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Сифіліс та супутні хламідійна і мікоплазменна інфекції (клініко-епідеміологічні і морфологічні дослідження): Автореф. дис… канд. мед. наук / Г.М. Бо

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I?I?NOA?NOAI IOI?IIE CAeI?IA’ss OE?A?IE

OE?A?INUeEEE IAOEIAI-AeINE?AeIEE ?INOEOOO

AeA?IAOIEIA?? OA AAIA?IEIA??

Ia i?aaao ?oeiieno

AIIAeA?AIEI Ae?a Ieoaeeiae/

OAeE 616.972:616.983:616:98

NEO?E?N OA NOIOOI? OEAI?Ae?EIA ? I?EIIEACIAIIA ?IOAEOe??

(EE?I?EI-AI?AeAI?IEIA?*I? ?

II?OIEIA?*I? AeINE?AeAEAIIss)

– oe??i? oa aaia?e/i? oai?iae

A A O I ? A O A ? A O

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Oa?e?a – 1998

Aeena?oaoe?y ? ?oeiienii.

?iaioa aeeiiaia a Oe?a?inueeii iaoeiai-aeine?aeiii ?inoeoooa
aea?iaoieia?? oa aaia?ieia?? I?i?noa?noaa ioi?iie caei?ia’y Oe?a?ie.

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, noa?oee iaoeiaee
ni?a?ia?oiee

Iaa?ia Aaiiaae?e ?aaiiae/

caa?aeoaa/ a?aeae?eaiiai
aaia?ieia??

Oe?a?inueeee
iaoeiai-aeine?aeiee ?inoeooo aea?iaoieia?? oa aaia?ieia??

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe, i?ioani?

Aecyooeia ?ooai Oao?o?aa?/

caa?aeoaa/ eaoaae?ith oe??ieo oa

aaia?e/ieo oai?ia

Aeiiaoeueeee Aea?aeaaiee
iaaee/iee oi?aa?neoao

eaiaeeaeao iaaee/ieo iaoe,
aeioeaio

Aeoia?aa Aaeeia Ieaen??aia

aeioeaio eaoaae?e
aea?iaoiaaia?ieia?? Oa?e?anueeee ?inoeooo oaeineiiaeaiiy e?ea??a

I?ia?aeia onoaiiaa: Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i.
aeaae. I.I.Aiaiiieueoey IIC Oe?a?ie,

i. Ee?a.

Caoeno a?aeaoaeaoueny 29 a?oaeiy 1998 ?. i 12 aiaeeie ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae.64.603.01 i?e Oe?a?inueeiio
iaoeiai-aeine?aeiiio ?inoeoooa aea?iaoieia?? oa aaia?ieia?? ca
aae?anith: 310057, i. Oa?e?a, aoe. *a?ieoaanueeiai, 7/9.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Oe?a?inueeiai
iaoeiai-aeine?aeiiai ?inoeoooo aea?iaoieia?? oa aaia?ieia?? (i. Oa?e?a,
aoe. *a?ieoaanueeiai, 7/9).

Aaoi?aoa?ao ?ic?neaiee 27 eenoiiaaea 1998 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee,

eaiaeeaeao iaaee/ieo iaoe, aeioeaio
Oaoeueea E.N.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie

?iciianthaeaeai?noue neo?e?no, na/inoaoaaiai oeai?ae?ico oa i?eiieaciico
o iei?oi?e /an aeinyaea cia/ieo ?ici???a. Ca inoaii? ?iee io?eiai? iia?
aeai? i?i ai?aeai?ieia?th e iaoiii?oic oeeo caoai?thaaiue. I?ioa, eiaeia
c oeeo ?ioaeoe?e aei oeueiai aea/aeany ie?aii, oiae? ye uiaei aeaieo
??cieo aaoi??a, o 60-70% aeiaaee?a a?aeaoaa?oueny ci?oaia ?io?eoaaiiy
i?e noaoaaeo eiioaeoao, ?ieiee o?ueiia e a?eueo caoaeieeaie (Iaa?ia A.
?., 1983, 1987, 1996; I?eo?iueo A. I., 1983; ?eue?i ?. ?., 1991; Harms
G. 1994).

Aaia?e/i? oai?iae /anoi i?io?eathoue ye ci?oai? ?ioaeoe?? a neeo
nii??aeiaiino? iaoai?ci?a ca?aaeaiiy. O iaoeia?e e?oa?aoo?? ?niothoue
eeoa iaeeie/i? iia?aeiieaiiy i?i ai?aeai?ieia?th noiooi?o
o?iaai?oaeueieo ?ioaeoe?e o oai?eo ia neo?e?n. Oae, /anoioa aeae?eaiiy
C. trachomatis oa U. urelyticum o oai?eo ia neo?e?n noaiiaeoue 12-44 %
(Haustein U.F. oa ni?aaao., 1993; Iaa?ia ?.?., 1989; McCabe E. oa
ni?aaao., 1993; Ai??naiei E.E. oa ni?aaao., 1988).

I?ioa aeaieo i?i oa/?th neo?e?no ia oii? noiooi?o o?iaai?oaeueiiai
oeai?ae?ico oa i?eiieaciico a cacia/aieo i?aoeyo iaia?. Caeeoathoueny
iaae??oaieie oae? aaaeeea? aeey i?aeoe/ii? ioi?iie caei?ia’y ieoaiiy, ye
/anoioa noiooi?o noaoaaeo ?ioaeoe?e o oai?eo ia neo?e?n, iniaeeaino?
oa/?? oa iaoiaaiaco neo?e?no o oaeeo iaoe??io?a, iaia? /?oeeo
?aeiiaiaeaoe?e uiaei ianoaaeaiiy, e?eoaaiiy oa i?io?eaeoeee ci?oaii?
aaia?e/ii? ?ioaeoe??.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie

Aeine?aeaeaiiy ? o?aaiaioii ieaiiai? iaoeiai-aeine?aeii? ?iaioe
Oe?a?inueeiai IAe? aea?iaoieia?? oa aaia?ieia?? IIC Oe?a?ie IE 45.97
“Ci?oai? aaia?e/i? ?ioaeoe??: ai?aeai?ieia?y, ae?aaiinoeea, ee?i?ea,
iaoiaaiac, e?eoaaiiy, i?io?eaeoeea” (? aea?ae?a?no?aoe?? 019V015565).

Iaoa ?iaioe:

?ic?iaea eiiieaenii? nenoaie e?eoaaeueii-i?io?eaeoe/ieo caoiae?a,
ni?yiiaaieo ia ai?ioueao c neo?e?nii oa noiooiueith oeai?ae?eiith oa
o?aaieaciiaith ?ioaeoe?yie ia iniia? aea/aiiy ai?aeai?ieia??, ee?i?ee oa
ii?oiooieoe?iiaeueieo ii?ooaiue i?e ci?oai?e aaia?e/i?e ?ioaeoe??.

Aeey aeinyaiaiiy iai?/aii? iaoe aoee iinoaaeai? ianooii? caaaeaiiy:

Aea/eoe ai?aeai?ieia?th neo?e?no o ii?aeiaii? c oeai?ae?icii oa
i?eiieaciicii.

Aeyaeoe iniaeeaino? ee?i?ee neo?e?no, oeai?ae?ico oa i?eiieaciico a
caeaaeiino? a?ae oa?aeoa?o ci?oaieo aaia?e/ieo ?ioaeoe?e.

Aea/eoe eioiiii?oieia?th neo?e?no i?e noiooiueiio oeai?ae?ic? oa
i?eiieaciic?.

Aea/eoe oeueo?ano?oeoo?o neo?e?ae?a i?e noiooiueiio ?io?eoaaii?
oeai?ae?yie oa i?eiieaciaie.

Aecia/eoe iaa?oioiaai?noue aeae?eaiiy ee?i?ei-oa?aiaaoe/ii? a?oie oai?eo
ia neo?e?n a caeaaeiino? a?ae iayaiino? noiooiuei? noaoaai? ?ioaeoe?? ia
iniia? ai?aeai?ieia?/ieo, ee?i?/ieo oa ii?oieia?/ieo aeaieo.

Cai?iiiioaaoe i?aeoe/i? ?aeiiaiaeaoe?? uiaei ianoaaeaiiy, e?eoaaiiy,
aeeniaina?iiai niinoa?aaeaiiy oa i?iaaaeaiiy i?ioeai?aeai?/ieo caoiae?a
uiaei oai?eo ia neo?e?n c o?aooaaiiyi noiooiuei? ?ioaeoe??.

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a

Anoaiiaeaii, ui neo?e?n c ?ioeie noaoaaeie oai?iaaie ae?aaiico?oueny
o 64,0 SYMBOL 177 \f “Symbol” \s 13.5 ± 3,9 % aeiaaee?a. Na?aae
o?iaai?oaeueieo ?ioaeoe?e, ui noi?iaiaeaeothoue neo?e?n, ia?aaaaeathoue
i?eiieaciic (34,7 SYMBOL 177 \f “Symbol” \s 13.5 ± 3,9 %) oa oeai?ae?ic
(26,0 SYMBOL 177 \f “Symbol” \s 13.5 ± 3,6 %).

