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Multidrug resistance to fluconazole, amphotericin B and antiseptic miramistin in Candida spp. isolated from patients with various pathology in region of Crimea 克里米亚地区不同病理患者分离的念珠菌对氟康唑、两性霉素B和抗菌米米司汀的多重耐药
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.79
Y. Krivorutchenko, M. Kirsanova, O. Postnikova, I. Andronovskaja, E. Sheĭko
To overcome spreading of multidrug resistance to antimycotics in yeast fungi using combination therapy, it is necessary to monitor the sensitivity of clinical fungal isolates to antifungal drugs and antiseptics. The aim of this work was to study multidrug resistance to fluconazole (FLU), amphotericin B (AMB) and antiseptic miramistin (MST) in Candida fungi isolated from patients with various pathologies in Crimea in 2010-2016. Material and methods. The sensitivity of 25 clinical isolates of fungi species C. albicans, C. dubliniensis, C. parapsilosis, C. lusitaniae, C. tropicalis, C. famata, C. guillermondii, C. kefir and C. krusei to FLU, AMB and MST was determined by using disk diffusion method, serial dilution method, and quantitative suspension test according to the rate of inactivation of fungi, respectively. Results. 72% of isolates were resistant to FLU, 20% – to AMB, and 32% of isolates – to MST. 20% of fungal isolates belonging to the Non-albicans type were susceptible to all drugs tested. 40% of isolates were resistant to one drug. 40% of isolates were poly-resistant. C. albicans resistant to FLU and AMB or FLU and MST accounted for 20% of isolates. The isolates of C. dubliniensis and C. lusitaniae were resistant to FLU and MST, and one isolate of C. krusei was resistant to AMB and MST. One C. tropicalis isolate was resistant to all the drugs. Conclusion. In a significant part of the yeast fungi, circulating in Crimean patients, multidrug resistance to FLU, AMB and MST antiseptic is widespread. In 36% of fungal isolates, the poly-resistance spectra included resistance to two drugs and partially overlapped: to FLU and AMB – 2 isolates, to FLU and MST – 6 isolates, to AMB and miramistin – one isolate. One isolate of C. tropicalis showed resistance to all three drugs, which indicates the risk of further broadening the spectrum of multidrug resistance in pathogenic yeasts.
为了克服酵母真菌对抗真菌药物多重耐药的蔓延,有必要监测临床分离真菌对抗真菌药物和防腐剂的敏感性。本研究旨在研究2010-2016年克里米亚地区不同病理患者分离的念珠菌真菌对氟康唑(FLU)、两性霉素B (AMB)和抗菌miramistin (MST)的耐药情况。材料和方法。采用纸片扩散法、连续稀释法和定量悬液法,根据真菌灭活率分别测定25株临床分离真菌白色念珠菌、dubliniensis、C. parapsilosis、C. lusitaniae、C. tropicalis、C. famata、C. guillermondii、C. kefir和C. krusei对FLU、AMB和MST的敏感性。结果:72%的分离株对FLU耐药,20%对AMB耐药,32%的分离株对MST耐药。20%的非白色念珠菌型真菌分离株对所有药物均敏感。40%的分离株对一种药物耐药。40%的分离株具有多重耐药。对流感和AMB或流感和MST耐药的白色念珠菌占分离株的20%。dubliniensis和C. lusitaniae分离株对FLU和MST具有抗性,而C. krusei分离株对AMB和MST具有抗性。1株热带芽孢杆菌对所有药物均有耐药性。结论。在克里米亚病人中流传的酵母菌中,对流感、AMB和MST抗菌剂的多药耐药性很普遍。在36%的真菌分离株中,多耐谱包括对两种药物的耐药,并部分重叠:对FLU和AMB - 2分离株,对FLU和MST - 6分离株,对AMB和miramistin - 1分离株。一株热带芽孢杆菌对三种药物均有耐药性,这表明有可能进一步拓宽致病性酵母的多药耐药谱。
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引用次数: 0
The combined effect of protein with amyloid properties Bgl2p and other components of the cell walls of yeast Saccharomyces cerevisiae on the condition of the skin and behavior of mice 具有淀粉样蛋白特性的蛋白质Bgl2p和酵母细胞壁的其他成分对小鼠皮肤状况和行为的综合影响
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.86
