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EE?ANUeEEE IAOEIAI-AeINE?AeIEE ?INOEOOO IOIEA?EIAIEIA?? ?i.
I.N.Eieii?e/aiea IIC OE?A?IE

UAO?I?IA OAOssIA IEAENAIAe??AIA

OAeE 616.322-002.2-0.53.2:612.0.17

AOAEOEAI?NOUe EIINA?AAOEAIIAI E?EOAAIIss O?II?*IIAI OIICEE?OO C
AEEI?ENOAIIssI AIOEIENEAeAIO?A, AIOA?INI?AAIO?A ? ?IOIIEI?AEOI??A

14.01.19 – ioi?eiiea?eiaieia?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Eoaainueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? oa
a?aeae?e? aeieia?/ii? aaiaoeee oa ?ioiieia?? Oe?a?inueeiai iaoeiaiai
oeaio?o iaaee/ii? aaiaoeee IIC ? IAI Oe?a?ie

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani?

AeAIAIEIA Aaeaioei ?iiaiiae/,

Eoaainueeee aea?aeaaiee iaaee/iee oi?aa?neoao, caa?aeoaa/ eaoaae?ith
ioi?eiiea?eiaieia??

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

OEOEI Oaae?? Ieaen?eiae/,

caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie, Iaoe?iiaeueiee iaaee/iee
oi?aa?neoao ?i. aeaae. I.I. Aiaiiieueoey, i?ioani? eaoaae?e
ioi?eiiea?eiaieia??

aeieoi? iaaee/ieo iaoe, i?ioani?

IAEUeIEEIA Ieaa Oaaein?eiae/,

Ee?anueeee IAe? ioiea?eiieia?? ?i. I.N. Eieii?e/aiea, caa?aeoaa/
eaai?aoi???th iaoio?c?ieia?? oa ?ioiieia??

I?ia?aeia onoaiiaa: Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe
?i. I.E. Ooi?ea IIC Oe?a?ie, eaoaae?a ioi?eiiea?eiaieia??

Caoeno aeena?oaoe?? a?aeaoaeaoueny “_19_” ___aeiaoiy____ 1999 ?. i
_12_aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.611.01 a
Ee?anueeiio iaoeiai-aeine?aeiiio ?inoeooo? ioiea?eiaieia?? ?i. I.N.
Eieii?e/aiea IIC Oe?a?ie.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Ee?anueeiai IAe?
ioiea?eiaieia?? ?i. I.N. Eieii?e/aiea (i.Ee?a, aoe.Ciieia?/ia, 3).

Aaoi?aoa?ao ?ic?neaiee “_18_” _aa?aniy___ 1999 ?ieo

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe
?iceeaaeea A.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. O?ii?/iee oiicee?o (OO) ? iae-a?eueo
?iciianthaeaeaiei caoai?thaaiiyi EI?-i?aai?a, /anoioa yeiai iniaeeai
aeniea na?aae ae?oae ? in?a iieiaeiai, iaea?eueo i?aoeacaeaoiiai a?eo
(Ae.?. Caaieioiee ? ni?aaao., 1995,1997; I.O. Iaeueieeia ? ni?aaao.,
1995; A.O. Iaeue/oi, 1988; A.A. Iiia, 1983,1987; ?.A. Nieaeaoia, 1990).

Ia nueiaiaei? anoaiiaeaii, ui caoai?thaai?noue ia aino?o ? o?ii?/io
oiiceey?io iaoieia?th o iaoeaioe?a aaeeeeo i?iieneiaeo ?aa?ii?a c
aenieei ??aiai caa?oaeiaiiy aeiae?eey o?i?/ieie oe?aeeeaeie ?a/iaeiaie a
3-6 ?ac?a ia?aaeuo? aiaeia?/iee iieaciee aeey oa?eoi??e c a?aeiiniei
aeieia?/-iei aeaaiiieo//yi (?.?.Aa?eeye ? ni?aaao., 1995; A.I.Na?aethe ?
ni?aaao., 1996). A?aecia/a?oueny, ui i?iaeeaaiiy a ?aeiiao ?c ai?noii a
aoiinoa?iiio iia?o?? i?aeaeuaieo eiioeaio?aoe?e enaiia?ioee?a ni?ey?
ca?eueoaiith /anoioe caaino?aiue OO a 2-3 ?ace ? iiaeiaaeaiith oa?i?i?a
e?eoaaiiy (A.I.Na?aethe ? ni?aaao.,1997). Iaea?eueo neeaaeiith a
ee?i?/iiio ieai? a?oiith oai?eo ? iniae c o?ii?/iei aeaeiiiainiaaiei
oiicee?oii (OAeO), yeee, ye i?aaeei, aeieea? ia oe? aoi?eiieo
?ioiiaeao?oeeoieo noai?a (I.O.Iaeueieeia, 1996,1999; A.?.Aeaiaieia ?
ni?aaao., 1996).

I?ioyaii inoaii?o aeaio aeanyoe??/ o Ee?anueeiio IAe? ioiea?eiaieia??
?i. I.N. Eieii?e/aiea, a a inoaii? ?iee oaeiae o Eoaainueeiio
aea?aeaaiiio iaaee/iiio oi?aa?neoao? ie?aeii ?ic?iaey?oueny ?ioiieia?/ia
eiioeaioe?y iaoiaaiaco OO (I.O.Iaeueieeia, 1997,1999; A.?.Aeaiaieia ?
ni?aaao., 1996; A.I. O?ieia ? ni?aaao., 1995-1999). Oea aeicaieeei
ii?yae c oai?aoe/ieie ocaaaeueiaiiyie cai?iiiioaaoe ?a-oe?iiaeuei?
niiniae eiina?aaoeaiiai e?eoaaiiy oai?eo ia OAeO ?c canoinoaaiiyi
i?aia?ao?a c ?ioiiiiaeoethth/ith ae??th (Ae.?. Caaieioiee ? ni?aaao.,
1996, 1999; A.I.Ne?ya?i, 1994; A.I.O?ieia ? ni?aaao., 1994-1998).

