Legal and organizational foundations of tuberculosis chemoprophylaxis in people living with HIV
Tuberculosis is responsible for more than one fourth of deaths among people living with HIV. The combination of HIV infection and tuberculosis determines the severity of overlapping dual infection. As has been found in the course of studying the problem, there is a substantial normative-legal basis for registration of HIV-infected individuals for follow-up and outpatient management in anti-tuberculosis institutions in order to administer tuberculosis chemoprophylaxis. Nevertheless, the optimal place for first-hand organization of chemoprophylaxis (provision of drugs, control of adverse effects) is an AIDS centre. As has been stated, only a certified TB specialist, who works in an institution licensed to provide TB prevention and control services, can administer tuberculosis chemoprophylaxis. It is possible to provide medication free-of-charge in case a HIV-infected patient is registered at an anti-TB institution, or without registration within the framework of regional programmes.