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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">aids</journal-id><journal-title-group><journal-title xml:lang="ru">ВИЧ-инфекция и иммуносупрессии</journal-title><trans-title-group xml:lang="en"><trans-title>HIV Infection and Immunosuppressive Disorders</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2077-9828</issn><publisher><publisher-name>Baltic Medical Education Center</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.22328/2077-9828-2018-10-4-37-56</article-id><article-id custom-type="elpub" pub-id-type="custom">aids-390</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>АНАЛИТИЧЕСКИЙ ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ANALYTICAL REVIEW</subject></subj-group></article-categories><title-group><article-title>ОСНОВНЫЕ ПРИЧИНЫ И СОВРЕМЕННЫЕ МЕТОДЫ КОРРЕКЦИИ НИЗКОЙ ПРИВЕРЖЕННОСТИ К АНТИРЕТРОВИРУСНОЙ ТЕРАПИИ У ТРУДНЫХ ПАЦИЕНТОВ</article-title><trans-title-group xml:lang="en"><trans-title>MAIN REASONS AND CURRENT METHODS OF CORRECTION OF POOR ADHERENCE TO ANTIRETROVIRAL TREATMENT IN DIFFICULT PATIENTS</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мусатов</surname><given-names>В. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Musatov</surname><given-names>V. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мусатов Владимир Борисович — к.м.н., доцент кафедры инфекционных болезней, эпидемиологии и дерматовенерологии </p><p>199034, Санкт-Петербург, Университетская наб., 7–9, (812) 717-77-61</p></bio><email xlink:type="simple">doctormusatov@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Яковлев</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Yakovlev</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Яковлев Алексей Авенирович — д.м.н., профессор, зав. кафедрой инфекционных болезней, эпидемиологии и дерматовенерологии </p><p>199034, Санкт-Петербург, Университетская наб., 7–9, (812) 920-01-02</p></bio><email xlink:type="simple">iakovlevhome1956@yahoo.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чайка</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Chaika</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чайка Николай Анатольевич — к.м.н., в.н.с. </p><p>197101, Санкт-Петербург, ул. Мира, 14, (812) 233-34-20</p></bio><email xlink:type="simple">nchaika@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Келли</surname><given-names>Джеффри</given-names></name><name name-style="western" xml:lang="en"><surname>Kelly</surname><given-names>Jeffrey</given-names></name></name-alternatives><bio xml:lang="ru"><p>Келли Джеффри — директор</p></bio><email xlink:type="simple">cairdirector@mcm.edu</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Амирханян</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Amirhanyan</surname><given-names>Y. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Амирханян Юрий Альбертович — к.п.н., руководитель проекта </p><p>(812) 717-89-64</p></bio><email xlink:type="simple">yuri@mcw.edu</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Санкт-Петербургский государственный университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saint-Petersburg University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФБУН «Санкт-Петербургский НИИ эпидемиологии и микробиологии имени Пастера»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saint-Petersburg Pasteur Institute</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Центр исследований ВИЧ-профилактических вмешательств CAIR, Медицинский колледж Висконсина</institution><country>Соединённые Штаты Америки</country></aff><aff xml:lang="en"><institution>Center for AIDS Intervention Research of Wisconsin (CAIR), Medical College of Wisconsin</institution><country>United States</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>16</day><month>01</month><year>2019</year></pub-date><volume>10</volume><issue>4</issue><fpage>37</fpage><lpage>56</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мусатов В.Б., Яковлев А.А., Чайка Н.А., Келли Д., Амирханян Ю.А., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Мусатов В.Б., Яковлев А.А., Чайка Н.А., Келли Д., Амирханян Ю.А.</copyright-holder><copyright-holder xml:lang="en">Musatov V.B., Yakovlev A.A., Chaika N.A., Kelly J., Amirhanyan Y.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://hiv.bmoc-spb.ru/jour/article/view/390">https://hiv.bmoc-spb.ru/jour/article/view/390</self-uri><abstract><p>Представлен обзор литературы о стратегиях улучшения и поддержания приверженности к лечению для повышения эффективности лечения больных с хроническими заболеваниями. Особое внимание уделено необходимости усиления приверженности к терапии у людей, живущих с ВИЧ-инфекцией. Обсуждены практические рекомендации достижения высокой приверженности к антиретровирусной терапии у «трудных» больных. Использованы публикации преимущественно за последние 10 лет в рецензируемых медицинских изданиях и на актуальных интернет-ресурсах, включая elibrary и Pub-Med.</p></abstract><trans-abstract xml:lang="en"><p>The review of literature on strategies of improvement and maintaining of the treatment compliance aimed at increasing the treatment efficacy for patients with chronic diseases is presented. Emphasis is placed on the need for increasing compliance rate in people living with HIV. Practical recommendations for achievement of high compliance rate in antiviral treatment for «difficult» patients were discussed. Publications mainly for the last 10 years in peer-reviewed medical journals and on current Internet resources including elibrary and Pub-Med were used.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ВИЧ-инфекция</kwd><kwd>АРВТ</kwd><kwd>трудные больные</kwd><kwd>лечение и профилактика</kwd><kwd>приверженность к лечению</kwd></kwd-group><kwd-group xml:lang="en"><kwd>HIV infection</kwd><kwd>antiretroviral therapy (ART)</kwd><kwd>difficult patients</kwd><kwd>treatment and prevention</kwd><kwd>treatment compliance</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено при финансовой поддержке Российского фонда фундаментальных исследований в рамках научного проекта № 17-56-30026 и гранта National Institute of Mental Health № 1R01MH113555.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Joint United Nations Programme (UNAIDS). 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