Ca inoaii? ?iee c’yaeeenue ie?ai? ?iaioe, ye? na?ae/aoue i?i ?noioio
iaoiaaiaoe/io ?ieue o ?icaeoeo OO i?ioean?a ia?aeeniiai ieeneaiiy
e?i?ae?a (IIE), a oaeiae ?iceaae?a i?e?iaaiiaeeiai?ee (A.A.Oaa/aiei ?
ni?aaao., 1993; A.?.Aeaiaieia ? ni?aaao., 1995). I?ioa, ia nueiaiaei? ua
caeeoa?oueny iaaeinoaoiuei aea/aiei aca?iica’ycie i?ae ?ioiieia?/ieie ?
a?io?i?/ieie c?ooaiiyie i?e OO. A?aeiii, cie?aia, ui i?e ??ciiiai?oi?e
iaoieia?? oi?io?oueny neiae?ii aiaei-aaiii? (iaoaaie?/ii?)
?ioieneeaoe??, oa?aeoa?iei i?iyaii yeiai, ii?yae c aeoeaaoe??th
i?ioean?a IIE, ? iaeiie/aiiy a e?ia? oiene/ieo ?a/iaei, ui iaaaoeaii
aieeaathoue ia noai ?ioiiiai aiiainoaco ? i?ecaiaeyoue aei ?noioieo
?iceaae?a i?e-?ioee?eoeyoe?? (E.E.A?iiaoaanueea, 1997). Iaeiae oey
i?iaeaia noiniaii aei OO ua iio?aao? iiaeaeueoiai aea/aiiy ? aeiaaa?
i?iaaaeaiiy niaoe?aeueieo aeine?aeaeaiue.

No/ani? i?aeoiaee aei oaeoeee eiina?aaoeaiiai e?eoaaiiy caaino?aiue OO
i?eioneathoue eiiieaenia canoinoaaiiy ia-aeeeaiaioicieo ?
iaiaaeeeaiaioicieo cania?a e?eoaaiiy, ni?yiiaaieo ia a?aeiiaeaiiy
?ioiieia?/iiai aiiainoaco, noeioeyoe?th i?noeaaiai ?ioi?oaoo,
e?ea?aeaoe?th eieii?caoe?? ieaaeaeee?a iaoiaaiieie ooaiaie Staph. aureus
? Str. pyoge-nes (Ae.?. Caaieioiee ? I.O. Iaeueieeia, 1999;
A.Ae. Ae?aaiie?aoeueeee ? ni?aaao., 1993,1995; A.O. Ioceea, 1997; A.O.
Iaeue/oi ? ni?aaao., 1995; A.I. O?ieia ? ni?aaao., 1995-1998). A oeueiio
ieai? iaoo oaaao i?eaa?ioea iiaeeea?noue aeei?enoaiiy eiiieaeno
i?aia?ao?a aioeieneaeaioii? ae?? c iaoith cieaeaiiy aeoeaiino?
ia?ieneaeaoe?? e?i?ae?a ? noeioeyoe?? nenoaie aioeieneaeaioiiai caoenoo,
aioa?ini?aaio?a aeey e?ea?aeaoe?? neiae-?iio “iaoaaie?/ii?”
?ioieneeaoe?? ? ?ioiiei?aeoi??a c iaoith a?ae-iiaeaiiy ?ioiieia?/iiai
aiiainoaco.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie aoco. Aeena?oaoe?eia ?iaioa
aeeiioaaeanue a Eoaainueeiio aea?aeaa-iiio iaaee/iiio oi?aa?neoao? oa
a?aeae?e? aeieia?/ii? aaiaoe-ee ? ?ioiieia?? Oe?a?inueeiai iaoeiaiai
oeaio?o iaaee/ii? aa-iaoeee a?aeiia?aeii c iniiaiei ieaiii IAe?
Eoaainueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ? yaey? niaith
o?aa-iaio IAe? “?ic?iaea nenoaie ?ioiieia?/iiai iii?oi?eiao ?
?ioii?aaa?e?oaoe?? ?ia?oiee?a iniiaieo aaeocae aaeeeiai i?iieneiaiai
ae?iaieoeoaa oa a?oi ?eceeo ianaeaiiy i?iieneiai? ciie Aeiiaano” (?
aea?ae?a?no?aoe?? 019000242).

Iaoa aeine?aeaeaiiy: i?aeaeuaiiy aoaeoeaiino? eiina?-aaoeaiiai e?eoaaiiy
oai?eo ia OAeO o ia??iae caaino?aiiy ia iniia? aeine?aeaeaiiy
iaoiaaiaoe/ieo iaoai?ci?a aeaiiai caoai?thaaiiy ?c canoinoaaiiyi
eiiieaeno aioeieneaeaio?a, aioa?ini?aaio?a ? ?ioiiei?aeoi??a.

Aeoiaey/e c icia/aii? iaoe aeine?aeaeaiiy aoee iinoaa-eai? oae?
eiie?aoi? caaea/?:

1. I?iaiae?coaaoe aieea eiiieaeno aioeieneaeaio?a, aioa?ini?aaio?a oa
?ioiiei?aeoi??a ia ee?i?/iee ia?aa?a caaino?aiiy OAeO.

2. Aeine?aeeoe aeeiai?eo ?ioiieia?/ieo iieaciee?a o ianoaaeaieo oai?eo,
ye? io?eiaee cai?iiiiiaaiee eiii-eaen i?aia?ao?a.

3. Aecia/eoe aieea cai?iiiiiaaiiai niiniao e?eoaai-iy iaoe??io?a ?c
ae?aaiicii OAeO ia i?iyae neiae?iio “iaoa-aie?/ii?” ?ioieneeaoe??,
iieacieee IIE, aeoeai?noue oa?iai-o?a aioeieneaeaioiiai caoenoo, ??aaiue
aeeicaii?ae?a ? oeeee?/-ieo ioeeaioeae?a, iieacieee i?e?iaaiiaeeiai?ee.

4. Ioe?ieoe aoaeoeai?noue eiia?iaoe?? aioeieneaeaio?a, aioa?ini?aaio?a
? ?ioiiei?aeoi??a i?e eiina?aaoeaiiio e?eoaaii? oai?eo ia OAeO ca
aeaieie aeeniaina?iiai niinoa-?aaeaiiy.