Anoaiiaeaia a?eueoa o?eaae?noue ?ieoaaoe?eiiai ia??iaeo neo?e?no o
ii?aeiaii? c o?iaai?oaeueieie ?ioaeoe?yie (OA?) (o na?aaeiueiio 4,37
SYMBOL 177 \f “Symbol” \s 14 ± 0,12 oeaeiy), i?ae neo?e?no ye
iiii?ioaeoe?? (o na?aaeiueiio 3,57 SYMBOL 177 \f “Symbol” \s 14 ± 0,21
oeaeiy). Noiooiy ?ioaeoe?y /ano?oa cono??/a?oueny na?aae ae?iie (74,7
SYMBOL 177 \f “Symbol” \s 14 ± 4,7 %), i?ae na?aae /ieia?e?a (49,2
SYMBOL 177 \f “Symbol” \s 14 ± 6,3 %), a oaeiae o a?oe? 15-30 ?ie?a
(65,7 SYMBOL 177 \f “Symbol” \s 14 ± 4,7 %). O oai?eo ia OA? a
na?aaeiueiio ia 26,0 SYMBOL 177 \f “Symbol” \s 14 ± 4,3%
niia?eueith?oueny ?aa?an aeoeaieo aeya?a neo?e?no a i?ioean? e?eoaaiiy.
Oeai?ae?ic oa i?eiieaciic o oai?eo ia neo?e?n o 51,1 SYMBOL 177 \f
“Symbol” \s 14 ± 5,2 % i?io?ea? aac ee?i?/ieo aeya?a oa o 68,1 SYMBOL
177 \f “Symbol” \s 14 ± 4,9 % oai?? ia i?aae’yaeythoue nea?a.

?ioiiii?oieiae/ia aeine?aeaeaiiy aeicaieeei aeyaeoe iaaeinoaoi?noue
aoii?aeueii? oa ee?oeiii? eaiee ?ioiii? a?aeiia?ae? i?e neo?e?n? o
ii?aeiaii? c oeai?ae?icii oa i?eiieaciicii o ii??aiyii? c neo?e?nii ye
iiii?ioaeoe??th. ?ic?iaeai? e?euee?ni? ia?aiao?e ioe?iee ?ioiiiai
noaoono o oai?eo ia neo?e?n, ui aeicaieyoue o 95 % aeiaaee?a onoaiiaeoe
o ieo noiooith aaia?e/io ?ioaeoe?th. I?e aeaeo?iii?e i?e?ineii??
iieacaia ni?iiiaei?noue caoaeieea neo?e?no i?ee??ieyoeny oa
ai?iaaaeaeoaaoeny o ai?oae?aeuei? ee?oeie, ana?aaeei? yeeo o?aiiiaie
caa??aaee ii?oieia?/io oe?e?ni?noue; aeyaeai? ?oeioaaiiy aacaeueii?
iaia?aie oa iaaeee?oeiieo eiioaeo?a – aeaniinii ai?aea?i?no. Anoaiiaeaia
ciaioaiiy ai?noo o?a?iiaeoeio a ina?aaeeao caiaeaiiy i?e neo?e?n? o
ii?aeiaii? c oeai?ae?icii oa i?eiieaciicii.

I?aeoe/ia cia/ei?noue io?eiaieo ?acoeueoao?a

Onoaiiaeaiee aenieee ??aaiue eiioai?iaoe?? oai?eo ia neo?e?n
na/inoaoaaei oeai?ae?icii oa i?eiieaciicii. Aecia/ai? ai?aeai?ieia?/i?
oa ee?i?/i? iniaeeaino? neo?e?no c noiooi?ie OA?. Iieacaia, ui ?ioaeoe??
o?iaai?oaeueiiai o?aeoo o oai?eo ia ?aii? oi?ie neo?e?no /anoi
i?io?eathoue aac nea?a ? ee?i?/ieo aeya?a. Cai?iiiiiaaiee aeai?eoi
ianoaaeaiiy oa e?eoaaiiy oai?eo ia neo?e?n. ?ic?iaeaiee iaoiae ioe?iee
?ioiiiai noaoono ia iniia? a?noieia?/iiai ii?oiiao?e/iiai aiae?co
caiaeueiiai ?io?eueo?aoo neo?e?oe/ieo aeya?a, ui aeicaieeoue o 95 %
aeiaaee?a onoaiiaeoe noiooi?e oeai?ae?ic oa i?eiieaciic. Iaa?oioiaaia
aeae?eaiiy oai?eo ia neo?e?n c OA? aei ie?aii? ee?i?ei-oa?aiaaoe/ii?
a?oie.

Ai?iaaaeaeaiiy ?acoeueoao?a ?iaioe

Uiaei iaoa??ae?a aeine?aeaeaiue aoee ?ic?iaeai? oa aeaeai? iaoiaee/i?
aeac?aee “Ianoaaeaiiy oa e?eoaaiiy oai?eo ia ?aii?e neo?e?n c
o?aooaaiiyi ci?oaii? aaia?e/ii? ?ioaeoe??”. Iaea?aeaia i??i?eoaoia
aeia?aeea ia aeiao?ae “Niin?a ae?aaiinoeee noiooiueiai oeai?ae?ico oa
i?eiieaciico o oai?eo ia ?aii?e neo?e?n”. Caniae ianoaaeaiiy oa
e?eoaaiiy oai?eo ia neo?e?n c noiooi?ie o?iaai?oaeueieie ?ioaeoe?yie
ai?iaaaeaeai? aei ?iaioe ee?i?ee Oe?a?inueeiai IAe? aea?iaoieia?? oa
aaia?ieia??, Aei?i?iiao?ianueeiai, Oiaeueieoeueeiai, Aieeinueeiai,
AEeoiie?nueeiai iaeanieo oe??ii-aaia?ieia?/ieo aeeniaina??a oa
oe??ii-aaia?ieia?/iiai aeeniaina?o i?noa Naaanoiiiey.

Aeaeea?aoe?y iniaenoiai aianeo aeena?oaioa

Aeena?oaioii naiino?eii i?iaaaeaiee aiae?c e?oa?aoo?ieo aeaieo,
?ic?iaeai? ieai oa i?ia?aia aeine?aeaeaiue, cae?eniai? nai?
aeine?aeaeaiiy, c?iaeai? iaiao?aei? aeniiaee. Aaoi?ii i?iaaaeaia
ianoaaeaiiy oa e?eoaaiiy 153 oai?eo ia neo?e?n. A on?o eaai?aoi?ieo
aeine?aeaeaiiyo aaoi? a?aa aaciina?aaeith o/anoue. Noaoenoe/ia ia?iaea
oa iaoeiaa ?ioa?i?aoaoe?y on?o io?eiaieo aeaieo i?iaaaeaia aeeeth/ii
aaoi?ii.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??

Iaoa??aee aeena?oaoe?? aeeeaaeai? oa iaaiai?ai? ia I c’?cae?
aea?iaoiaaia?ieia?a Eacaonoaio (Aeia-Aoa, aa?anaiue 1996 ?.); ia
o?aoueiio ?a?iiaenueeiio eiia?an? uiaei i?iaeaie oeai?ae?ic?a (A?aeaiue,
Aano??y, aa?anaiue 1996 ?.); ia I I?aeia?iaeiiio eiia?an? “Eaca? ?
caei?ia’y ’97” (E?iannie, E?i?, eenoiiaae 1997 ?.); ia O I?aeia?iaei?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? “Canoinoaaiiy eaca??a o iaaeeoeei? oa
a?ieia??” (Oa?e?a, o?aaaiue 1998 ?.); ia iaoe?iiaeuei?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? “Caoai?thaaiiy, ui ia?aaeathoueny
noaoaaei oeyoii, a Oe?a?i?” (Ee?a, aa?anaiue 1998 ?.).

Ioae?eaoe??

Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 16 iaoeiaeo i?aoeue, aeaeai? 1
iaoiaee/i? aeac?aee; io?eiaia i??i?eoaoia aeia?aeea ia aeiao?ae.

No?oeoo?a oa ianya aeena?oaoe??

Aeena?oaoe?y neeaaea?oueny c anooio, iaeyaeo e?oa?aoo?e, iieno iaoiae?a
aeine?aeaeaiiy, o?ueio ?icae?e?a aeanieo aeine?aeaeaiue, caeeth/ii?
/anoeie, aeniiae?a, nieneo aeei?enoaieo aeaea?ae, ui i?noeoue 173
aeaea?aea. Aeeeaaeaia ia 151 noi??ioe? oaenoo, i?noeoue 19 oaaeeoeue, 29
iaethie?a.

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy

Ca ia??iae c a?oaeiy 1995 ?. ii n?/aiue 1998 ?. aoei ianoaaeaii 153
oai?eo ia neo?e?n (64 /ieia?ee oa 89 ae?iie o a?oe? a?ae 14 aei 57
?ie?a), ui ia?aaoaaee ia noaoe?iia?iiio e?eoaaii? a Oe?a?inueeiio IAe?
aea?iaoieia?? oa aaia?ieia?? (OIAe?AeoaA), aea aoee aeeiiai? on? iaoeia?
aeine?aeaeaiiy. Ie?ai? ii?oieia?/i? aeine?aeaeaiiy aeeiiai? i?e
oaoi?/iiio ni?eyii? Oeaio?aeueieo iaoeiai-aeine?aeieo eaai?aoi??e
Oa?e?anueeiai oa Aeiiaoeueeiai iaaee/ieo oi?aa?neoao?a. On?i oai?ei
i?iaiaeeee na?ieia?/ia aeine?aeaeaiiy e?ia? (EN?, ??O-200, ??O-AAN,
??O), caaaeuei? aiae?ce e?ia?, na/?, eaeo, aeine?aeaeaiiy ia A?E.
Aeyaeaiiy Chlamydia trachomatis i?iaiaeeee ca aeiiiiiaith i?yii? oa
iai?yii? ?ioiioeoi?anoeaioe?? ? caaa?aeaiiy ca iaoiaeii ?iiaiianueeiai –
A?ica. O noii?aieo aeiaaeeao i?iaiaeeee ae?aaiinoe/ia aeae?eaiiy
oeai?ae?e o eoeueoo?? ee?oei oa ca aeiiiiiaith iie?ia?acii? oeaiii?
?aaeoe?? (IOe?). Aeae?eaiiy Ureaplasma urealyticum i?iaiaeeee ca
aeiiiiiaith ??aeeiai aeeaeeueiiai na?aaeiaeua ia iniia? iine?aeiueiai
aoeueiio ca iaoiaeeeith OIAe?AeoaA. E??i oiai, on? iaoe??ioe
ianoaaeoaaeeny ia N. gonorrhoeae, T. vaginalis, G. vaginalis oa C.
albicans.