С. Калебина, В. Рекстина, А. А. Горковский, А. Г. Королев, М. И. Ерещенко, Н. А. Моторин, О. С. Моренков, А. Н. Иноземцев, биологический факультет, T. Kalebina, V. V. Rekstina, A. Gorkovskiy, A. Korolev, M. Ereshchenko, N. Motorin, O. Morenkov, A. N. Inozemtsev
The aim of the study was to carry out primary screening of changes occurring in the mice body as a result of intraperitoneal injections of a suspension of the cell walls (CW) of yeast Saccharomyces cerevisiae containing and not containing a protein with amyloid properties Bgl2p, and an extract from CW, in which the specified protein was present or removed. The studies were performed on CFW and C57BL/6 mouse lines using CW of wild-type strain of S.cerevisiae and a strain with the deletion of BGL2 gene encoding this protein. The presence of Bgl2p in the injection preparation was assessed according to immunoblotting data with antibodies to this protein. The ability to Bgl2p fibrillation was evaluated by electron microscopy and fluorescence analysis using Thioflavin T. It was shown that in all cases when Bgl2p protein was present in the injected drug, mice developed skin disorders of varying severity. In the case of CW injection obtained from wild-type yeast cells and treated with proteinase K, changes in animal behavior were observed, namely, a decrease in the parameters of their research activity. Data characterizing the ability of the Bgl2p protein to form fibrils of various morphologies after isolation from CW are presented. The conclusion is made about the Bgl2p toxic effect on the body of mice, the possibility of induction in animals of amyloidosis caused by contact with the Bgl2p protein is assumed. Other components of yeast CW toxic to animals have not been identified, however, their enhancing effect on the manifestation of toxic properties of Bgl2p is not excluded.
该研究的目的是对小鼠体内发生的变化进行初步筛选,这些变化是由于腹腔注射含有和不含有淀粉样蛋白Bgl2p的酵母细胞壁悬浮液(CW)以及含有或去除特定蛋白质的CW提取物而引起的。在CFW和C57BL/6小鼠系上进行了研究,使用了酿酒酵母野生型菌株CW和编码该蛋白的BGL2基因缺失菌株。根据Bgl2p蛋白抗体的免疫印迹数据评估注射制剂中Bgl2p的存在。通过电子显微镜和硫黄酮t的荧光分析来评估Bgl2p纤颤的能力。结果表明,在所有情况下,当注射的药物中存在Bgl2p蛋白时,小鼠出现了不同程度的皮肤疾病。从野生型酵母细胞中获得的CW注射剂经蛋白酶K处理后,观察到动物行为的变化,即其研究活动参数的降低。数据表征Bgl2p蛋白的能力,形成各种形态的原纤维后,从CW分离提出。本文对Bgl2p对小鼠机体的毒性作用进行了研究,并推测了Bgl2p与动物接触诱发淀粉样变性的可能性。酵母CW对动物毒性的其他成分尚未确定,但不排除它们对Bgl2p毒性表现的增强作用。
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引用次数: 0
Mycotoxin producers in the VKM mycelial fungi collection VKM菌丝真菌收集中的霉菌毒素生产者
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.66
S. Ozerskaya, G. Kochkina, N. Ivanushkina, A. Vasilenko
The article provides information about All-Russian Collection of Microorganisms’ (VKM) fungi – potential producers of mycotoxins. A comparative analysis of the VKM database of the diversity of mycelial fungi with ChEBI (Chemical Entities of Biological Interest) and ChEMBL (Chemical Database of European Molecular Biology Laboratory) databases containing information on various chemical compounds was performed. It confirms that the fungi of VKM collection represent significant objects for a comprehensive study of their metabolome. Currently described mycotoxins for representatives of 44 genera of mycelial fungi of VKM are presented. More research in this area will allow a more active development of mycotoxin studies in representatives of hitherto poorly studied fungal taxa using the VKM collection fund.