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a. Aia?oa io?eiai? aeai? i?i aieea
eiiieaeno aioeieneaeaio?a, aioa?ini?aaio?a ? ?ioiiei?aeoi??a ia
ee?i?/iee ia?aa?a ? ?ioiieia?/i? iieacieee o oai?eo ia OAeO. Anoaiiaeaia
iaoiaa-iaoe/ia ?ieue neiae?iio “iaoaaie?/ii?” ?ioieneeaoe??, ci?i ??aiy
aeeicaii?ae?a ? oeeee?/ieo ioeeaioeae?a o oai?eo ia OAeO. Aeyaeaii
aca?iica’ycie i?ae ieceith ?ioiieia?/ieo, a?io?i?/ieo ?
i?e?ioee?eoeyoi?ieo ii?ooaiue a aeeiai?oe? iaoieia?/iiai i?ioeano o
oai?eo ?c caaino?aiiyie OO. Iaoiaaiaoe/ii iaa?oioiaaii canoinoaaiiy
eiiieaeno aioeieneaeaio?a, aioa?ini?aaio?a ? ?ioiiei?aeoi??a a oa?ai??
oai?eo ia OAeO.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. ?ic?iaeaii niin?a e?eoaaiiy
oai?eo ia OAeO ?c aeei?enoaiiyi eiiieaeno aioeieneaeaio?a (oieioa?ieo
aoeaoao, eaa?oeaoei), aioa?ini?aaio?a (iie?ni?a, n?ea?ae I) ?
?ioiiei?aeoi??a (oeiiaai ? a?eicai).

Aeey i?iaiicoaaiiy ia?aa?ao OAeO oa ioe?iee aoaeoeaiino? e?eoaaiiy
aeioe?eueii aecia/aoe oae? iieacieee: ??aaiue “na?aaei?o iieaeoe”,
oaaioeeoa?io aeoeai?noue iiiioeeo?a, ai?no SH-a?oi a aeai?ioa?iao?
e?ia?, caaaeueiee eii’thieoeaaeueiee ?iaeaen (E? caa). I?e ??ai? NI 0,66
a/e ? a?eueoa, cia/aii? ?iaeaeno ia?ao?aaeaiiy OAI 23,4 ? iaioa, ai?noo
SH-a?oi 4,15 iea ? aeua, E? caa 7 aae?a ? a?eueoa c ?iia??-i?noth
78,3±2,5% i?iaiicothoueny ?aoeeaeeae aia?ie i?ioyaii ianooiiiai ?ieo
i?ney aeienee ?c noaoe?iia?o, ui aeiaaa? i?iaaaeaiiy iiaoi?iiai eo?no
e?eoaaiiy.

Iniiai? ?acoeueoaoe i?iaaaeaieo aeine?aeaeaiue ai?iaaae-aeai? a ee?i?/io
i?aeoeeo EI?-a?aeae?eaiue Eoaainueei? iaean-ii? ee?i?/ii? e?ea?i?, 1-?
i?nueei? ee?i?/ii? e?ea?i? i. Eoaainueea, i?nueeeo e?ea?aiue ii.
Noaoaiiaa, E?aniiaeiio, E?aniiai Eo/a, niaoe?ae?ciaaieo a?aeae?eaiue
aeey aini?oae?caoe?? oai?eo ia aia?ie ia aac? 3-? ? 4-? ee?i?/ieo
e?ea?aiue i.Eoaainueea.

Io?eiai? aeai? ai?iaaaeaeaii aei iaa/aeueiiai i?ioeano ia eaoaae?ao
ioiea?eiaieia?? Eoaainueeiai aea?aeaaiiai iaaee/-iiai oi?aa?neoaoo,
Oe?a?inueei? iaaee/ii? noiiaoieia?/ii? aeaaeai?? (Iieoaaa),
Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai oi?-aa?neoaoo. Iiaeaia cayaa ia
aeiao?ae.

Iniaenoee aeeaae caeiaoaa/a. Aaoi?ii iniaenoi niinoa??aaeenue 282 oai?eo
ia OO, na?aae yeeo 202 iaoe??ioa – c o?ii?/iei aeaeiiiainiaaiei
oiicee?oii (OAeO) ? 80 in?a, oai?eo ia o?ii?/iee eiiiainiaaiee oiicee?o
(OEO); aeeiiaia /anoeia aeine?aeaeaiue ii aea/aiith a?io?i?/ieo,
?ioiieia?/ieo ? i?e?iaaiiaeeiai?/ieo iieaciee?a o ianoaaeaieo oai?eo.
Caeiaoaa/eith i?iaiae?ciaaia aoaeoeai?noue cai?i-iiiiaaiiai eiiieaeno
i?aia?ao?a i?e e?eoaaii? ?aoeeaeea?a aia?i o oai?eo ia OAeO,
i?ine?aeeiaaii eiai aieea ia aeeia-i?eo ee?i?/ieo, ?ioiieia?/ieo ?
a?io?i?/ieo iieaciee?a o 104 oai?eo iniiaii? a?oie; i?iaaaeaii
aeeniaina?ia niinoa-?aaeaiiy 175 oai?eo ia OAeO i?ioyaii 1,5-2-o ?ie?a
i?ney aeienee ?c noaoe?iia?o c aeine?aeaeaiiyi o ieo iecee ?ioiieia?/ieo
? a?io?i?/ieo iieaciee?a.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee aeena?-oaoe??
aeiiia?aeaeenue ? iaaiai?aii ia ?aa?iiaeuei?e iaoeia?e eiioa?aioe??
“Aeieia?y i?iieneiaiai ?aa?iio Aeiiaano” (Eoaainuee, 1995), iaeanieo ?
?aa?iia?ieo eiioa?aioe?yo ? ia?a-aeao EI?-oao?aoe?a (Eoaainuee,
1997-1998), I iaoe?iiaeueiiio eiia?an? Oe?a?ie c ?ioiieia??, aea?aieia??
oa ?ioii?aaa?e?-oaoe?? (Aeoooa, 1998); iaoeiaiio neiiic?oi? “Aeooaeuei?
i?iaeaie aeieia??, ee?i?/ii? ?ioiieia?? oa ?ioaeoe?eii? ia-oieia??”
(Ee?a-Eoaainuee, 1997); iaoeia?e eiioa?aioe?? “Aeooaeuei? ieoaiiy
oai?aoe/ii? oa ee?i?/ii? iaaeeoeeie ia no/an-iiio ??ai?” (Iieoaaa,
1996); i?aeia?iaeieo iaoeiaeo eiioa-?aioe?yo “Aeooaeuei? i?iaeaie
ee?i?/ii? ?ioiieia?? oa ai?aea-i?ieia??” (Oa?e?a, 1996), “O?c?ieia?y oa
iaoieia?y ?ioi?oaoo, aaiinoaco oa ia?aeeniiai ieeneaiiy e?i?ae?a”
(Iieoaaa, 1997), can?aeaiiyo Eoaainueeiai iaeaniiai iaoeiaiai
oiaa-?enoaa ioi?eiiea?eiaieia?a (1995-1999).