O 10 iaoe??io?a (5 oai?eo ia iiii?ioaeoe?th oa 5 oai?eo ia neo?e?n o
ii?aeiaii? c o?iaai?oaeueiei oeai?ae?icii oa i?eiieaciicii) aoei
i?iaaaeaia aeaeo?iiii-i?e?ineii?/ia oa o 14 iaoe??io?a (4 oai?eo ia
iiii?ioaeoe?th oa 10 ia ci?oaio ?ioaeoe?th) – ?ioiiii?oieia?/ia oa
ii?oiiao?e/ia aeine?aeaeaiiy neo?e?ae?a. A?iin?? aeeiiai? i?ae
i?noeaaith aianoac??th 0,5% ?ic/eiii iiaiea?io i?e iaia’yceia?e caiae?
iaoe??io?a.

A?iioaoe a?aee c oaiea??a oa iaioe oe??e. Aeey ii?oieia?/ieo
aeine?aeaeaiue aoee a?ae?a?ai? c?noaaethaai? uiaei ee?i?/ieo ae?aaiic?a,
no?ie?a ?icaeoeo oa eieae?caoe?? ii?acee, ui iaeaaeaoue aei iniiaii?
a?oie oa a?oie ii??aiyiiy.

On? ianoaaeaiiy ia o?iaai?oaeuei? ?ioaeoe?? oa ii?oieia?/i?
aeine?aeaeaiiy i?iaiaeeee aei ii/aoeo niaoeeo?/ii? oa?ai?? neo?e?no.

Aeaeo?iiii-i?e?ineii?/i? aeine?aeaeaiiy i?iaiaeeee ca noaiaea?oieie
iaoiaeeeaie (A??thciaa A.?. oa ni?aaao., 1963). I?e ?ioiiii?oieia?/ieo
aeine?aeaeaiiyo ca aeiiiiiaith iiiieeiiaeueieo aioeo?e (SERVA, NOA)
aeyaeyee aioeaaie ni?eueii? iiioeyoe?? O (UCHL1), A (L26) – e?ioioeeo?a,
iae?ioaa?a (KP1), noaiiioeyoe?e O-e?ioioeeo?a – oaeia??a (CD4),
noi?ani??a (CD8), aioeaaie noaiiioeyoe?e iae?ioaa?a (K167, MAC387, HAM
56), eaiia- ? eaiaaea-eaioethae ?ioiiaeiaoe?i?a A, I, G oa o?a?iiaeo?i.
I?e ii?oiiao??? aecia/aee caaaeueiee ieoiiee ianya ee?oei aea?iaeueieo
?io?eueo?ao?a, ieoii? ianyae iiioeyoe?e O-, A-e?ioioeeo?a, iae?ioaa?a,
noaiiioeyoe?e O-e?ioioeeo?a (CD4, CD8), noaiiioeyoe?e iae?ioaa?a,
ee?oei-i?iaeooeaio?a eaiia- ? eaiaaea-eaioetha?a ?ioiiaeiaoe?i?a A, I, G
(Aaoaiae?eia A. A., 1980, 1984).

Noaoenoe/ia ia?iaea io?eiaieo ?acoeueoao?a i?iaiaeeeany c aeei?enoaiiyi
Microsoft Office (Excel’97) ia IE IBM PC/AT486. Aeey ?ic?iaeaiiy
aeeoa?aioe?eii-ae?aaiinoe/ieo e?eoa???a canoiniaaiee iaoaiaoe/iee iaoiae
?ici?ciaiiy iaoieia?/ieo i?ioean?a (Bayes T., 1963).

?ACOEUeOAOE AeINE?AeAEAIUe OA ?O IAAIAI?AIIss

C 153 oai?eo ia?aeiiee neo?e?n aoa anoaiiaeaiee o 20 (13,1 %) (o 1-ai
(0,7 %) – na?iiaaaoeaiee, o 19 (12,4 %) – na?iiiceoeaiee). Aoi?eiiee
neo?e?n aoa ae?aaiinoiaaiee o 82 (53,6 %) oai?eo (o 16 (10,5 %) –
neo?e?n aoi?eiiee na?aeee, o 66 (43,1 %) – neo?e?n aoi?eiiee
?aoeeaeeaiee). O 48 (31,3 %) aoa aeyaeaiee neo?e?n ?aii?e i?eoiaaiee, o
2 (1,3 %) – neo?e?n i?ci?e i?eoiaaiee, o 1 (0,7 %) – neo?e?n o?aoeii?e
aoiiciee. Na?aae 153 iaoe??io?a ae?iie aoei 89 (58,2 %), /ieia?e?a – 64
(41,8 %). Na?aaei?e a?e neeaa 28,7 ?ie?a.

Iniiaio a?oio neeaee oai?? c noiooiueith o?iaai?oaeueiith ?ioaeoe??th
(96 in?a), a?oio ii??aiyiiy – oai?? ia iiii?ioaeoe??th neo?e?nii (54
iniae). O?i? oai?eo ia neo?e?n (aeai? c ae?aaiicii i?ciueiai i?eoiaaiiai
oa iaeei – o?aoeiiiai aoiiciiai) aoee aeeeth/ai? iaie c aiae?co
caaaeath/e ia noaoenoe/ii iaeo e?euee?noue niinoa?aaeaiue.

Ci?oaia ?ioaeoe?y aoea o 64,0 SYMBOL 177 \f “Symbol” \s 14 ± 3,9 %. C
ieo neo?e?n o ii?aeiaii? c iaei??th o?iaai?oaeueiith ?ioaeoe??th aoa o
63 (42,0+4,0 %) oai?eo, c aeaiia – o 29 (19,3+3,2 %), c o?ueiia – o 4
(2,7+1,3 %). A?eueo?noue iaoe??io?a iniiaii? a?oie neeaee oai?? ia
aoi?eiiee (na?aeee oa ?aoeeaeeaiee) neo?e?n o ii?aeiaii? c iaei??th
o?iaai?oaeueiith ?ioaeoe??th (25,4 %). Na?aae oai?eo ia neo?e?n o
ii?aeiaii? c aeaiia OA? ia?aaaaeaee oai?? ia ?aii?e i?eoiaaiee neo?e?n
(9,4 %). A?aecia/ai? 4 aeiaaeee ii?aeiaiiy /ioe?ueio aaia?e/ieo
?ioaeoe?e.

C 150 oai?eo o 102 (68 %) aoea aeoeaia oi?ia neo?e?no, a o 48 (32 %) –
?aii?e i?eoiaaiee neo?e?n. Na?aae oai?eo ia aeoeai? oi?ie neo?e?no
o?iaai?oaeuei? ?ioaeoe?? ae?aaiinoiaaii o 64 (62,7 SYMBOL 177 \f
“Symbol” \s 12 ± 4,8 %), na?aae oai?eo ia ?aii?e i?eoiaaiee neo?e?n – o
32 (66,7 SYMBOL 177 \f “Symbol” \s 12 ± 6,8 %).

Noiooi?e o?aaieaciic aoa anoaiiaeaiee o 52 (34,7 SYMBOL 177 \f “Symbol”
\s 12 ± 3,9 %) oai?eo, oeai?ae?ic – o 39 (26,0 SYMBOL 177 \f “Symbol” \s
12 ± 3,6 %). ?io? na/inoaoaa? ?ioaeoe??, oae?, ye aa?aeia?aeueic
aeyaeaiee o 16 (10,7 SYMBOL 177 \f “Symbol” \s 12 ± 3,0 %), o?eoiiii?ac
– o 13 (8,7 SYMBOL 177 \f “Symbol” \s 12 ± 2,3 %), a?eae ?iaeo Candida –
o 10 (6,7 SYMBOL 177 \f “Symbol” \s 12 ± 2,0 %), aiii?ay – o 2 (1,3
SYMBOL 177 \f “Symbol” \s 12 ± 0,9 %). A?E-?ioaeoe?y (HIV-1, aaciciaeiaa
noaae?y) aoea o 1 (0,7 SYMBOL 177 \f “Symbol” \s 12 ± 0,6 %) oai?iai ia
aoi?eiiee na?aeee neo?e?n.

O oai?eo ia ?aii? oi?ie neo?e?no U. urealitycum, ye iiii?ioaeoe?y
na/inoaoaaiai o?aeoo, ae?aaiinoiaaii o 29 (19,3 SYMBOL 177 \f “Symbol”
\s 12 ± 3,2 %) oai?eo, C. trachomatis – o 16 (10,7 SYMBOL 177 \f
“Symbol” \s 12 ± 2,5 %). Ii?aeiaiiy U. urealitycum c N. trachomatis – o
12 oai?eo (8,0 SYMBOL 177 \f “Symbol” \s 12 ± 2,2 %), U. urealitycum c
G. vaginalis – o 3 (2,0 SYMBOL 177 \f “Symbol” \s 12 ± 1,1 %), U.
urealitycum c N. albicans – o 2 (1,3 SYMBOL 177 \f “Symbol” \s 12 ± 0,9
%), U. urealitycum c T. vaginalis – o 4 (2,7 SYMBOL 177 \f “Symbol” \s
12 ± 1,3 %), N. trachomatis c G. vaginalis – o 5 (3,3 SYMBOL 177 \f
“Symbol” \s 12 ± 1,4 %), N. trachomatis c N. albicans o 1 (0,7 SYMBOL
177 \f “Symbol” \s 12 ± 0,6 %), N. trachomatis c T. vaginalis o 1 (0,7
SYMBOL 177 \f “Symbol” \s 12 ± 0,6 %). O 1 oai?iai (0,7 SYMBOL 177 \f
“Symbol” \s 12 ± 0,6 %) aeyaeaia ii?aeiaiiy na/inoaoaaiai o?eoiiii?aco c
aa?aeia?aeueicii. O 4 oai?eo ae?aaiinoiaaii ii?aeiaiiy o?ueio OA?:
o?aaieaciiai-oeai?ae?eii-eaiae?aeicia ?ioaeoe?y – o 1 (0,7 SYMBOL 177 \f
“Symbol” \s 12 ± 0,6 %) oai?iai, o?aaieaciiai-oeai?ae?eii-o?eoiiiiaaeia
– o 1 (0,7 SYMBOL 177 \f “Symbol” \s 12 ± 0,6 %),
oeai?ae?eii-eaiae?aeicii-aa?aeia?aeueicia – o 2 (1,3 SYMBOL 177 \f
“Symbol” \s 12 ± 0,9 %).