这篇文章提供了关于全俄罗斯微生物收集(VKM)真菌-真菌毒素的潜在生产者的信息。将VKM菌丝真菌多样性数据库与包含多种化合物信息的ChEBI (Chemical Entities of Biological Interest)和ChEMBL (Chemical database of European Molecular Biology Laboratory)数据库进行了比较分析。这证实了VKM收集的真菌为其代谢组学的全面研究提供了重要的对象。目前描述的真菌毒素代表44属的菌丝真菌的VKM提出。在这一领域的更多研究将允许使用VKM收集基金对迄今为止研究较少的真菌分类群的代表进行更积极的霉菌毒素研究。
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引用次数: 0
Pandemic of vitamin D deficiency 普遍缺乏维生素D
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.28
V. Albanova
Vitamin D (VD) comes only in a small amount externally, since the main source is synthesis in the skin. Its activation also occurs in the body, it has its own nuclear receptors and is essentially a prohormone. In addition to the "classic" action on calcium-phosphorus metabolism, VD regulates the expression of genes that control functions such as proliferation, differentiation, metabolism, ion transport, DNA repair, protection against reactive oxygen species, and apoptosis through its receptors in many cell types. This is associated with participation in the immune response, angiogenesis, aging, detoxification, and suppression of inflammation. The majority of the world's population is deficient of VD. The treatment and maintenance of optimal blood levels affect not only the probability of occurrence and severity of certain malignant tumors, autoimmune, infectious, cardiovascular, allergic, nervous, bronchopulmonary and skin diseases, but also their outcome and life expectancy.
维生素D (VD)只有少量的外部来源,因为主要来源是在皮肤中合成的。它的激活也发生在体内,它有自己的核受体,本质上是一种激素原。除了对钙磷代谢的“经典”作用外,VD还通过许多细胞类型中的受体调节控制增殖、分化、代谢、离子运输、DNA修复、对活性氧的保护和凋亡等功能的基因表达。这与参与免疫反应、血管生成、衰老、解毒和炎症抑制有关。世界上大多数人都缺乏VD。治疗和维持最佳血液水平不仅影响某些恶性肿瘤、自身免疫性疾病、感染性疾病、心血管疾病、过敏性疾病、神经疾病、支气管肺疾病和皮肤病的发生概率和严重程度,而且影响其预后和预期寿命。
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引用次数: 0
Etiological structure and antibiotic resistance of pathogens of purulent­ inflammatory diseases arising after kidney transplantation in the department of surgical hepatology and transplantology 外科肝脏移植科肾移植术后化脓性炎症性疾病病原菌的病原学结构及耐药性分析
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.56
V. Zemko, V. Okulich, D. Andreichik
Purpose: to analyze the structure of microflora and its antibiotic sensitivity in the Department of Surgical Hepatology and Transplantology and in accordance with the data determine the most effective antibiotic therapy and antibiotic prophylaxis. Materials and methods. 1305 isolates from various loci in the Department of Surgical Hepatology and Transplantology of a hospital for 2017-2020 years were investigated. Results. The most common microorganisms detected after kidney transplantation E. faecalis (25%) and E. coli (12,5%) were absolute sensitivity to carbapenems. There was a relative decrease in resistance of K. pneumoniae as the most frequently detected microorganism (43,49%), by 36,9% for imipenem and by 28,7% for meropenem (p <0,05 for both) in contrast to the 100% resistance of isolates in intensive care unit probably due to the patients staying in an isolated room. Conclusion. According to the data of antibiotic sensitivity of microflora in the Department of Surgical Hepatology and Transplantology antibiotic prophylaxis with carbapenems before heterotopic allotransplantation of a kidney to patients is justified and expedient.