Ioae?eaoe??. ?acoeueoaoe aeena?oaoe?? iioae?eiaai? a 10 noaooyo a
oaoiaeo aeaeaiiyo, caoaa?aeaeaieo AAE Oe?a?ie, ? 5 oacao aeiiia?aeae ia
iaoeiaeo eiioa?aioe?yo ? neiiic?oiao.

No?oeoo?a oa ianya aeena?oaoe??. ?iaioa aeeeaaeaia ia 182 noi??ieao
iaoeiiieno, aeeth/a? 22 oaaeeoe? ? 9 a?ao?e?a, 3 aeienee c ?noi??e
oai?ia. Neeaaea?oueny ?c aaaaeaiiy, iaeyaeo e?oa?aoo?e, 5 ?icae?e?a
aeanieo aeine?aeaeaiue, caeeth/aiiy ? aeniiae?a. A?ae?ia?ao?/iee ia?ae?e
neeaaea?oueny c 239 aeaea-?ae, c yeeo 91 – ca?oa?aeieo.

INIIAIEE CI?NO

Iaoa??aee oa iaoiaee aeine?aeaeaiiy

I?ae niinoa?aaeaiiyi ciaoiaeeeinue 282 oai?eo ia OO, a oiio /ene? 202
(71,6% ) iaoe??ioa c ae?aaiicii OAeO ? 80 (28,4%) – OEO. A?e ianoaaeaieo
ciaoiaeeany a iaaeao a?ae 18 aei 45 ?ie?a, na?aae ieo aoei 122 /ieia?ea
? 160 ae?iie.Na?aae oai?eo ia OAeO ?aaiaoe/i? o?aaeaiiy na?oey aoee
aeyaeai? a 15,3% aeiaaee?a, noaeia?a – a 13,9% ? ie?ie – a 9,4%
niinoa-?aaeaiue. O 56,9% iaoe??io?a c ae?aaiicii OAeO a?aei?/aeinue o?e
? a?eueoa ?aoeeaeea?a aia?i i?ioyaii inoaiiueiai ?ieo, o 17,3% iaa
i?noea o?eaaeee noaoaa?ee?oao. Iayai?noue i?noeaaeo oneeaaeiaiue
(ia?aoiicee?o?a) i?ae /an /a?aiaiai ?aoeeaeeao aia?i aeyaeaii o 10,4%
oai?eo. O iaoe??io?a c OEO ?aoeeaeeae aia?ie iaee i?noea ia /ano?oa 2-o
?ac?a ia i?ioyc? inoaiiueiai ?ieo.

I?e aaeoa??ieia?/iiio aeine?aeaeaii? ai?noo eaeoi i?ae /an caaino?aiiy
OAeO o 66,8% iaoe??io?a aoei aeae?eaii Str. pyogenes, o 32,2% – Staph.
aureus, o 13,4% – Proteus vulgaris, o 6,4% – Pseudomonas aeruginosa, o
4, 9% – Sp. buccalis. Anioe?aoe?? i?e?iaieo aaaio?a (/ano?oa Str.
pyogenes ? Staph. aureus) aeyaeai? a 26,7% aeiaaee?a. O 17,8% oai?eo ia
OAeO, ye? ?ai?oa, ye i?aaeei, o?eaaei iaea?aeoaaee eo?ne
aioe-aaeoa??aeueii? oa?ai??, i?e i?e?ineii?? aeyaeyeanue Nandida
albicans. O?eaae?noue caoai?thaaiiy ia OO ca aeaieie aiai-iaco neeaaeaea
a na?aaeiueiio 6,3±0,9 ?ie?a. Ee?i?/ia ea?oeia caaino?aiiy OO o an?o
ianoaaeaieo oa?aeoa?ecoaaeanue neiae-?iiii ?ioieneeaoe?? oa i?noeaaeie
caiaeueieie ci?iaie c aieo i?aeiaa?iieo ieaaeaeee?a.

An? ianoaaeai? oai?? ?c caaino?aiiyi OAeO aoee ?iciiae?eai? ia 2
?aiaeii?ciaai? a?oie, c yeeo iaeia (iniiaia) neea-aeaeanue ?c 104 oai?eo
? ae?oaa (a?oia ni?anoaaeaiiy) – 98 iaoe??io?a. Oai?? iaio a?oi
iaea?aeoaaee caaaeueiii?eeiyoa eiina?aaoeaia e?eoaaiiy. Ii?yae c oeei
iaoe??ioe iniiaii? a?oie aeiaeaoeiai iaea?aeoaaee a ia??iae caaino?aiiy
caoai-?thaaiiy eiiieaen aioa?ini?aaio?a (iie?ni?a aai n?ea?ae-I) o
aeaeyae? 1-2% aiaeii? noniaic?? ana?aaeeio ? o aeaeyae? nooi-ai ii?ioeo
aeey ia?iaee iiaa?oi? ieaaeaeee?a, aioeiene-aeaio?a (oieioa?ieo aoeaoao
ii 100-300 ia ia aeiao aai eaa?-oeaoei ii 0.02 a 4 ?ace a aeaiue
ona?aaeeio), a oaeiae ?ioii-ei?aeoi?e (oeiiaai ? a?eicai). Oeiiaai
i?ecia/aany ii 100 iea ia aeiao aioo??oiueii’ycaai i?ioyaii 5-7 aei?a;
a?eicai aeei?enoiaoaaany oeyoii ?inoeeyoe?e o i?ae’yce/io iaeanoue (ia
eoni/eo oeoe?o) ii 5-7 e?aiaeue 3 ?ace ia aeaiue ia i?ioyc? naie ae?a.
Aeeniaina?ia niinoa?aaeaiiy ca aeienaieie iaoe?-?ioaie, ye? i?aeeyaaee
ianoaaeaiith, cae?enithaaeinue i?ioyaii 1,5-2,0-o ?ie?a.