Noiooiy ?ioaeoe?y, aeeeeeaia iaeiei caoaeieeii (U. urealitycum aai N.
trachomatis), cono??/aeany o 47 in?a (46,9 SYMBOL 177 \f “Symbol” \s 12
± 5,1 %) oai?eo ia neo?e?n. I?e oeueiio, iaea?eueoee a?aenioie aeyaeaiiy
o?aaieaciiai? ?ioaeoe?? aoa i?e aoi?eiiiio neo?e?n? (39,2 SYMBOL 177 \f
“Symbol” \s 12 ± 6,8 %), oeai?ae?ico – i?e ?aiiueiio i?eoiaaiiio
neo?e?n? (18,8 SYMBOL 177 \f “Symbol” \s 12 ± 6,9 %). Nea?ae c aieo
na/inoaoaaiai o?aeoo iaee 15 (31,9 SYMBOL 177 \f “Symbol” \s 12 ± 6,3 %)
oai?eo. Ee?i?/i? aeyae caiaeueiiai i?ioeano a?aecia/aeeny o 23 (48,9
SYMBOL 177 \f “Symbol” \s 12 ± 9,1 %) oai?eo.

O 29,3 SYMBOL 177 \f “Symbol” \s 12 ± 4,6 % oai?eo iniiaii? a?oie
a?aecia/aeany iaoieia?y o?iaai?oaeueiiai o?aeoo, aeeeeeaia aeaiia
i?e?ii?aai?ciaie. Iaea?eueo /anoi cono??/aeiny ii?aeiaiiy U. urealitycum
c N. trachomatis (12,5 SYMBOL 177 \f “Symbol” \s 12 ± 3,4 %). I?e
aiae?c? ?iciiae?eo uiaei noaae?e neo?e?no anoaiiaeaii, ui aeyaeaiiy
aeaio ?ioaeoe?eieo aaaio?a i?e ?aiiueiio i?eoiaaiiio neo?e?n? (43,8
SYMBOL 177 \f “Symbol” \s 12 ± 8,8 %) a?aeaoaa?oueny aeinoia??ii
/ano?oa, i?ae i?e aeoeaieo oi?iao neo?e?no (21,9 SYMBOL 177 \f “Symbol”
\s 12 ± 5,2 %) (P=0,0318). Nea?ae iiaeaaaee 15 (53,6 SYMBOL 177 \f
“Symbol” \s 12 ± 11,3 %) oai?eo, ee?i?/i? aeyae aoee o 18 (64,3 SYMBOL
177 \f “Symbol” \s 12 ± 13,6 %).

C 77 oai?eo ia neo?e?n c noiooiueith oeai?ae?eiith oa o?aaieaciiaith
o?iaai?oaeueiith ?ioaeoe??th nea?ae ia ?iceaae c aieo na/inoaoaaiai
o?aeoo iaee 32 (41,6 SYMBOL 177 \f “Symbol” \s 12 ± 5,2 %) oai?eo,
ee?i?/i? aeyae, aeyaeai? i?e iaeyae? oa eaai?aoi?ieo aeine?aeaeaiiyo,
aoee o 44 (57,1 SYMBOL 177 \f “Symbol” \s 12 ± 6,4 %) oai?eo. Oaeei
/eiii, oeai?ae?ic ? i?eiieaciic o oai?eo ia neo?e?n o 51,1 SYMBOL 177 \f
“Symbol” \s 14 ± 5,2 % i?io?ea? aac ee?i?/ieo aeya?a oa o 68,1 SYMBOL
177 \f “Symbol” \s 14 ± 4,9 % oai?? ia iiaeathoue nea?a.

Noiooiy ?ioaeoe?y na?aae ae?iie aeyaey?oueny aeinoia??ii /ano?oa, i?ae
na?aae /ieia?e?a (74,7 SYMBOL 177 \f “Symbol” \s 12 ± 4,7 % oa 49,2
SYMBOL 177 \f “Symbol” \s 12 ± 6,3 % a?aeiia?aeii) (?=0,0016). Neo?e?n
?c noiooi?ie o?iaai?oaeueieie ?ioaeoe?yie niinoa??aathoueny /ano?oa o
a?eiaeo a?oiao c iaeneiaeueiith noaoaaith aeoeai?noth [o a?oiao 15-30
?ie?a – 63 ethaeeie (65,6 %)]. A?eueo?noue oai?eo iniiaii? a?oie (86 c
96) iaee ii 1-2 noaoaaeo ia?oia??a ca inoaii?e ??e, i?e ca?eueoaii?
e?eueeino? ia?oia??a aei 3-4, a?aenioie aeyaeaiiy noiooiuei?
na/inoaoaai? ?ioaeoe?? o oai?eo ia neo?e?n aaaiii ia i?iyany (65,2 % o
ii??aiyii? c 55,6 %).

I?e iiii?ioaeoe?? neo?e?no ?ieoaaoe?eiee ia??iae oeeaa o na?aaeiueiio
3,57 SYMBOL 177 \f “Symbol” \s 12 ± 0,21 oeaeiy, i?e neo?e?n? c
noiooiueith o?iaai?oaeueiith ?ioaeoe??th – o na?aaeiueiio 4,37 SYMBOL
177 \f “Symbol” \s 12 ± 0,12 oeaeiy (P=0,0014).

Aiae?c ?io?eueo?aoo i?e neo?e?oe/i?e iiii- oa ci?oai?e c oeai?ae?icii ?
o?aaieaciicii ?ioaeoe?? aeyaea cia/io e?euee?noue ieaciaoe/ieo ee?oie,
ui aeyaeyeeny c iayaiino? a ?o oeeoiieaci? eaaeeo eaioetha?a ( SYMBOL
108 \f “Symbol” \s 14 l e SYMBOL 107 \f “Symbol” \s 14 k ),
?ioiiaeiaoe?i?a IgG oa IgM. Ne?ae a?aecia/eoe, ui i? i?e iiii-, i? i?e
ci?oaiiio ?io?eoaaii? ia aeyaeaiee ai?no o ieaciaoe/ieo ee?oeiao IgA.

O i?aia?aoao iniiaii? a?oie oa a?oie ii??aiyiiy ca aeiiiiiaith
iiiieeiiaeueieo aioeo?e (IAO) aei aioeaai?a HAM56 oa IAN387 aeyaeyeany
aaeeea e?euee?noue oeaiaa?o iae?ioaa?a. Ui noino?oueny iae?ioaa?a
aaiaoiaaiiiai iioiaeaeaiiy (E167), oa aiie aeyaeyeeny eeoa o aeaeyae?
iaeeie/ieo ee?oei. Oea aeicaieeei ia a?aoiaoaaoe ?o i?e i?iaaaeaii?
ii?oiiao?e/iiai aeine?aeaeaiiy.

I?e a?coaeuei?e ioe?ioe? ?ioiia?noio?i?/ii? ?aaeoe?? IAO aei iiaa?oi?o
aioeaai?a noaiiioeyoe?? O-e?ioioeeo?a nooo?aeo a?aei?iiinoae o a?oiao
oaeiae aeyaeoe ia aaeaeiny. Ia a?aeciaeo a?ae O-ee?oeiii? iiioeyoe??
e?ioioeeo?a, A-ee?oeie aoee ia/eneaiieie, aea a?ae??ciyeeny ae?aaeaiith
?ioiia?noio?i?/iith aeoeai?noth.

I?e a?coaeuei?e ioe?ioe? aoee aeyaeai? a?aei?iiino? e o ?iciiae?e?
o?a?iiaeoeio a aea?i?. I?e neo?e?oe/i?e iiii?ioaeoe?? /?oei
?a?no?oaaeany ??cei iiceoeaia ?ioiia?noio?i?/ia ?aaeoe?y ia o?a?iiaeoei
ca oiaeii noaeei i?e?iaaiioee?eoeyoi?iiai ?onea aea?ie oa a ?o no?ieao.
I?e ii?aeiaii? neo?e?no c o?iaai?oaeueiei o?aaieaciicii oa oeai?ae?icii
aoea neaaei iiceoeaia ?aaeoe?y IAO aei o?a?iiaeoeio.