目的:分析外科肝脏移植科微生物菌群结构及其抗生素敏感性,根据数据确定最有效的抗生素治疗和抗生素预防。材料和方法。对某医院外科肝病和移植科2017-2020年不同基因座的1305株分离株进行了调查。结果。肾移植术后检出的最常见微生物为粪肠杆菌(25%)和大肠杆菌(12.5%),对碳青霉烯类绝对敏感。肺炎克雷伯菌作为最常检出的微生物,其耐药性相对降低(43.49%),亚胺培南和美罗培南分别降低36.9%和28.7% (p < 0.05),而重症监护病房分离株的耐药性为100%,这可能是由于患者待在隔离病房所致。结论。根据外科肝病与移植科微生物菌群的抗生素敏感性资料,患者在异位异体肾移植前应用碳青霉烯类抗生素预防是合理和适宜的。
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引用次数: 0
Oral neutrophilic elastase in children with bronchial asthma 儿童支气管哮喘口服中性粒细胞弹性酶的研究
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.10
E. Minina, V. Novikova, P. Novikov
Objective. Assessment of the level of functional activity and concentration of neutrophil elastase (NE) in patients with bronchial asthma (BA). Methods. The study involved 58 children 5-16 years old with allergic (n=35) and mixed (n=23) forms of BA, 31 children 7-17 years old of the control group (without allergic pathology). During the study, the functional activity (using human granulocyte elastase substrate Glp-Pro-Val-pNA) and the concentration (enzyme-linked immunosorbent assay) of neutrophil elastase in the oral fluid were assessed. Results. In patients with mixed BA on admission to the hospital, no statistically significant correlation was found between functional activity and concentration of NE (r=-0,015, p>0,05). After the treatment, the ratio in the BA group (both forms of BA) approached that in the control group (BA: r=0,475, allergic BA r=0,502, mixed BA r=0,459; control group: r=0,507; p<0,05). Conclusion. Determination of the functional activity and quantitative level of NE with the subsequent assessment of the «proteolysis-antiproteolysis» system can be considered as a marker of the mixed form of BA and the effectiveness of various basic therapy of the disease.
目标。支气管哮喘(BA)患者中性粒细胞弹性酶(NE)功能活性水平和浓度的评估。方法。本研究涉及58例5-16岁过敏性和混合型BA患儿(n=35), 31例7-17岁对照组患儿(无过敏病理)。在研究过程中,评估了口服液中中性粒细胞弹性酶的功能活性(使用人粒细胞弹性酶底物Glp-Pro-Val-pNA)和浓度(酶联免疫吸附法)。结果。在混合BA患者入院时,功能活动与NE浓度之间无统计学意义的相关性(r=- 0.015, p> 0.05)。治疗后,BA组(两种形式的BA)的比值接近对照组(BA: r=0,475,过敏性BA r=0,502,混合型BA r=0,459;对照组:r=0,507;p < 0 05)。结论。测定NE的功能活性和定量水平,并随后评估“蛋白水解-抗蛋白水解”系统,可被视为BA混合形式和各种基础治疗的有效性的标志。
{"title":"Oral neutrophilic elastase in children with bronchial asthma","authors":"E. Minina, V. Novikova, P. Novikov","doi":"10.14427/jipai.2021.3.10","DOIUrl":"https://doi.org/10.14427/jipai.2021.3.10","url":null,"abstract":"Objective. Assessment of the level of functional activity and concentration of neutrophil elastase (NE) in patients with bronchial asthma (BA). Methods. The study involved 58 children 5-16 years old with allergic (n=35) and mixed (n=23) forms of BA, 31 children 7-17 years old of the control group (without allergic pathology). During the study, the functional activity (using human granulocyte elastase substrate Glp-Pro-Val-pNA) and the concentration (enzyme-linked immunosorbent assay) of neutrophil elastase in the oral fluid were assessed. Results. In patients with mixed BA on admission to the hospital, no statistically significant correlation was found between functional activity and concentration of NE (r=-0,015, p>0,05). After the treatment, the ratio in the BA group (both forms of BA) approached that in the control group (BA: r=0,475, allergic BA r=0,502, mixed BA r=0,459; control group: r=0,507; p<0,05). Conclusion. Determination of the functional activity and quantitative level of NE with the subsequent assessment of the «proteolysis-antiproteolysis» system can be considered as a marker of the mixed form of BA and the effectiveness of various basic therapy of the disease.","PeriodicalId":425120,"journal":{"name":"Immunopathology, Allergology, Infectology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122895138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proinflammatory cytokines as predictors of bronchopulmonary dysplasia in preterm infants 促炎细胞因子作为早产儿支气管肺发育不良的预测因子