Ii?yae ?c caaaeueiiee?i?/ieie ? aaeoa??ieia?/ieie can-oiniaoaaeenue
oaeiae niaoe?aeuei? ?ioiieia?/i? ? a?io?i?/i? iaoiaee ianoaaeaiiy.
Aecia/aany ai?no O-, A-e?ioioeeo?a, O-oaeia??a/?iaeoeoi??a,
O-noi?ani??a/e?ea??a a oeeoioiene/iiio oano? c canoinoaaiiyi
iiiieeiiaeueieo aioeo?e eean?a CD3+, CD22+, CD4+, CD8+ o??ie Ortho
Dyagnostic Systems Inc. (NOA). Aeine?aeaeaiiy eiioeaio?aoe??
oee?eoethth/eo ?ioiieo eiiieaen?a (Oe?E) a ne?iaaooe? e?ia? oa ?o
iieaeoey?iiai neeaaeo cae?enithaaeinue oeyoii i?aoeei?oaoe?? a ?ic/eiao
iie?aoeeaiae?eiey c aeei?enoaiiyi iiaeeo?eiaaii? iaoiaee-ee (A.I. O?ieia
? ni?aaao., 1990). Ioe?ieo OAI i?iaiaeeee c aeei?enoaiiyi
iiaeeo?eiaaiiai /aoa/eiaiai niiniao (A.I.O?ieia ? ni?aaao., 1989).
Ae?aaeai?noue aooi?ioiieo ?aaeoe?e aei oeaieiieo aooiaioeaai?a
(oeioniiai – OA, aioeaaio c oeaieie i?aeiaa?iieo ieaaeaeee?a – IA ?
eeii-i?ioa?aeo ia/?iee ethaeeie – EI*), a oaeiae aaeoa??aeueieo
aea?aai?a (aea?aaio Staph. aureus – ACN ? Str. pyogenes – AAN)
ioe?ithaaee ca aeiiiiiaith ?aaeoe?? aaeueioaaiiy i?a?aoe?? e?ioioeeo?a
(?AIE) o eai?ey?iiio oano?. Ai?no i?e?iaeiiai ?ia?aoth/iai oaeoi?o (I?O)
aecia/aee ca aeiiiiiaith ?aae-oe?? ?ia?a?oe?? ne?iaaoeiaeo aioeo?e (??A)
eeane/iei caniaii I.A. AEo?aaeueiai? (1988) c aeine?aeaeaiiyi
a?io?i?/iiai noa-no?aoo I?O niiniaii a?eueieo SH-a?oi.

Aeey ioe?iee ae?aaeaiino? neiae?iio “iaoaaie?/ii?” ?i-oieneeaoe?? (NI?)
aecia/aee ??aaiue “na?aaei?o iieaeoe” (NI) niiniaii A.A. Ieeieae/eea ?
ni?aaao. (1991). Eiioeaio-?aoe?th e?ioeaaiai i?iaeoeoo IIE – iaeiiiaiai
aeeaeueaeaa?aeo (IAeA) ? i?ii?aeieo ?a/iaei – ae??iiaeo eii’thaao?a
(AeE), aeoeai?noue eaoaeace ? noia?ieneaeaeeniooace (NIAe) –
niaeo?i-oioiiao?e/iei iaoiaeii. ??aaiue oeeee?/ieo ioeeaioeae?a (oeAIO ?
oeAIO) a ieaci? e?ia? aea/aany ?aae?i?ioiiei niiniaii c aeei?enoaiiyi
noaiaea?oieo eiia?oe?eieo iaai??a “Cylcik AMP RIA KIT” oa “Cyclik GMP
RIA KIT” (“Amersham”, Aaeeeia?eoai?y); o?iiaienaia A2 (ca ??aiai
noaa?eueiiai iaoaaie?oo OoA2), i?inoaoeeee?ia (ca ??aiai noaa?eueiiai
iaoaaie?oo 6-eaoi-IAF1), i?inoaaeaiaeei?a (IA) A2 ? F2 a ieaci? e?ia? –
?aae?i?ioiiei niiniaii c ae-ei?enoaiiyi eiia?oe?eieo iaai??a “Amersham”
(Aaeeei-a?eoai?y). Noai i?e?iaaiioee?eoeyoe?? ioe?ithaaee ca aeaieie
a?ii?e?ineii?? aoeueaa?ii? eii’thieoeae (AAE), ii?oiiao??? eai?ey??a
i?aoueiaiai eiaea (eai?ey?ineii?y) ? iooaeueii-neii?? a i?yiiio ?
cai?ioiueiio aeaeyaeao. Iaoaiaoe/ia ia-?iaea oeeo?iaeo aeaieo
i?iaiaeeeanue a ia IAII Pentium II 200 c aeei?enoaiiyi noaiaea?oiiai
iaeaoo i?eeeaaeieo i?i-a?ai uiaei ia?iaee ee?i?/ii?, a?io?i?/ii? oa
?ioiieia?/ii? ?ioi?iaoe??.

Aieea cai?iiiiiaaiiai e?eoaaiiy ia ee?i?/i? iieacieee

Canoinoaaiiy eiiieaeno aioeieneaeaio?a, aioa?ini?aaio?a ?
?ioiiei?aeoi??a a oa?ai?? oai?eo ia OAeO iniiaii? a?oie ni?eyei
nooo?aiio iie?auaiith ee?i?/ieo iieaciee?a. Oea i?iyaeyeinue a
nei?i/aii? o?eaaeino? neiae?iio caaaeueii?ioaeoe?eiiai oieneeico ?
i?noeaaeo i?iya?a c aieo c?ao i?e caaino?aiiyo OO, e?ea?aeaoe??
caaaeueiiai iacaeoaeaiiy, i?aeaeuaii? i?aoeacaeaoiino?. Ii?iae?caoe?y
oaiia?aoo?e o?ea o iaoe??io?a iniiaii? a?oie a?aeaoaaeanue ia 2,40,3
aeiae oaeaeoa, i?ae o iaoe??io?a a?oie ni?anoaaeaiiy; e?ea?aeaoe?y
caaaeueii? neaaeino? – ia 1,90,2 aeiae nei??oa. Cieeiaiiy aieth a ai?e?
i?e eiaoaii? o in?a iniiaii? a?oie, i?e ?? iayaiino?, a?aei?/aeinue ia
2,60,3 aeiae ?ai?oa, i?ae a a?oi? ni?anoaaeaiiy; iaa?ye c?ao o ieo
e?ea?aeoaaany oaeaeoa ia 1,60,2 aeiae (P0,05) oa e?eueeino? O-oaeia??a (a
na?aaeiueiio a 1,4 ?ace ii a?aeiioaiith aei aeo?aeiiai iieacieea). ?acii
?c oei, a iniiai?e a?oi? aeyaeaii oaiaeaioe?th aei i?aeaeuaiiy ??aiy
O-noi?ani??a ? /enea A-ee?oei. Oea coiiaethaaei oai-aeaioe?th aei
c?inoaiiy cia/aiiy ?ioii?aaoeyoi?iiai ?iaeaeno CD4/CD8, na?aaei?
cia/aiiy yeiai o oai?eo ia?aae aeien-eith c noaoe?iia?o ciaoiaeeeinue a
iaaeao 2,03±0,03, ui a??i-a?aeii ia a?ae??ciyeinue a?ae ii?ie (P>0,05).
O?eueee o 8,7% iaoe??io?a aeaii? a?oie ia a?aecia/aii ae?aaeaii?
aeeiai?ee ?ioiieia?/ieo iieaciee?a, iaeiae a i?ioean? ?o aeeiai?/iiai
ianoaaeaiiy ua a 5,8% c ieo ?a?no?oaaeinue iiaeaeueoa iie?i-oaiiy
iieaciee?a ee?oeiiiai ?ioi?oaoo.