Ca ?acoeueoaoaie ii?oiiao??/iiai aeine?aeaeaiiy ieoiiee ianya on?o
ee?oei aea?iaeueiiai ?io?eueo?aoo (Vcall) o a?oi? ii??aiyiiy a
na?aaeiueiio neeaa 0,2104 SYMBOL 177 \f “Symbol” \s 14 ± 0,0119. I?e
aiae?c? ye?niiai neeaaeo ?io?eueo?ao?a niinoa??aaeiny aeii?ioaaiiy o ieo
ieaciaoe/ieo ee?oei, ieoiiee ianya yeeo o na?aaeiueiio ??aiee 0,0598
SYMBOL 177 \f “Symbol” \s 14 ± 0,0046, ui noaiiaeei 28,42 % oan???
ee?oeiii? iane aea?iaeueiiai ?io?eueo?aoo. Na?aae ieaciaoe/ieo ee?oei
ia?aaaaeaa eeii, i?iaeoeoth/ee IgG, ieoiiee ianya yeiai oeeaa 0,0463
SYMBOL 177 \f “Symbol” \s 14 ± 0,0048, aai 77,43 % on?o ieaciioeeo?a.
Ieoiiee ianya ieaciaoe/ieo ee?oei, i?iaeoeoth/eo IgM, o na?aaeiueiio
neeaa 0,0135 SYMBOL 177 \f “Symbol” \s 14 ± 0,0028, oiaoi 22,57 % oan???
iiioeyoe?? ieaciaoe/ieo ee?oei. Ieaciaoe/i? ee?oeie, ui ?aaaothoue
iiceoeaii c IAO aei eaaeeo eaioetha?a ?ioiiaeiaoe?i?a SYMBOL 108 \f
“Symbol” \s 14 l , iaee ieoiiee ianya, ??aiee 0,0426 SYMBOL 177 \f
“Symbol” \s 14 ± 0,0081, a aei eaioetha?a SYMBOL 107 \f “Symbol” \s 14
k – 0,0126 SYMBOL 177 \f “Symbol” \s 14 ± 0,0023. Ni?eueiee ieoiiee
ianya IAI56-iiceoeai?o iae?ioaa?a oeeaa o na?aaeiueiio 0,0493 SYMBOL 177
\f “Symbol” \s 14 ± 0,0109, ui aei??aith? 23,43 % on?o ee?oei
aea?iaeueiiai ?io?eueo?aoo. I?e oeueiio ieoiiee ianya aeoeaii
oaaioeeooth/eo ee?oeiieo aeaiaio?a, ui iiceoeaii ?aaaothoue c
IAN387-IAO, aoa ??aiee 0,0186 SYMBOL 177 \f “Symbol” \s 14 ± 0,0071, ui
oeeaei 37,73 % on??? iiioeyoe?? iae?ioaa?a o aea?iaeueiiio ?io?eueo?ao?.
Ieoiiee ianya A-e?ioioeeo?a neeaa o a?oi? ii??aiyiiy 0,0136 SYMBOL 177
\f “Symbol” \s 14 ± 0,0070. Ieoiiee ianya O-e?ioioeeo?a aei??aithaaa
0,0262 SYMBOL 177 \f “Symbol” \s 14 ± 0,0105. I?e oeueiio
ni?aa?aeiioaiiy iae?ioaa?a oa O-e?ioioeeo?a o aea?iaeueiiio ?io?eueo?ao?
aei??aithaaei 1,88 : 1.

Ii?oiiao?e/i? ia?aiao?e aea?iaeueiiai caiaeueiiai ?io?eueo?aoo a
iniiai?e a?oi? oa?aeoa?ecoaaeeny ianooiieie cia/aiiyie: ieoiiee ianya
on?o ee?oeiieo aeaiaio?a neeaa o na?aaeiueiio 0,1392 SYMBOL 177 \f
“Symbol” \s 14 ± 0,0091. Ieaciaoe/i? ee?oeie noaiiaeee 13,15 % i?e
cia/aiiyo ieoiiiai ianyao 0,0183 SYMBOL 177 \f “Symbol” \s 14 ± 0,0104.
Na?aae ieaciaoe/ieo ee?oei iaea?eueoei eeiiii aoee ieaciioeeoe,
i?iaeoeoth/? IgG, ieoiiee ianya yeeo aoa ??aiee 0,0149 SYMBOL 177 \f
“Symbol” \s 14 ± 0,0099, aai 81,42 % on??? iiioeyoe?? oeeo ee?oeiieo
aeaiaio?a. Ieaciaoe/i? ee?oeie, i?iaeoeoth/? IgM, aoee iaei/eneaii? –
?oi?e ieoiiee ianya o na?aaeiueiio neeaa 0,0034 SYMBOL 177 \f “Symbol”
\s 14 ± 0,0011. Ieoiiee ianya ieaciaoe/ieo ee?oei, ui i?noyoue o nai?e
oeeoiieaci? eaae? SYMBOL 108 \f “Symbol” \s 14 l -eaioethae
?ioiiaeiaoe?i?a, oeeaa 0,0107 SYMBOL 177 \f “Symbol” \s 14 ± 0,0056,
oiaoi eaiaaea-eaioethae aeyaeyeeny o 58,46 % caaaeueiiai /enea
ieaciioeeo?a. Eaae? SYMBOL 107 \f “Symbol” \s 14 k -eaioethae
?ioiiaeiaoe?i?a aeyaeyeeny o iacia/iiio /ene? ieaciaoe/ieo ee?oei,
ieoiiee ianya yeeo o na?aaeiueiio ia ia?aaeuoaaa 0,0034 SYMBOL 177 \f
“Symbol” \s 14 ± 0,0021. Iaea?eueo /eneaiiith ee?oeiiith iiioeyoe??th o
neeaae? aea?iaeueiiai ?io?eueo?aoo i?e ci?oai?e neo?e?oe/i?e ?ioaeoe??
aoee iae?ioaae – ?oi?e ieoiiee ianya o na?aaeiueiio aoa ??aiee 0,0654
SYMBOL 177 \f “Symbol” \s 14 ± 0,0080, ui neeaei 46,98 % a?ae
caaaeueiiai ieoiiiai ianyao ?ioiieiiiaoaioieo ee?oei. Iaeiae,
iacaaaeath/e ia a?aeiinii aenieo /enaeuei?noue, eeoa 14,99 % (ieoiiee
ianya ??aiee 0,0098 SYMBOL 177 \f “Symbol” \s 14 ± 0,0042)
iiiiioeeaa?ieo oaaioeeo?a aeaiiino?oaaee iciaee aeoeaiiai oaaioeeoico,
iiceoeaii ?aaaoth/e c IAO IAN387. Ieoiiee ianya A-e?ioioeeo?a o
na?aaeiueiio neeaa 0,0047 SYMBOL 177 \f “Symbol” \s 14 ± 0,0008. Ieoiiee
ianya O-e?ioioeeo?a o aeine?aeieoeuee?e a?oi? o na?aaeiueiio aoa ??aiee
0,0222 SYMBOL 177 \f “Symbol” \s 14 ± 0,0006. I?e oeueiio a?aecia/aia
ia?aa?eueoaiiy iae?ioaa?a iaae O-e?ioioeeoaie (2,95 : 1). Oea ?
ii?oieia?/iei na?aeioeoaii iaaeinoaoiino? oaaioeeooth/i? ooieoe?? o
oai?eo ia neo?e?n o ii?aeiaii? c o?iaai?oaeueiei oeai?ae?icii oa
o?aaieaciicii.

Ii??aiyeueia oa?aeoa?enoeea ia?aiao??a aea?iaeueiiai ee?oeiiiai
?io?eueo?aoo i?e neo?e?oe/i?e iiii- oa ci?oai?e ?ioaeoe?? i?aaenoaaeaia
ia iae. 1.

Iae. 1. Ii??aiyeueia e?euee?nia ?ioiia?noio?i?/ia oa?aeoa?enoeea
aea?iaeueiiai ?io?eueo?aoo i?e neo?e?oe/i?e iiii- oa ci?oai?e c
o?iaai?oaeueiei oeai?ae?icii oa i?eiieaciicii ?ioaeoe??.

Oaeei /eiii, o oai?eo iniiaii? a?oie aeyaeaia iaaeinoaoi?noue ye
ee?oeiii?, oae ? aoii?aeueii? ?ioiii? a?aeiia?ae? – a?eueo iecueea
/enaeuei?noue iiioeyoe?? ieaciioeeo?a i?e ci?oaieo oi?iao neo?e?oe/ii?
?ioaeoe??, a oaeiae ?o ooieoe?iiaeueia iaiiaiioe?ii?noue, ui
aeyaey?oueny ii?ooaiiyi ni?aa?aeiioaiiy aaaeeeo oa eaaeeo eaioetha?a
?ioiiaeiaoe?i?a. Ua iaeiei na?aeioeoaii aeaoaeoo aoii?aeueii?
a?aeiia?ae? i?e ci?oai?e neo?e?oe/i?e ?ioaeoe?? ? iecueeee ieoiiee ianya
A-e?ioioeeo?a, ui a 2,89 ?aco iaioa, i?ae i?e iiii?ioaeoe??.

Ieoiiee ianya iiiiioeeaa?ieo oaaioeeo?a a 1,33 ?aco aeua a iniiai?e
a?oi?, i?ae o a?oi? ii??aiyiiy. I?ioa, oey e?euee?nia ia?aaaaa ia
?aae?co?oueny a ye?ni?e. Eeoa 14,99 % an?o iae?ioaa?a o a?iioaoao
iniiaii? a?oie aeaiiino?othoue iciaee aeoeaiiai oaaioeeoico. Oea a 1,90
?aco iaioa, i?ae o a?oi? ii??aiyiiy.

Oaeoi?ii, ui iaoiiaeth? iecueeo aoaeoeai?noue ee?oeiii? ?ioiii?
a?aeiia?ae?, ? ii?ooaiiy eiiia?aoeaieo aca?iica’yce?a i?ae ?aaoeyoi?ieie
O-e?ioioeeoaie oa iae?ioaaaie. ?oi? ni?aa?aeiioaiiy a iniiai?e a?oi?
noaiiaeei 1 : 2,95, oiae? ye o a?oi? ii??aiyiiy aiii aei??aithaaei a
na?aaeiueiio 1 : 1,88.