Pub Date : 2021-07-01 DOI: 10.14427/jipai.2021.3.21
L. Zhuravleva, V. Novikova, Y. Derkach
Bronchopulmonary dysplasia (BPD) is an actual problem in pediatrics due to significant morbidity and high disability. Currently, there is no doubt that the immune system plays a leading role in the pathogenesis, clinical course and outcome of respiratory disorders and the development of BPD in children. The aim of this study was to determine the level of inflammatory indicator (CRP), pro- [interleukin-1-beta (IL-1β), IL-6 and tumor necrosis factor-alpha (TNF-α)] and anti-inflammatory (IL-10) cytokines in blood and tracheal aspirates to predict the subsequent development of BPD in premature babies. Material and methods. The cytokine status in blood serum and tracheal aspirate (TA) was studied in 47 children with respiratory distress syndrome (RDS), congenital pneumonia, and infection specific to the perinatal period with predominant lung involvement. All children with respiratory disorders were premature with a gestational age of 28–35 weeks, and weigh 890–2180 grams at birth. Of the 47 preterm infants initially enrolled in the study, 18 developed BPD and 29 did not. Results. Infants who developed BPD had significantly lower gestational age and birth weight than infants without BPD at follow-up. In newborns, there was an imbalance between the pools of cytokines in the peripheral blood and tracheal aspirate (TA). The levels of proinflammatory cytokines on the third day (TNF-α, IL-1β, IL-6) and CRP were significantly higher, and the levels of anti-inflammatory cytokines (IL-10) were significantly lower in the BPD group compared with those who did not develop BPD. Our study also determined the threshold levels of cytokines in blood samples and TA for predicting BPD. The most significant indicators were determined for the levels of IL-6 (≥926 pg/ml) in serum and IL-6 (≥763.5 pg/ml) and TNF-α (≥195.9 pg/ml) in TA samples. We propose to use these thresholds to predict the development of BPD.
支气管肺发育不良(BPD)发病率高,致残率高,是儿科的一个现实问题。目前,毫无疑问,免疫系统在儿童呼吸系统疾病的发病机制、临床过程和结局以及BPD的发展中起主导作用。本研究旨在检测早产儿血液和气管吸入物中炎症指标(CRP)、前[白细胞介素-1- β (IL-1β)、IL-6和肿瘤坏死因子-α (TNF-α)]和抗炎因子(IL-10)的水平,以预测早产儿BPD的后续发展。材料和方法。本文研究了47例呼吸窘迫综合征(RDS)、先天性肺炎和围产期特异性感染主要累及肺部的患儿血清和气管吸入物(TA)中的细胞因子状态。所有呼吸系统疾病患儿均为早产儿,胎龄为28-35周,出生时体重为890-2180克。在最初参与研究的47名早产儿中,18名患有BPD, 29名没有。结果。在随访中,患有BPD的婴儿的胎龄和出生体重明显低于没有BPD的婴儿。在新生儿中,外周血和气管吸气(TA)中细胞因子池之间存在不平衡。与未发生BPD的患者相比,BPD组第3天促炎因子(TNF-α、IL-1β、IL-6)和CRP水平显著升高,抗炎因子(IL-10)水平显著降低。我们的研究还确定了血液样本中细胞因子的阈值水平和预测BPD的TA。血清中IL-6(≥926 pg/ml)、TA样品中IL-6(≥763.5 pg/ml)和TNF-α(≥195.9 pg/ml)水平是最重要的指标。我们建议使用这些阈值来预测BPD的发展。
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引用次数: 0
Role of Kupfer cells in development of the immune response in liver transplantation cytokines in viral infection 库普弗细胞在肝移植免疫反应中的作用病毒感染中的细胞因子
Pub Date : 2021-04-01 DOI: 10.14427/jipai.2021.2.6
V. Ziamko, V. Okulich, A. Dzyadzko
Kupffer cells are a large collection of resident tissue macrophages derived from monocytes and producing pro- and anti-inflammatory cytokines, proteases and oxygen radicals that promote the induction and stimulation of immunity to various pathogens, but at the same time can lead to liver damage. This review provides a better idea of the mechanism of graft rejection due to hyperactivation of Kupffer cells. Possible methods of inhibition of Kupffer cells without the subsequent development of hepatotoxicity are considered that may have a potential to prevent a hyperimmune response and organ rejection.
