411
3354097556011060120
In103159201104098
case1159592011082136182236
of1424592011089129
intrauterine1583592011062122155195249308341394435469529582
HIV21945920110117158243
infection,2467592011061121161215267300334394454484
clinical2981592011082115148209242295348381
manifestations33925920110124177237270310363409443496529563623683729
depend4152592011088142201254314374
on4556592011089150
the4736592011062122175
duration4941592011089149188242274308368428
of5399592011089129
infection.85180001103393133187239272306366426456
Already1349800011086120160214267326388
in1765800011045105
the1900800011046106160
first209180001105285125171205
days2326800011072125187231
after2587800011067106139193233
birth,2850800011072105145178238268
hypotrophy,3148800011072135193253287327387447507568595
lethargy,3776800011045100133193246286346407435
irritable424180001104587127159193246307340393
crying,4664800011065105167198258319348
decreased5042800011072126179218272325371426485
muscle8511007011093153200253287340
tone,12211007011041101161215245
tilting1496100701104174108141175235295
of18201007011068108
the19581007011042102154
head,21411007011069122175234264
fever,24351007011049102161214255285
shortness27501007011054114174214248308361407454
of32341007011068108
breath,33721007011068108162214247307337
cough,37391007011062121181242301331
loose41001007011042102162208262
stools,4392100701105588148208241288318
rash47401007011049102148208
may49861007011094147208
occur.52201007011068122176235275305
In851121401104098
case9801214011060114160213
of12231214011066107
infection1360121401103898138193245278312372432
during18221214011066126166199260320
childbirth,21711214011060120153187247307340380414474504
clinical2705121401105992125186219272325358
manifestations31001214011094147208241281334380414467500534594654700
make38371214011093146206260
their4127121401103999153186226
debut43821214011066121180240274
at4686121401105992
3-448081214011066111171
months,50141214011094154214247308354384
in54281214011040100
adolescents8511421011053113173206259306359412472505552
the1433142101103393147
clinical1609142101105588121182215268321354
course19931421011053114174214261314
is2336142101103480
the2446142101103494148
same26231421011047100193246
as28991421011054100
in3029142101103393
adults.31521421011053113174208241288318
Laboratory10311628011067127187247294354387447494547
diagnostics.1608162801106093153213273333380414447501547577
The10611835011073133187
standard12771835011078111164224284338377437
method174418350110124179212272332392
of21661835011091131
laboratory23271835011064117177237277330363423463525
diagnosis28791835011092125180240299359406439486
of33951835011091131
HIV355618350110117158243
infection38291835011064124164219271304338398458
is43171835011065111
the44581835011065125178
determination46671835011091144177231271363397457510543577637697
of53941835011091131
antibodies8512042011053113146180240300360393447493
and13742042011053113173
HIV15772042011087129214
antigen18212042011054113147180240294353
using22042042011060107140200260
diagnostic2494204201106094147208267327373407440494
tests3018204201103386132166212
that3261204201103494148181
simultaneously3472204201104780174234267301354414467526586633667728
detect42282042011060114147200253287
antibodies45452042011053113147180240300360393447493
to5068204201103494
HIV51922042011086127213
1,5435204201106090
28512249011060
and9412249011084144204
the11752249011064124178
p2413832249011091151211
antigen.16242249011084144177210271323382412
Confirmatory206722490110111172232272305345438491524584624685
tests27802249011064117164197244
(immune,30542249011071105198292352412465495
linear3579224901106497158211264303
blot39122249011091124184218
and41602249011084144204
determination43942249011091144177230270363397457510543576637697
of51212249011091131
HIV528222490110117158243
RNA/DNA8512457011080167254286373460546
by14272457011060122
molecular15772457011093153186240293352386439479
biological2087245701106093153186247307339392445478
methods)25952457011093147180240300360407447
are3072245701105493146
used32482457011061107161220
to3498245701103494
confirm36222457011053113173213246286379
the4031245701103394147
results4207245701104094141201234267314
for45512457011040100140
HIV.47212457011086127212242
The10312663011073133187
diagnostic12472663011075109162223282342388422455509
algorithm17862663011068101162221261295328388481
for22972663011056116156
testing24822663011049102149182216276336