Io?eiai? aeai? aeicaieeee ?ic?iaeoe iiaee iaoiae ioe?iee ?ioiiiai
noaoono o oai?eo ia neo?e?n ia iniia? ?ioiia?noio?i?/iiai oei??oaaiiy oa
ii?oiiao??? noaiiioeyoe?e ?ioiieiiiaoaioieo ee?oei aea?iaeueiiai
?io?eueo?aoo. Iaoiae oaeiae aeicaiey? i?eionoeoe noiooith neo?e?no
aaia?e/io ?ioaeoe?th. Iaoiae caiaeeoueny aei iine?aeiaiiai aeiaeaaaiiy
ae?aaiinoe/ieo eiao?oe??io?a iciae, ui aea/athoueny, ia/eneaieo caniaii
Aaeana, oa ii??aiyiith ?o c aenia?eiaioaeueii ia/eneaieie ii?iaiaeie
cia/aiiyie: +13 oa -13. I?e aeinyaiaii? ii?iaiaiai cia/aiiy +13 ?c
?iia??i?noth 95 % ae?aaiinoo?oueny neo?e?oe/ia iiii?ioaeoe?y. I?e
aeinyaiaii? ii?iaiaiai cia/aiiy, ??aiiai -13 c o??th ae ?iia??i?noth
ae?aaiinoo?oueny neo?e?oe/ia ci?oaia ?ioaeoe?y. sseui a ?acoeueoao?
iine?aeiaiiai aeiaeaaaiiy ae?aaiinoe/ieo eiao?oe??io?a aeiaeiee c
ii?ia?a aeinyaiooee ia aoaea, ae?aaiic aaaaea?oueny iaaecia/aiei.

I?e aeaeo?iii?e i?e?ineii?? a?iioao?a i?io?e? i?e?ii?aai?ci?a,
ii?oieia?/ii noiae? c T. pallidum, aeyaeai? a ai?aea?i?n? oa aea?i? o
an?o 10 oai?eo. O?aiiiaie aeyaeyeeny a iaaeee?oeiieo i?ii?aeeao
aacaeueiiai oa?o ai?aea?i?no, ui noi?iaiaeaeoaaeiny iii??iith iooeeiith.
*anoeia o??iiiai iaee eiioaeo c ieaciieaiith aacaeueieo ai?oae?aeueieo
ee?oei. I?e oeueiio ?nioaaee ii?oieia?/i? iciaee iiaeeiaiiy o??iiiai
ai?aea?iioeeoaie: ?iaaa?iaoe?y iaia?aie, aocuee?, aeeoeoaao? eaiaeueoe?
o oeeoiieaci?, a yeeo a?aei?noeaaeyeeny o??iiiaie. I?ioa iciae
aeoeaaoe?? aioo??oiueiee?oeiiiai o?aaeaiiy (oi?ioaaiiy oa?/iaa?ieo
aaeoieae, ui ceeaathoueny, i?aeeeth/aiiy eecinii) ia niinoa??aaeiny.
Aacaeueia iaia?aia, ui a?aeie?aieth? ai?aea?i?n a?ae aea?ie, a ie?aieo
i?noeyo aoea ?icaieieiaia, niinoa??aaeeny ae?eyiee ?? a?aeoa?oaaiiy. Oea
na?ae/eei i?i ?oeioaaiiy iieoaeaniinii, ui ca’ycothoue aacaeueio
iaia?aio c ieaciieaiith ai?aea?iioeeo?a. A eieaeueieo ciiao
a?aeoa?oaaiiy oa ?icaieieiaiiy aacaeueii? iaia?aie aeyaeyeeny o??iiiaie.
Io?eiai? aeai? aeicaieythoue i?eionoeoe, ui e??cue ciie iioeiaeaeaii?
aacaeueii? iaia?aie a?aeaoaa?oueny ni?yiiaaia i?a?aoe?y T. pallidum c
aea?ie o ai?aea?i?n. Iio?aieyth/e aei ai?aea?i?no, o?aiiiaie
i?iaeaeaaeenue o aa?oi? oa?e i?aeee?oeiieie i?inoi?aie. I?e oeueiio
niinoa??aaeiny ?oeioaaiiy aeaniinii i?ae ai?aea?iioeeoaie, ui
noi?iaiaeaeoaaeiny iii??ii ae?aaeaiith i?aeee?oeiiith iooeeiith.

Iieacaia ?ieue ai?aea?iaeueieo iae?ioaa?a oa e?ioioeeo?a a caoenieo
?aaeoe?yo i?e aoi?aiaii? T. pallidum aei ai?aea?i?no. Ee?oeie
Eaiaa?aaino cae?enithaaee caaa?oaiee oaaioeeoic, ii?oieia?/ieie iciaeaie
yeiai aoee: aaciina?aaei?e eiioaeo ae?inoe?a iae?ioaa?a c o?aiiiaiaie
(aaeaac?y); ooai?aiiy eieaeueieo ae?eyiie ?iaaa?iaoe?? ciai?oiuei?
iaia?aie; oi?ioaaiiy oaainii; ooai?aiiy oaaie?cinii, o yeeo aeyaeyeeny
o?aaiaioe o?aiiiai. Ne?ae a?aecia/eoe, ui ee?oeie Eaiaa?aaina ia
i?iieeaee o aa?oi? oa?e ai?aea?i?no, o a?aeciaeo a?ae o??iiiai, yeeo
iiaeia aoei aa/eoe o i?aeee?oeiieo u?eeiao.

A?eueo?noue ae?aeeo o?aiiiai a on?o a?iioaoao eiioeaio?oaaeany o aea?i?.
I?io?e? T. pallidum /ano?oa anueiai aeyaeyeeny o no?ieao ae??aieo
a?oa??e, ?icoaoiaaieo ia iaae? aea?ie oa a?iiaea?ie, a oaeiae
ia?eaaneoey?ii, o io/eao eieaaaiiaeo aieieii iaioi?ieaii? ?aeiaeueii?
oeaieie. Ee?oeiia ?io?eueo?aoe?y iineea aai aeeoociee, aai
ia?eaaneoey?iee oa?aeoa? c ia?aaaaeaiiyi iiiiioeeaa??a – e?ioioeeo?a,
iae?ioaa?a, ieaciaoe/ieo ee?oei. I?ioa, aeyaeyeeny oaeiae
iie?ii?oii-yaea?i? eaeeioeeoe, caeaa?eueoiai o nini/eiaiio oa??, ui
aeoeaii oaaioe?o??oaaee o?aiiiaie.

I?e aeine?aeaeaii? a?iioao?a oai?eo iniiaii? a?oie oa a?oie ii??aiyiiy
a?aecia/ai? iniaeeaino? aca?iiae?? T. pallidum c ee?oeaie ai?aea?i?no oa
aea?ie i?e ci?oai?e ?ioaeoe??. A ai?aea?i?n? a?iioao?a oe??e oai?eo
iniiaii? a?oie aecia/aeiny aaaiia ciaioaiiy ai?noo i?io?e?a ni??ioao. O
aea?i? ee?oeiia ?aaeoe?y ia caoaeiee aoea aeoeai?oa, aecia/aeany a?eueoa
ae?eyiie e?iainieeao oa iae?ico, e?euee?noue ?ioiieiiiaoaioieo ee?oei
aoea a?eueoith. Iaeiae, e?ioioeeoe oa iae?ioaae /anoi aoee iiaeaa?aeai?
aiiioico e iae?ico. Iiaeeco a?ae i?noey eieae?caoe?? i?e?ii?aai?ci?a
aeyaeyeeny aeoeaiaai? iae?ioaae c /eneaiieie iiaeiaaeaieie aeeoeoaaoeie
ae?inoeaie. Oae? ee?oeie /anoi eiioaeooaaee c e?ioioeeoaie, ui
?icoe?ithaaeiny ye ii?oieia?/iee aeya eiiia?aoe?? ?ioiieiiiaoaioieo
ee?oei i?e oi?ioaaii? a?aeiia?ae? ia caoaeiee. O aea?i? aeyaeai?
aeoeaiaai? oi?ie ieaciaoe/ieo ee?oei ?c ae?aaeaiith a?aioey?iith
aiaeiieaciaoe/iith n?oeith oa ?icoe?aieie oeenoa?iaie aia?aoo
Aieueaeae?. Iniaeea?noth ?aaeoe?e oeaiei aea?ie ia caoaeiee neo?e?no i?e
ci?oai?e ?ioaeoe?? aoei oi?ioaaiiy neiieano?a e?ioioeeo?a, ui aeeth/aee
3 – 5 ee?oei ? ca?eueoaiee ai?no oeaiaa?o aacio?e?a, ui ciaoiaeeeeny ia
??ciiiai?oieo noaae?yo aeaa?aioeyoe??.. Aaaaoiyaea?i? neiieano? aeyaeai?
o 4 c 5 oai?eo ia neo?e?n o ii?aeiaii? c oeai?ae?icii oa o?aaieaciicii e
eeoa o 1 c 5 oai?eo ia iiii?ioaeoe?th. Oeeoiieacia neiieano?a aoea
iane/aia oaaie?ciniiaie, ana?aaeei? yeeo aeyaeyeeny o?aaiaioe o??iiiai.
Iiaeeeai, neiieanoe – ?acoeueoao ?ioaa?aoe?? ee?oei, ui aa?ooue o/anoue
o ?ioii?e a?aeiia?ae? aai i?iaeoeo ?o iineeaii? i?ie?oa?aoe??.

