochetannym from a HIV - an infection [103]) and the information arriving from regional co-ordinators on sochetannoj of an infection, working, as a rule, in regional protivotuyoberkuleznyh establishments. Data about sochetannoj the infections containing in the form of №33, undertake from the notice № 089/at-tubas. And cards of dispensary tracking № 30/4-at which at the same time have only indirect, instead of direct indicatings on presence of a HIV-infection at given sick of a tuberculosis.

Rather small numbers of the ill HIV-TB of children ogranichivajutprove - denie the authentic comparative analysis of change corresponding pokazayotelej on years in a cut of separate subjects of the Russian Federation.

In the given analysis besides annual indicators we have surveyed usrednenyonye prevalence indicators sochetannoj pathologies for last four years (2009-2012) that has allowed to provide in some cases necessary dosyotovernost received results.

3.1.

<< | >>
Scientific source KLEVNO HOPE IVANOVNA. TUBERCULOSIS At CHILDREN, SICK HIV-INFECTIONS (prevalence, features of clinical implications, diagnostics, treatment, preventive maintenance). The dissertation on competition of a scientific degree of the doctor of medical sciences. Moscow - 2015. 2015

Ñêà÷àòü îðèãèíàë èñòî÷íèêà

Other medical related information CHAPTER 3. TUBERCULOSIS DIFFUSION, SOCHETANNOGO FROM A HIV - THE INFECTION, AMONG CHILDREN OF 0-14 YEARS IN THE RUSSIAN FEDERATION:

  1. THE TABLE OF CONTENTS
  2. INTRODUCTION
  3. epidemiological aspects of a HIV-infection
  4. clinical aspects of a tuberculosis, sochetannogo with a HIV-infection
  5. treatment of children sick of a tuberculosis, sochetannym from a HIV - an infection
  6. CHAPTER 3. TUBERCULOSIS DIFFUSION, SOCHETANNOGO FROM A HIV - THE INFECTION, AMONG CHILDREN OF 0-14 YEARS IN THE RUSSIAN FEDERATION
  7. diffusion of a HIV-infection among children of 0-14 years in the Russian Federation
  8. tuberculosis diffusion, sochetannogo with a HIV-infection, among children of 0-14 years
  9. testing of children of 0-14 years sick of a tuberculosis for a HIV-infection
  10. radiological implications of a tuberculosis at children from a HIV - an infection
  11. features of revealing and diagnostics of a tuberculosis at children from a HIV a-infection
  12. CHAPTER 5. OBENNOSTI TUBERCULOSIS CURRENTS, SOCHETANNOGO FROM A HIV A-INFECTION, AT CHILDREN AT DIFFERENT STAGES OF A HIV-INFECTION AND AT DIFFERENT LEVEL OF MAINTENANCE CD4-КЛЕТОК IN PERIPHERIC BLOOD
  13. features of a current of a tuberculosis, sochetannogo from a HIV - an infection, at early and late stages of a HIV-infection
  14. features of a current of a tuberculosis, sochetannogo from a HIV - an infection at different level of the maintenance With І) 4-cells in peripheric blood
  15. CHAPTER 6. CLINICAL IMPLICATIONS OF A HIV-INFECTION AT CHILDREN SICK OF THE TUBERCULOSIS, SOCHETANNYM FROM A HIV - THE INFECTION