库普弗细胞是由单核细胞衍生而来的常驻组织巨噬细胞的大集合,产生促炎性和抗炎性细胞因子、蛋白酶和氧自由基,促进对各种病原体的免疫诱导和刺激,但同时可导致肝脏损伤。这一综述为Kupffer细胞过度活化导致移植排斥反应的机制提供了更好的思路。抑制库普弗细胞而不产生肝毒性的可能方法被认为可能具有防止超免疫反应和器官排斥的潜力。
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引用次数: 0
Nutrition for prevention and treatment of inflammatory bowel diseases in pediatric patients 营养预防和治疗儿童炎症性肠病
Pub Date : 2021-04-01 DOI: 10.14427/jipai.2021.2.40
I. Nenartovich, A. Pochkailo
The genetic component and epigenetics are considered important in the pathogenesis of inflammatory bowel diseases today. Nutrition is being actively studied among epigenetic factors. This article presents a critical analysis of published data on the nutritional aspects of prevention and treatment of inflammatory bowel diseases in children. The data on the effectiveness of specific diets are summarized, nutrition schemes are given during the period of exacerbation, aiming for the induction of remission and for its maintenance.
遗传成分和表观遗传学被认为是炎症性肠病发病机制的重要因素。人们正在积极研究表观遗传因素中的营养问题。这篇文章提出了在儿童炎症性肠病的预防和治疗的营养方面发表的数据的关键分析。总结了关于特定饮食的有效性的数据,在恶化期间提供营养方案,旨在诱导缓解并维持其缓解。
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引用次数: 0
Comparative study of the effectiveness of synthetic tannins and aniline dyes in patients with primary or secondary superficial pyoderma 合成单宁与苯胺染料治疗原发性与继发性浅表性脓皮病疗效的比较研究
Pub Date : 2021-04-01 DOI: 10.14427/jipai.2021.2.80
D. Zaslavsky, A. Iskra, E. Iskra, E. Manylova, E. Shander
The pharmacological effects of tannins are mainly related to their astringent action. Several medical studies in recent decades have shown additional antimicrobial and anti- inflammatory properties of tannins. Purpose of the study. To evaluate the efficacy and safety of fixed tannin combinations, including spray / lotion (suspension) and cream «neotanin» in the treatment of patients with primary or secondary bacterial skin infections. To assess and compare the time frames for clinical resolution of pyoderma during of topical monotherapy with either tannin composition or carbol-fuchsin solution (Castellani paint) or complex therapy with systemic antibacterial drugs. Material and methods. An open-label comparative clinical study was carried out in an outpatient and inpatient setting. The trial included 50 patients of both sexes, aged 0 to 77 years, with various types of primary or secondary pyoderma. Age composition of patients: 0-1 years old – 2 people (4%), 1-6 years old – 9 subjects (18%), 7-12 years old – 8 subjects (16%), 13-77 years old – 35 subjects (70%). The patients were randomly divided into 4 groups: the first group used tannin preparation (spray, lotion/suspension or cream) as topical monotherapy; the second group used the solution of carbol- fuchsin as topical monotherapy (alcoholic solution or, in patients under 10 years of age, aqueousone); the third group