Niaoeeo?/io i?ioeaineo?e?oe/io oa?ai?th i?iaiaeeee o a?aeiia?aeiino? c
?ino?oeoe??th IIC Oe?a?ie 1995 ?. Aeei?enoiaoaaee iao???ao n?eue
aaiceeiai?oeee?io oa aeth?aioi? i?aia?aoe iai?oeee?io – aenoaioeee?i,
?aoa?iai. I?e noiooi?o aei neo?e?no o?iaai?oaeueieo ?ioaeoe?yo e?eoaaiiy
aiii?a?, o?eoiiii?aco, eaiae?aeico oa aa?aeia?aeueico i?iaiaeeee
aiaeii/an c o?aooaaiiyi anioe?aoe?? i?e?ii?aai?ci?a. E?eoaaiiy
na/inoaoaaiai oeai?ae?ico oa o?aaieaciico aecia/aeiny i?ney cae?i/aiiy
i?ioeaineo?e?oe/ii? oa?ai??. Aiaoeaoi?ii i?ecia/aee – eea??o?ii?oeei ii
250 ia eiaei? 12 aiaeei ona?aaeeio i?ioyaii 20-25 ae?a, ni??ai?oeei ii 3
000 000 AAe 3 ?ace ia aeiao ona?aaeeio i?ioyaii 20-25 ae?a, aceo?ii?oeei
uiaei 250 ia 2 ?ace ia aeiao i?ioyaii 15-20 ae?a. Aiaeii/an ?c
aioea?ioeeioa?ai??th oai?? ia oeai?ae?ic oa o?aaieaciic iaea?aeoaaee
i?ioeaia?eaeia? i?aia?aoe, ?ioiiiiaeoeyoi?e, ?iaeoeoi?e ?ioa?oa?iio oa
iie?a?oai?ie.

?aaeoe?y caaino?aiiy ss?eoa-Eoeaoaae/a-Aa?enaaeia?a niinoa??aaeany o 100
oai?eo (66,7 %). I?e ia?aeiiiio neo?e?n? ?aaeoe?y caaino?aiiy
a?aei?/aeany o 18 (90 %) oai?eo, i?e aoi?eiiiio – o 57 (69,5 %), i?e
?aiiueiio i?eoiaaiiio – o 25 (52,1 %). Ia aoei aeyaeaii noaoenoe/ieo
cia/oueo a?aeciae a ?ioaineaiino? ?aaeoe?? caaino?aiiy a caeaaeiino?
a?ae iayaiino? aai a?aenooiino? noiooiuei? o?iaai?oaeueii? ?ioaeoe??
(P=0,178).

Aoei i?iaaaeaia ii??aiyeueia aeeiai?/ia niinoa?aaeaiiy ca no?ieaie
?aa?ano neo?e?ae?a o 102 oai?eo ia aeoeaie oi?ie neo?e?no o i?ioean?
e?eoaaiiy. O oai?eo iniiaii? a?oie aeeiai?ea aeicaieo neo?e?ae?a aoea
oiia?eueiaiith ii??aiyii c oai?eie a?oie ii??aiyiiy. Na?aaei? no?iee
aeicaieo ?aa?iia?iiai aaeai?oo a iniiai?e a?oi? aoee 25,7 SYMBOL 177 \f
“Symbol” \s 14 ± 6,0 ae?a, o a?oi? ii??aiyiiy – 18,8 SYMBOL 177 \f
“Symbol” \s 14 ± 4,2 ae?a (P=0,0224); iie?aaeai?oo: 40,7 SYMBOL 177 \f
“Symbol” \s 14 ± 4,2 ae?a a iniiai?e a?oi? e 27,2 SYMBOL 177 \f “Symbol”
\s 14 ± 3,1 o a?oi? ii??aiyiiy (P=0,0000051); iaioee ia neeciaeo
?ica’ycoaaeeny o na?aaeiueiio i?ioyaii 13,3 SYMBOL 177 \f “Symbol” \s 14
± 1,0 ae?a a iniiai?e a?oi? oa 11,5 SYMBOL 177 \f “Symbol” \s 14 ± 1,2
ae?a o a?oi? ii??aiyiiy (P=0,0404); aeieiia-i?aeioaaeo iaioe – 17,8
SYMBOL 177 \f “Symbol” \s 14 ± 1,8 aeiae i?e ci?oai?e ?ioaeoe?? oa 14,1
SYMBOL 177 \f “Symbol” \s 14 ± 1,7 – i?e iiii?ioaeoe?? (P=0,005); oe?ie?
eiiaeeeiie – 23,5 SYMBOL 177 \f “Symbol” \s 14 ± 4,9 aeiae i?e ci?oai?e
oa 13,3 SYMBOL 177 \f “Symbol” \s 14 ± 3,3 aeiae i?e iiii?ioaeoe??
(P=0,021); niaoeeo?/ia aia?ia – 10,4 SYMBOL 177 \f “Symbol” \s 14 ± 0,9
aeiae i?e ci?oai?e oa 8,2 SYMBOL 177 \f “Symbol” \s 14 ± 1,4 aeiae i?e
iiii?ioaeoe?? (P=0,018); iaieneiaa oa aeeoocia aeiiaoe?y – 51,6 SYMBOL
177 \f “Symbol” \s 14 ± 6,7 aeiae a iniiai?e a?oi? e 40,0 SYMBOL 177 \f
“Symbol” \s 14 ± 0,00 a a?oi? ii??aiyiiy (P=0,015). No?iee aeicaieo
oaa?aeeo oaiea??a, ?icaiee oa iaioe ooeoaa nooo?ai ia ?ic??ciyeeny.
Io?eiai? aeai? iiaiaeyoueny c ii?oieia?/ieie iieacieeaie iaaeinoaoiino?
aoii?aeueiiai e ee?oeiiiai eaiie ?ioiii? a?aeiia?ae?.

A?aeaeaeai? ?acoeueoaoe e?eoaaiiy aoee i?iaiae?ciaai? o 108 (72,0 %)
oai?eo ia ?aii? oi?ie neo?e?no ca no?ieaie iaaaoeaaoe?? eiiieaeno
na?ieia?/ieo ?aaeoe?e. O oai?eo c? ci?oaiith ?ioaeoe??th iaaaoeaaoe?y
o?aieyeany oaeaeoa ye a oe?eiio ii aea??oe?, oae ? a i?aea?oiao c
??cieie oi?iaie neo?e?no. O oai?eo c? ci?oaiith ?ioaeoe??th a oe?eiio
(68 oai?eo) iaaaoeaaoe?y a?aeaoaaeany o na?aaeiueiio /a?ac 3,83 SYMBOL
177 \f “Symbol” \s 14 ± 0,69 i?nyoey, a i?e iiii?ioaeoe?? (40 oai?eo) –
5,33 SYMBOL 177 \f “Symbol” \s 14 ± 0,63 i?nyoey. Oe? ??cieoe?
aeinoia??i? (P=0,05) oa (P=0,000071). Io?eiai? aeai? iiaeooue aooe
iiyniai? oei, ui on? oai?? c noiooi?ie na/inoaoaaeie ?ioaeoe?yie i?ae
/an oa i?ney e?eoaaiiy neo?e?no iaea?aeoaaee aeiaeaoeiao
aioea?ioeeioa?ai?th e e?eoaaiiy, ni?yiiaaia ia a?aeiiaeaiiy ?ioiieo
ii?ooaiue ?ioi?oaoo.

I?e e?eoaaii? na/inoaoaaeo ?ioaeoe?e no?eea ni?e/eiaia aee?eoaaiiy
a?aecia/aeany o on?o oai?eo ia aiii?ath oa o?eoiiii?ac, o 15 (93,8 %)
oai?eo ia aa?aeia?aeueic, o 9 (90 %) – ia na/inoaoaaee eaiae?aeic, o 46
(88,5 %) – ia o?aaieaciic, o 34 (87,2 %) – ia oeai?ae?ic.

Aeoiaey/e c io?eiaieo ai?aeai?ieia?/ieo, ee?i?/ieo oa ii?oieia?/ieo
aeaieo, noiooiy noaoaaa ?ioaeoe?y o oai?eo ia neo?e?n ? iniiaith aeey
aeae?eaiiy oaeeo iaoe??io?a aei ie?aii? ee?i?ei-oa?aiaaoe/ii? a?oie c
iaoith i?iaaaeaiiy aaeaeaaoii? oa?ai?? neo?e?no oa noiooiuei? ?ioaeoe??,
aeiaeaoeiai? ?ioiiiiaeoethth/i? oa?ai??, a oaeiae i?aaeeueiiai
i?iaaaeaiiy eiio?ieth aee?eoaaiiy ? i?io?eaeoe/ieo caoiae?a.

Iaie cai?iiiiiaaiee aeai?eoi ianoaaeaiiy ? e?eoaaiiy oai?eo ia neo?e?n c
i?eaiaeo noiooi?o noaoaaeo ?ioaeoe?e, ui aecia/a? ia ye? ?ioaeoe??
ianoaaeoaaoe oa ye? iaoiaee eaai?aoi?ii? ae?aaiinoeee canoiniaoaaoe.
Aeae?eythoueny aeaa ??aiy ianoaaeaiiy:

?ioaeoe??, ia ye? iio??aii ianoaaeoaaoe iaia’yceiai on?o oai?eo.

?ioaeoe??, ia ye? i?iaiaeeoueny ianoaaeaiiy uiaei iieaciee?a.

Ia?oee ??aaiue oe?ioe ianoaaeaiiy aeeth/a? ae?aaiinoeeo: oeai?ae?ico,
i?eiieaciico, o?eoiiii?aco oa aiii?a?.

Ae?oaee ??aaiue – ae??aeaeaeiaiai i?eico oa aaeoa??aeueiiai aaa?iico

Iaoiaee eaai?aoi?ii? ae?aaiinoeee aeey eiaeii? ?ioaeoe?? i?iiiiothoueny
a?ae i?inoeo aaeoa??ieia?/ieo ? aaeoa??ineii?/ieo aei iaoiae?a
iieaeoey?ii? a?ieia?? (IOe?) o caeaaeiino? a?ae iiaeeeainoae
e?eoaaeueii? onoaiiae oa aeiiii?/ii? aeioe?eueiino?.