for28472663011055115155
HIV303226630110103144229
antibodies32912663011068129162196256316376409463509
consists38302663011069128188235268315349395
of42562663011075115
two44012663011049135195
stages4626266301106296149209261307
-49632663011060
screening50532663011062116155209262321355415476
and8512871011053113173
confirmation10542871011053113173213246286379432465499559619
of17032871011060100
the1833287101103393146
results2009287101104195141201235268315
of23542871011060100
the2484287101103393147
screening26602871011047100140193247306339399459
study.3148287101104781142202263291
1Stage.8513077011060127160214274326355
(screening)1237307701105096150190243296355388448510549
if1816307701104383
a19293077011064
positive20223077011071131178211245278338392
result24433077011050103149209242276
is2749307701104390
obtained28693077011069129163216249309363423
in33223077011043103
diagnostic34553077011070103156217276336383416450503
tests3988307701104396143176223
that42413077011043103157190
simultaneously4461307701105790183244277311364424477536596643677738
detect52273077011069123156210263297
antibodies8513285011053113146180240300360393447493
to1374328501103999
HIV15093285011087128213
1,1753328501106696
218803285011066
and19763285011059119179
the21853285011040100153
p2423683285011066126186
antigen,25853285011059118152185247299358388
the3003328501103999154
analysis31873285011060121174207268312346392
is3610328501103986
performed37263285011066120160200259300393447506
sequentially42623285011053107167228281340374407461494527589
248783285011066
more49813285011093153193247
times5258328501103973166220266
(with8513491011040127159193253
the11343491011048108161
same13253491011061114207260
serum16153491011061114155215309
and19543491011067128188
in21723491011047107
the23093491011048108161
same25003491011061114207261
test27913491011047100147180
system,30013491011061124168201256349379
the34103491011048108161
second36013491011061114167227287347
serum39783491011061115155215308
is4316349101104794
requested44423491011054107166226280326359412472
only49443491011075135168230
if5202349101104888
it5321349101104781
is5432349101104894
impossible8513699011033127187247294340374434468521
to14023699011045105
send15373699011059112172232
the17993699011045105158
first1987369901105285126173206
serum22233699011059112151211305
for25583699011051111152
further27403699011052112152186246299338
examination).31083699011066126180273306367420453486547607647677
If3815369901105291
two39363699011045131191
positive41573699011072132179212246279339394
results45803699011052105151211245278325
out49353699011072132166
of51313699011072112
three52733699011046106146199253
formulations8513905011040100140233293326380412446506566613
are14943905011071111164
obtained,16873905011078138171225258318371432462
the21793905011051111164
serum23733905011065118158218311
is2714390501105198
considered28423905011071131191237271331384424478537
primary34093905011078118151245298338400
positive38363905011078138185218252285345399
and42643905011071131191
sent44893905011065118178211
to47303905011051111
the48713905011052112165
reference50663905011058111150203243297356409463
laboratory851411301103387147207247299332392432494
for13734113011040100141
further1544411301103999139172232285326
examination.19004113011053112167259293353406439473533593623
Stage8514319011067100154214266
2.11464319011085115
(confirmation12914319011065118178238279312352445498532565625685
of20064319011085125
the21614319011058118172
results23634319011064118163223257290337
of27304319011086125
the28854319011059119172
screening30874319011071125164218271331364424485
study36014319011072105165225287
in39154319011059119
the40644319011058118172
reference42664319011064118157211251305364417470
laboratory)47654319011059112172232273326359419459521558
the53534319011058118172
primary8514527011060100133227280320381
positive12604527011060120167200234267327381
serum16704527011047100141201294
is1994452701103480
re-examined2104452701104094134188247302395428488541601
in2735452701103393
diagnostic2858452701106094147208267327373407440494
tests3382452701103386133166213
that3625452701103393147180
simultaneously3835452701104780174234267301354414467526586633667728
detect45924527011060114147200253286
antibodies49084527011055114148181241301361395448495
to5433452701103393
HIV8514733011087127213
1,1094473301106898
212224733011068
and13204733011062121181
the15314733011042102155