O 84,6% iaoe??io?a iniiaii? a?oie a?aecia/aia i?aeae-uaiiy ?iaeaen?a
?AIE, ui na?ae/eei i?i cieaeaiiy nainea?-e?caoe?? ?ioiioeeo?a
ia?eoa?e/ii? e?ia? aei aaeoa??aeueieo ? aooiaioeaai?a oa ciaioaiiy
iai?oaeaiino? aooi?ioiieo i?ioean?a i?e noeoai? caaino?aiiy OO; aeyaeaii
oaeiae i?ae-aeuaiiy ?iaeaen?a OAI, i?e oeueiio o 91,4% iaoe??io?a ?c
OAeO ia /an aeienee c noaoe?iia?o ?iaeaene ia?ao?aaeaiiy ? ao?aeoe??
aeinyaaee ieaei?o iaae ii?ie. ??aaiue Oe?E a ne-?iaaooe? e?ia?
cieaeoaaany a na?aaeiueiio a 1,8 ?ac?a; i?e oeueiio a 72,1%
niinoa?aaeaiue iieaeoey?iee neeaae ?ioiieo eiiieaen?a iai?ee?ioe?
e?eoaaiiy ia a?ae??ciyany a?ae a?aeii-a?aeieo iieaciee?a ii?ie. ??aaiue
I?O iaa /?oeo oaiaeaioe?th aei cieaeaiiy ? ia /an aeienee c noaoe?iia?o
neeaaeaa 1,10,03 ? ciaoiaeeany a iaaeao ii?ie.

Ioaea, ia /an aeienee c noaoe?iia?o a 84,6% aeiaaeeao a a?oi? oai?eo ia
OAeO, ye? io?eiaee cai?iiiiiaaia e?eo-aaiiy, a?aei?/aeanue ii?iae?caoe?y
?ioiieo iieaciee?a. O 28,8% o?eaae?noue ii?iae?caoe?? ?ioiieo iieaciee?a
noaii-aeea 4-6 i?n, i?ney /iai aeieeaea iio?aaa i?iaaaeaiiy iiaoi?iiai
eo?no ?ioiiei?aeoe??.

A?io?i?/i? iieacieee o ianoaaeaieo oai?eo ia OAeO

O ianoaaeaieo oai?eo ia OAeO a oac? caaino?aiiy aeya-eaii ?icaeoie NI?,
i??a ae?aaeaiino? yeiai aecia/aeanue oyaee?noth ia?aa?ao ?aoeeaeeao
aia?ie, a oaeiae caeaaeaea a?ae caaaeueii? o?eaaeino? caoai?thaaiiy.
Ii?yae c i?aeaeuaiiyi ??aiy NI a?aei?/aia ?noioia aeoeaaoe?y i?ioean?a
IIE, cieaeaiiy aeoeaiino? oa?iaio?a nenoaie AIC, aeenaaeain ??aiy
aeeicaii?ae?a ? OeI.

I?e aeeth/aii? cai?iiiiiaaiiai eiiieaeno i?aia?ao?a aei oa?ai?? oai?eo
ia OAeO a?aecia/aii, ui o in?a iniiaii? a?oie a?aeaoaaeinue ?noioia
cieaeaiiy ??aiy NI (a na?aaeiueiio a 2,4 ?ace), ui na?ae/eei i?i
cieaeaiiy ae?aaeaiino? NI?. I?e oeueiio a 91,4% aeiaaee?a aeaiee
iieaciee ia /an aeienee aoa a iaaeao ii?ie; o ?aooe 8,6% – ia?aaeuoaaa
iieaciee ii?ie a 1,4 ?ace (P0,05); o ?aooe 18,3% ia-oe??io?a, ia?aaaaeii c oyaeeei
ia?aa?aii ?aoeeaeeao OAeO, iai?oeeanue /?oea oaiaeaioe?y aei cieaeaiiy
??ai?a iaoaaie?o?a IIE, oi/a iiaii? ii?iae?caoe?? oeeo iieaciee?a ia /an
aeienee c noaoe?iia?o o ieo ia a?aecia/aeinue (P0,1). Iiae?aia aeeiai?ea
ci?i i?ae aieeaii aeaieo i?aia-?ao?a a?aei?/aia oaeiae o a?aeiioaii? IA
eean?a A ? F. sse ae-yaeeinue, ia /an aeienee c noaoe?iia?o
eiioeaio?aoe?y IAA2 a iniiai?e a?oi? cieaeoaaeanue a na?aaeiueiio ia
58,7±1,1% a?ae-iinii aeo?aeiiai cia/aiiy, ia?aaeuoth/e ii?io eeoa a 1,4
?ac?a (P0,1). A 74% aeiaaee?a ai?no oeAIO ia /an aeienee aoa a
iaaeao ii?ie, a oie /an ye ??aaiue oeAIO cieaeoaaany aei ii?ie o 96,2%
iaoe??io?a iniiaii? a?oie. O 26% oai?eo a?aecia/aia caa?aaeaiiy oeAIO ia
i?aeaeuaiiio ??ai?, ui iia’ycaii c ?aoeeaeeaoaaiiyi OAeO ? aeoiaeii
iaoieia?/iiai i?ioeano a ieaaeaeeeao. Noia?ii cieaeaiiy ??ai?a OeI
i?ecaiaeeei aei ii?iae?caoe?? ni?aa?aeiioaiiy oeAIO/oeAIO, yea
aei??aith-aaei ia iiiaio aeienee 2,40,09 (P>0,05).