used the combination therapy with tannin preparation (spray, lotion/suspension) or cream) and systemic antibacterial drugs; the fourth group used an alcoholic solution of carbol-fuchsin (in patients under 10 years of age, an aqueous solution) and systemic antibacterial drugs. The patients were followed up for 5-14 days. The criteria for assessing the safety and efficacy of the study drugs were identical in both groups. The effectiveness of these preparations was assessed dynamically assessing subjective complaints of the patient, the presence and severity of clinical symptoms and the affected area. Results. In the tannin topical therapy group: after a week of use, the severity of pyoderma symptoms decreased by at least 90%. Soreness was absent on the 7th day of using the drugs, itching and burning decreased to 93.2%. By the 7th day of use, excoriation decreased by 80%. The drugs showed a pronounced anti-inflammatory effect – so, on the 7th day of use, symptoms of erythema regressed by 89,8%, manifestation of wetness and edema was absent in 100% of the patients. The area of skin lesions decreased by 73%. The results of microbial culturing confirm the antibacterial activity of tannin preparation against the main and conditionally pathogenic pathogens of skin pyoderma. In the carbol-fuchsin group: in the carbol-fuchsin topical therapy group: after a week of use, the severity of pyoderma symptoms decreased by only 50%. Soreness decreased by only 55% by the 7th day of using carbol-fuchsin, itching decreased by 50%, burning decreased by 60%. By the 7th day of use, excoriation decreased
单宁的药理作用主要与其收敛作用有关。近几十年来的几项医学研究表明单宁还具有抗菌和抗炎的特性。研究目的:评估固定单宁组合,包括喷雾/洗剂(悬浮液)和乳霜“neotanin”治疗原发性或继发性细菌性皮肤感染患者的疗效和安全性。评估和比较在单宁成分或胭脂红溶液(Castellani油漆)局部单一治疗或全身抗菌药物复合治疗期间脓皮病临床解决的时间框架。材料和方法。在门诊和住院环境中进行了一项开放标签的比较临床研究。该试验包括50名男女患者,年龄在0至77岁之间,患有各种类型的原发性或继发性脓皮病。患者年龄构成:0-1岁2人(4%),1-6岁9人(18%),7-12岁8人(16%),13-77岁35人(70%)。患者随机分为4组:第一组使用单宁制剂(喷雾、洗剂/悬浮液或乳膏)进行局部单药治疗;第二组使用胭脂红溶液作为局部单一疗法(酒精溶液或10岁以下患者使用水);第三组采用单宁制剂(喷雾、洗剂/悬浮液)或乳膏联合全身抗菌药物治疗;第四组使用胭脂醇溶液(10岁以下患者为水溶液)和全身抗菌药物。随访5 ~ 14 d。评估研究药物安全性和有效性的标准在两组中是相同的。对这些制剂的有效性进行动态评估,评估患者的主观主诉、临床症状的存在和严重程度以及受影响的区域。结果。单宁局部治疗组:使用一周后,脓皮病症状严重程度至少降低90%。用药第7天无疼痛,瘙痒和灼烧减少93.2%。到使用第7天,擦伤减少了80%。药物具有明显的抗炎作用,因此,在使用第7天,红斑症状消退了89.8%,100%的患者没有湿气和水肿的表现。皮肤病变面积减少73%。微生物培养结果证实了单宁制剂对皮肤脓皮病主要致病菌和条件致病菌的抑菌作用。胭脂红组:胭脂红局部治疗组:使用一周后,脓皮病症状的严重程度仅下降50%。使用第7天,疼痛仅减轻55%,瘙痒减轻50%,灼烧减轻60%。到使用第7天,擦伤只减少了66%。用药第7天,红斑症状消退60%,湿润症状减轻84.7%,肿胀症状减轻57.9%。皮肤病变面积仅减少4%。结论。含有单宁的固定局部组合物已被证明对成人和儿童(包括婴儿)的原发性和继发性脓皮病具有很高的疗效和安全性。使用基于合成单宁和传统苯胺染料的现代医学组合物的比较试验,使我们能够推荐“neotanin”产品线作为比carol -fuchsin更有效的局部配方(无论是单一疗法还是与全身抗菌药物联合使用)。
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引用次数: 0
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Immunopathology, Allergology, Infectology
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