p2417164733011068128188
antigen19344733011062121156189249301361
in23254733011042102
a24574733011061
second25484733011055108162222282342
test2920473301104195141175
system31254733011055116161195248341
from3496473301104989148241
another37674733011062122182215275328368
manufacturer,41734733011093147207267307361413446506546600640670
which48814733011086146180233292
differs52034733011069102142182236275322
from851494101104080139233
the11144941011047107161
first1305494101105487127173207
in15424941011048108
the16804941011047107162
composition18724941011067127221281341388421455488548608
of25104941011075115
antigens,26554941011067127160193254306365412442
antibodies,31274941011069130163196257317377410463510540
or36974941011074114
test38414941011047101147181
format.40524941011054114154247300333363
If4446494101105694
a45704941011069
negative46684941011074128188242274308368421
result51194941011054107153213247280
is5429494101104895
obtained,8515147011060120153207240300353413443
the1324514701103595149
serum15035147011048103142202296
is1829514701103582
re-examined1941514701104397137191251305398431492545604
in2575514701103696
a27015147011056
third2786514701103696129170230
test3046514701103588135168
system,32455147011049109154188242335365
which36425147011087147180235294
differs3966514701106396138178231271318
from4314514701104383142236
the4580514701103696150
first4760514701104275115161195
and49855147011057116176
second51915147011049102156216276336
in851535501103393
terms974535501103487127220267
of12715355011060100
antigen14005355011054113147180240294353
composition,17835355011053113206266328374408441475535595625
antibodies,24385355011053113147180240300360393447493523
or29915355011060100
test3121535501103387133166
format.33175355011040100140233286320350
To8515561011073133
diagnose1014556101106195148208266326373426
HIV14715561011087128213
infection1714556101103494134188241274307369429
in2173556101103494
children22975561011055114148181241281335394
under27215561011061121181234274
the3025556101103494147
age32025561011054114167
of33985561011061101
1835295561011061121
months36815561011094154214247307354
born40655561011061121161221
to4316556101103494
HIV-infected44405561011087128212256289349389442496529582642
mothers,51135561011093153186247300340386416
methods8515769011093147180240300360407
are12885769011064103157
used14745769011070117172231
to17355769011044104
identify18695769011044104158218252285326386
the22835769011044104157
genetic24705769011072125185238271304358
material28685769011093147180234274307360394
of32925769011071111
HIV34435769011087128213
(DNA36865769011052138224311
or40265769011071112
RNA).41685769011091177264305335
The45335769011083143197
method47705769011093146180240300360
of51605769011070110
HIV53125769011086127212
DNA8515975011087173259
detection11405975011065118151204258291325385445
is1615597501103885
mainly17355975011093146180240273334
used.20975975011065111165224254
If2381597501104685
there2496597501103797151191244
is2770597501103885
a28855975011058
high2972597501106598158217
risk3219597501104680127187
of34365975011065105
HIV35755975011087128213
infection,3818597501103898138191244276310370430460
the43085975011041101155
study4493597501105285145205266
is4787597501103885
conducted49025975011058118178238298351384437497
in5429597501103898
the851618301103393147
first1028618301104477117164197
4812556183011065125
hours14106183011065125185225271
of17116183011065105
a18466183011057
child's19336183011058117152185245267313
life2276618301103871111165
(blood24706183011044104138198258318
from2818618301104484144237
the3085618301103898151
umbilical32666183011066159219253287320374426459
cord37556183011058118158218
cannot40036183011058110170230290323
be43566183011065118
examined)45056183011058117172265298358412471511
and50466183011058117177
at5253618301105891
the5374618301103898152
age8516389011053113166
of10476389011065105
14-2111836389011066126166226286
days.14996389011066120182226256
The17916389011074134187
first2008638901104680120167200
mandatory22446389011094147207267320353413453515
HIV27936389011086128213
DNA/RNA30426389011087174262295375462548
test3620638901103992139173
is3823638901103986
performed39396389011066119159199259299392445506
244756389011066
weeks45776389011086140193253299
after49066389011060100134187226
the5162638901103999154
end53456389011059119179
of8516597011060100
the981659701103393147
ART11576597011087167240
course.14276597011053113173213259314343