I?iaaaeaia caaaeueiii?eeiyoa e?eoaaiiy oai?eo a?oie ni?anoaaeaiiy
ni?eyei aeayeiio iie?auaiith aea/aieo a?i-o?i?/ieo iieaciee?a, aea ia
i?ecaiaeeei aei ?o ii?iae?caoe?? a a?eueoino? aeiaaee?a, ui na?ae/eoue
i?i caa?aaeaiiy a ia??iae? ?aeiiaaeanoeaioe?? ii?ooaiue iaoaaie?/iiai
aiiainoaco. Oae, yeui ??aaiue CI aeinyaaa iaae ii?ie o cia/ii?
e?eueeino? in?a aeaii? a?oie, oi eiioeaio?aoe?y 6-eaoi-IAF1 ? OoA2
nooo?ai ia?aaeuoaaee ii?io, i?e oeueiio aiane?aeie e?eoaaiiy
a?aei?-/aeanue e?ea?aeaoe?y aeenaaeaino a aeai?e nenoai?. Aiaeia?/ia
oaiaeaioe?y niinoa??aaeanue ? a nenoai? OeI, i?e oeueiio
ni?aa?ae-iioaiiy oeAIO/oeAIO ia /an aeienee c noaoe?iia?o aoei a iaaeao
ii?ie (P>0,1). Iaeaea o iieiaeie in?a a?oie ni?a-noaaeaiiy iai?ee?ioe?
e?eoaaiiy ia a?aei?/aii ?noioiiai i?eai?/aiiy i?ioean?a IIE, ui
aeieoiaiooaaeinue caa?a-aeaiiyi ia cia/iiio ??ai? ai?noo AeE ? IAeA. Ia
oie aea /an aeaui aoea iiceoeaia aeeiai?ee ci?i aeoeaiino? oa?iaio?a
nenoaie AIC. Oaeei /eiii, o iaoe??io?a a?oie ni?anoaaeaiiy ee?i?/ia
aeaeoaeaiiy (OAeO o oac? ?ai?n??) ia noi?iaiaeaeo?oueny iiaiith
ii?iae?caoe??th a?io?i?/ieo iieaciee?a, ui na?ae/eoue i?i
iacaaa?oai?noue iaoieia?/iiai i?ioeano ? iaoiiaeth? iiaeeea?noue
iiaeaeueoiai ?aoeeaeeaoaaiiy caoai?thaaiiy.

Aeeiai?ea i?e?iaaiiaeeiai?/ieo iieaciee?a o oai?eo ia OAeO

O ianoaaeaieo oai?eo ia OAeO a ia??iae? caaino?aiiy anoaiiaeai? /?oei
ae?aaeai? ii?ooaiiy i?e?iaaiiaeeiai?ee. Aiie aeyaeyeenue o aeaeyae?
nianoe/iiai noaio a?oa??ie, aee-eaoaoe?? aaioe, cieaeaiiy
a?oa??iei-aaioey?iiai eiao?-oe?aioo (AAE) ? /enea ooieoe?iioth/eo
eai?ey??a c ooai?ai-iyi aaaneoey?ieo cii, aiaa?eci ? naeoeyoe?e aaioe ?
ea-i?ey??a, iayaiino? n?o/anoi? no?oeoo?e noaeei, ui ? iciaeith
ooieoe?thaaiiy a?oa??iei-aaioey?ieo aianoiiic?a. E?iaioie a
i?e?inoaeeiao a a?eueoino? aeiaaee?a aoa oiia?eueiaiei, a a ?yae?
aeiaaee?a (ia?aaaaeii i?e /anoiio ?aoeeaeeaoaaii? OAeO) a?aecia/aeanue
iiaia eiai coieiea aai iayoieeiiiae?aiee oie e?ia?. Iaea i?noea oaeiae
??cii? i??e ae?aaeaiino? aioo-??oiueinoaeeiia aa?aaaoe?y oi?iaiieo
aeaiaio?a e?ia?, ui aeyaeyeanue a?aioey?iei ? a?aioey?ii-ca?ienoei
e?iai-oieii o aaioeao, eai?ey?ao, a a ?yae? aeiaaee?a – a iiiaee-ie/ieo
a?oa??ieao. A?aei?/aeenue ia?eaaneoey?iee iaa?ye ? i?e?iaaii?aa?? a
ia?eaaneoey?iiio i?inoi??.

Aeeth/aiiy aioa?ini?aaio?a, aioeieneaeaio?a oa ?ioii-ei?aeoi??a aei
eiiieaeno e?eoaaiiy ?aoeeaeeao OAeO ni?eyei ?noioi?e iiceoeai?e
aeeiai?oe? i?e?iaaiioee?eoeyoe??. Oae, i?e i?iaaaeaii? AAE o iaoe??io?a
iniiaii? a?oie a?aecia-/aeinue i?aeaeuaiiy /enea ooieoe?iioth/eo
eai?ey??a, ciai-oaiiy AAE, a a 41,3% aeiaaee?a – iiaia ii?iae?caoe?y
aeaiiai eiao?oe?aioo ia iiiaio aeienee. Ii?yae c oeei a?ae-i?/aeanue
oaiaeaioe?y aei a?aeiiaeaiiy oi?ie ? eae?a?o aaioe ? eai?ey??a, a oaeiae
oa?aeoa?o e?iaioieo a ieo. O 75,0% ia-oe??io?a iniiaii? a?oie cieeaee
aaaneoey?i? ciie, a oaeiae ia?eaaneoey?iee iaa?ye, a?aei?/aeinue
i?enei?aiiy ieeio e?ia? a i?e?inoaeeiao – a?i noaaaa eai?ia?iei ?
aiiiaaiiei. I?e oeueiio caaaeueiee eii’thieoeaaeueiee ?iaeaen
ciaioo-aaany aei 6,90,2 aae (o 2,6 ?ace ii a?aeiioaiith aei aeo?ae-iiai
iieacieea). O ?ioeo iaoe??io?a iniiaii? a?oie (25%) aeeiai?ea iieaciee?a
i?e?iaaiioee?eoeyoe?? aoea iaio ae?a-aeaiith, ui iiynithaaeinue,
iaaooue, /anoei ?aoeeaeeaoaaiiyi oa oyaeeei ia?aa?aii OAeO. Iie?ioaiiy
iieaciee?a i?e?i-aaiioee?eoeyoi?ii? ea?oeie i?e AAE i?aeoaa?aeaeoaaeinue
aeaieie ii?oiiao??? eai?ey??a i?aoueiaiai eiaea ? iooaeueii-neii??. O
oai?eo a?oie ni?anoaaeaiiy a?aecia/a?oueny eeoa aeayea oaiaeaioe?y aei
iie?ioaiiy iieaciee?a i?e?iaaiioee?-eoeyoe??, aea iiaii? ii?iae?caoe??
aeaieo iieaciee?a ia /an aeienee ia a?aei?/aii ai? a aeiaeiiio aeiaaeeo.

