Analysis of tuberculosis/hiv co-infection trends in Ukraine in 2008-2017.

Objective: Introduction: According to WHO estimates for the European Region in 2017, Ukraine had the highest proportion of active tuberculosis cases co-infected with HIV - 21.6%, with an average of 12% in the Region, and the absolute number of tuberculosis/HIV co-infection cases in Ukraine was estimated at the level of 8,000. The aim: carry out a comprehensive analysis of the epidemical situation regarding tuberculosis/HIV co-infection in Ukraine according to selected epidemiological and clinical characteristics.
Patients and Methods: Materials and methods: The retrospective epidemiological study was based on the data from national reporting forms "Annual Active TB Report", which was being collected by the Center for Health Statistics of the Ministry of Health of Ukraine for period 2008-2017.
Results: Review: The incidence of newly diagnosed active tuberculosis associated with HIV in Ukraine increased by 89,4% - from 6,1 per 100,000 population in 2008 to 11,6 per 100,000 population in 2017, against the backdrop of a gradual decrease in the incidence of active tuberculosis by 36.5% over the same period. The rates of comorbidity TB/HIV increased by 2.8 times from 7.9% to 20.3%. The highest rates of incidence tuberculosis/HIV co-infection are observed in person aged 25-44, males, urban residents, and in the southern region of Ukraine.
Conclusion: Conclusions: The revealed tendency to increase the rate of the incidence and comorbidity of tuberculosis/HIV causes necessitates reviewing the organizational approaches to healthcare delivery for tuberculosis/HIV co-infection patients.