AENIIAEE

Noiooia aaia?e/ia ?ioaeoe?y anoaiiaeaia o 64,0 SYMBOL 177 \f “Symbol” \s
14 ± 3,9 % oai?eo ia ?aii? oi?ie neo?e?no, caeaa?eueoiai o a?eia?e a?oi?
15-30 ?ie?a (65,7 SYMBOL 177 \f “Symbol” \s 14 ± 4,7 %), /ano?oa na?aae
ae?iie (74,7 SYMBOL 177 \f “Symbol” \s 14 ± 4,7 %), /ei na?aae /ieia?e?a
(49,2 SYMBOL 177 \f “Symbol” \s 14 ± 6,3 %). I?eiieaciic aeyaeaiee o
34,7 SYMBOL 177 \f “Symbol” \s 14 ± 3,9 % oai?eo; oeai?ae?ic – o 26,0
SYMBOL 177 \f “Symbol” \s 14 ± 3,6 %; aa?aeia?aeueic – o 10,7 SYMBOL 177
\f “Symbol” \s 14 ± 3,0 %; o?eoiiii?ac – o 8,7 SYMBOL 177 \f “Symbol” \s
14 ± 2,3 %; eaiae?aeic – o 6,7 SYMBOL 177 \f “Symbol” \s 14 ± 2,0 %;
aiii?ay – o 1,3 SYMBOL 177 \f “Symbol” \s 14 ± 0,9 %.

?ieoaaoe?eiee ia??iae neo?e?no o ii?aeiaii? c oeai?ae?icii oa
i?eiieaciicii iiaeiaaeo?oueny ia 5,6 SYMBOL 177 \f “Symbol” \s 14 ± 0,12
ae?a o ii??aiyii? c iiii?ioaeoe??th. O oaeeo oai?eo o na?aaeiueiio ia
26,0 SYMBOL 177 \f “Symbol” \s 14 ± 4,3 % niia?eueith?oueny ?aa?an
aeoeaieo aeya?a neo?e?no o i?ioean? e?eoaaiiy. Oeai?ae?ic oa i?eiieaciic
o oai?eo ia neo?e?n o 51,1 SYMBOL 177 \f “Symbol” \s 14 ± 5,2 % i?io?ea?
aac ee?i?/ieo aeya?a oa o 68,1 SYMBOL 177 \f “Symbol” \s 14 ± 4,9 %
oai?? ia iiaeathoue nea?a.

I?e neo?e?n? o ii?aeiaii? c oeai?ae?icii oa i?eiieaciicii
niinoa??aa?oueny iaio ae?aaeaia ?ioiia a?aeiia?aeue, ui i?iyaey?oueny
cieaeaiiyi caaaeueiiai /enea ?ioiieiiiaoaioieo ee?oei a 1,51 ?ace (Vc
all 0,21 SYMBOL 177 \f “Symbol” \s 14 ± 0,012 i?e iiii- oa 0,139 SYMBOL
177 \f “Symbol” \s 14 ± 0,009 i?e ci?oai?e ?ioaeoe??) e ciaioaiiyi
ai?noo o?a?iiaeoeio o aea?iaeueiiio ?io?eueo?ao?. Iaaeinoaoi?noue
aoii?aeueii? eaiee ?ioiii? a?aeiia?ae? aeyaey?oueny ciaioaiiyi ieoiiiai
ianyao ieaciaoe/ieo ee?oei a 3,27 ?ace (Vc pl 0,059 SYMBOL 177 \f
“Symbol” \s 14 ± 0,005 i?e iiii- oa 0,018 SYMBOL 177 \f “Symbol” \s 14 ±
0,01 i?e ci?oai?e ?ioaeoe??) oa ?o ooieoe?iiaeueii? iaiiaiioe?ii?noth
(e?euee?noue eaaeeo eaioetha?a ?ioiiaeiaoeei?a G oa M i?e ci?oai?e
?ioaeoe?? ciaioaia a 1,2 ?ace). Iaaeinoaoi?noue ee?oeiii? eaiee ?ioiii?
a?aeiia?ae? ae?aaea?oueny o cieaeaii? oaaioeeoa?ii? aeoeaiino?
iae?ioaa?a oa ii?ooaii? aca?iiae?? ?o c CD4+ noaiiioeyoe??th
O-e?ioioeeo?a.

I?e aeaeo?iiii-i?e?ineii?/iiio aeine?aeaeaii? neo?e?ae?a aeyaeaia
?oeioaaiiy aacaeueii? iaia?aie oa aeaniinii o ai?aea?i?n?. Anoaiiaeaii,
ui a?aeaoaa?oueny i?a?aoe?y T. pallidum c aea?ie o aa?oi? oa?e
ai?aea?i?no e yiaeioeeoic T. pallidum ai?aea?iioeeoaie. Aeey ci?oaii?
?ioaeoe?? oa?aeoa?ia a?eueo aia?a?eia oeaieiia ?aaeoe?y ia aoi?aiaiiy T.
pallidum c aieo iae?ii?aai?cio ia oii? cieaeaiiy aoaeoeaiino?
ae?i?iaoe?? caoaeieea: /ano?oa niinoa??aa?oueny iacaaa?oaiee oaaioeeoic
ia oii? iae?ico oa aiiioico ?ioiieiiiaoaioieo ee?oei, oa?aeoa?ia
ooai?aiiy neiieano?a c 3-5 e?ioioeeo?a, a oaeiae /ano?oa
niinoa??aa?oueny aeaa?aioeyoe?y aacio?e?a.

?ic?iaeaiee iiaee iaoiae ioe?iee ?ioiiiai noaoono o oai?eo ia neo?e?n ia
iniia? ?ioiia?noio?i?/iiai oei??oaaiiy oa ii?oiiao??? noaiiioeyoe?e
?ioiieiiiaoaioieo ee?oei aea?iaeueiiai ?io?eueo?aoo, ui aeicaieeoue o 95
% aeiaaee?a anoaiiaeoe noiooith aei neo?e?no aaia?e/io ?ioaeoe?th.

?ic?iaeaiee i?ea?iaeueiee aeai?eoi ianoaaeaiiy oa e?eoaaiiy oai?eo ia
neo?e?n c o?aooaaiiyi noiooiuei? aaia?e/ii? ?ioaeoe??. Iaa?oioiaaii
aeae?eaiiy oai?eo ia neo?e?n o ii?aeiaii? c ?ioeie aaia?e/ieie
?ioaeoe?yie aei ie?aii? ee?i?ei-oa?aiaaoe/ii? a?oie c iaoith i?iaaaeaiiy
a?eueo aeoeaii? niaoeeo?/ii? oa ianiaoeeo?/ii? oa?ai??, a oaeiae
i?iaaaeaiiy eiio?ieth aee?eoaaiiy oa i?io?eaeoe/ieo caoiae?a.

Nienie iaoeiaeo ?ia?o, iioae?eiaaieo ca oaiith aeena?oaoe??

Aiiaea?aiei A.I. Niaoaiiua aaia?e/aneea eioaeoeee o aieueiuo neoeeenii
// AEo?iae aea?iaoieiaee e aaia?ieiaee. – Oa?ueeia, 1996. -?2. – N.
41-42.

Aiiaea?aiei A.I. Iniaaiiinoe yieaeaieieiaee, eeeieee e ea/aiey neoeeena
ia nia?aiaiiii yoaia // A?niee i?iaeai a?ieia?? ? iaaeeoeeie. – 1998. –
?15. – N. 29-33.

Iaa?ia A.E., Aiiaea?aiei A.I. Iaeioi?ua eeeie/aneea e
yieaeaieieiae/aneea iieacaoaee o aieueiuo neoeeenii a ni/aoaiee n
ae?oaeie aaia?e/aneeie eioaeoeeyie // AEo?iae aea?iaoieiaee e
aaia?ieiaee. – Oa?ueeia, 1996. -?1(3). – N. 41-43.

Iaa?ia A.E., Aiiaea?aiei A.I. Ianeaaeiaaiea e ea/aiea aieueieo ?aiiei
neoeeenii n o/?oii niaoaiiie aaia?e/aneie eioaeoeee //
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Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
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Aeenna?oaoeey ia nieneaiea o/?iie noaiaie eaiaeeaeaoa iaaeeoeeineeo
iaoe ii niaoeeaeueiinoe 14.01.20 – eiaeiua e aaia?e/aneea aieacie.
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I?aaenoaaeaiu ?acoeueoaou eco/aiey iniaaiiinoae yieaeaieieiaee, eeeieee
e ii?oieiaee neoeeena i?e niioonoaothuai eioeoee?iaaiee o?iaaieoaeueiui
oeaieaeeicii e ieeiieaciicii. ?ac?aaioai aeai?eoi ianeaaeiaaiey e
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auaeaeaiea aieueiuo neoeeenii a ni/aoaiee n ae?oaeie aaia?e/aneeie
eioaeoeeyie a ioaeaeueioth eeeieei-oa?aiaaoe/aneoth a?oiio. Iniiaiua
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Eeth/aaua neiaa: neoeeen e niioonoaothuay eioaeoeey, oeaieaeeic,
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ABSTRACT

Bondarenko G.M. “Syphilis with attendant chlamydial and mycoplasmal
infections (clinical, epidemiological and morphological
investigations)”. -Manuscript.

Thesis for a candidate of medical science degree by speciality 14.01.20
– skin and venereal diseases. Ukrainian Research Institute of
Dermatology and Venereology, Kharkov, 1998.

The results of epidemiological, clinical and morphological
investigations are presented in patients with syphilis with attendant
chlamydial and mycoplasmal infections. The algorithm of investigation
and treatment of patients with syphilis and urogenital infections was
worked out. The picking out the patients with syphilis and other
venereal infections in to the separate clinico-therapeutic group was
proposed. The results of the work were introduced into practical
activity of skin and venereal diseases departments in Ukraine.

Key words: syphilis and attendant infection, chlamydiosis,
mycoplasmosis, clinic, epidemiology, morphology.

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