Oaeei /eiii, ?acoeueoaoe ee?i?/ieo niinoa?aaeaiue, a oaeiae eiiieaeniiai
?ioiieia?/iiai, a?io?i?/iiai ? ?ino?o-iaioaeueiiai ianoaaeaiiy
iaoe??io?a ?c ?aoeeaeeaaie OAeO aeicai-eythoue aaaaeaoe iaoiaaiaoe/ii
iaa?oioiaaiei ? aeioe?eueiei aeeth/aiiy aei eiiieaeno e?eoaaiiy aeaii?
a?oie oai?eo aioa?ini?-aaio?a, aioeieneaeaio?a oa ?ioiiei?aeoi??a.

AENIIAEE

1. Aeeth/aiiy aioa?ini?aaio?a, aioeieneaeaio?a oa ?ioiiei?aeoi??a aei
eiiieaeno eiina?aaoeaiiai e?eoaaiiy oai?eo ia OAeO /eieoue iiceoeaiee
aieea ia ee?i?/iee ia?aa?a caoai?thaaiiy, ui i?iyaey?oueny a?eueo
oaeaeeei cieaeaiiyi caaaeueiioiene/ieo i?iya?a, i?enei?aiiyi
e?ea?aeaoe?? i?noeaaeo caiaeueieo ci?i a i?aeiaa?iieo ieaaeaeeeao,
ni?ey? aeinyaiaiith no?eei? ee?i?/ii? ?ai?n??.

2. I?ae aieeaii cai?iiiiiaaiiai eiiieaeno i?aia?ao?a a?aecia/a?oueny
/?oei ae?aaeaia iiceoeaia aeeiai?ea ?ioii-eia?/ieo iieaciee?a:
e?ea?aeaoe?y O-e?ioiiai??, ii?iae?caoe?y oaeia?ii-noi?ani?iiai
ni?aa?aeiioaiiy (CD4/CD8), i?aeae-uaiiy iieaciee?a OAI, cieaeaiiy ??aiy
Oe?E ? ae?aaeaiino? nainea?e?caoe?? aei oeaieiieo aooiaioeaai?a ?
aaeoa??aeueieo aea?aai?a. Ia iiiaio aeienee c noaoe?iia?o ii?iae?caoe?y
?ioiieia?/ieo iieaciee?a a?aei?/a?oueny o 84,6% oai?eo ia OAeO iniiaii?
a?oie.

3. A iniiai?e a?oi? oai?eo ia OAeO a?aecia/a?oueny /?oei ae?aaeaia
oaiaeaioe?y aei ii?iae?caoe?? a?io?i?/ieo iieac-iee?a: cieaeaiiy
ae?aaeaiino? neiae?iio “iaoaaie?/ii? ?i-oieneeaoe??”, ?ioaineaiino?
i?ioean?a IIE, c?inoaiiy aeoea-iino? oa?iaio?a AIC, e?ea?aeaoe?y
aeenaaeaino a nenoaiao aeeicaii?ae?a ? oeeee?/ieo ioeeaioeae?a.

4. Iiceoeaiee aieea cai?iiiiiaaiiai eiiieaeno i?a-ia?ao?a ia iieacieee
i?e?iaaiiaeeiai?ee o oai?eo ?c ca-aino?aiiyi OO iieyaa? a ii?iae?caoe??
oi?ie ? eae?a?o i?e?inoaeei, i?enei?aii? oaeaeeino? e?iaioieo,
ca?eueoaii? e?eueeino? ooieoe?iioth/eo eai?ey??a, e?ea?aeaoe??
ia?eaaneo-ey?iiai iaa?yeo.

5. I?e i?iaaaeaii? aeeniaina?iiai niinoa?aaeaiiy i?i-oyaii iaeiiai ?ieo
iiaiioe?iia ee?i?/ia ?ai?n?y a?aei?/aia o 79,8% oai?eo ?c ae?aaiicii
OAeO iniiaii? a?oie. O 20,2% iaoe??io?a o?eaae?noue ii?iae?caoe??
?ioiieo iieaciee?a neeaaeaea 4-6 i?n, i?ney /iai aeieeaea iio?aaa o
i?iaaaeaii? iiaoi?iiai eo?no ?ioiiei?aeoe??.

NIENIE IIOAE?EIAEO I?AOeUe CA OAIITH AeENA?OAOe??

1. O?ieia A.I., Aeaiaieia A.?., Iao?oiy A.I., Caaieioiee E.A., Uao?i?ia
O.I. Aieea niieo/aiiiai canoinoaaiiy oeeo?aio ? o?iiaaio ia ?ioii? oa
i?e?iaaiiaeeiai?/i? iieacieee o oai?eo ia o?ii?/iee aeaeiiiainiaaiee
oiicee?o i?ae /an caaino?aiiy aai i?e aino??e ?ani??aoi?i?e a??oni?e
?ioaeoe?? // AEo?i. aooieo, iiniaeo ? ai?eiaeo oai?ia. – 1997. – ? 1. –
C. 33-37.

2. O?ieia A.I., Iao?oiy A.I., Caaieioiee E.A., Uao?i?ia O.I.
Aoaeoeai?noue iiaiai i?aia?aoo “Aio?aeue” a eiiieaeni?e oa?ai?? o oai?eo
ia o?ii?/iee oiic?e?o i?e ?aoeeaeeaao aia?i // AEo?i. aooieo, iiniaeo ?
ai?eiaeo oai?ia. – 1997. – ? 2. – C. 49-53.

3. Aeaiaieia A.?., O?ieia A.I.,  Iao?oiy A.I., Uaoeieia O.A.,
Caaieioiue E.A. Iaoiaaiaoe/aneea aniaeou iaino?aiee o?iie/aneiai
aeaeiiiaine?iaaiiiai oiiceeeeoa o aieueiuo naoa?iui aeeaaaoii e eo
ea/aiea // AEo?i. aooieo, iiniaeo ? ai?eiaeo oai?ia. – 1997. – ? 4.
-C.39-44.

4. O?ieia A.I., Uaoeieia O.A., Aaeyineee E.E., *oiaiei I.A. O?iie/aneee
oiiceeeeo e iaoieiaey aaiaoiaeeea?iie nenoaiu: eeeieei-iaoiaaiaoe/aneea
ia?aeeaee // AEo?i. aooieo, iiniaeo ? ai?eiaeo oai?ia. – 1998. – ? 4. –
C. 9-12.

5. Neaeuaa E.I., Aeaiaieia A.?., Uaoeieia O.A., *oiaiei I.A.
Iaoiaaiaoe/aneea e eeeie/aneea iniaaiiinoe o?iie/aneiai oiiceeeeoa o
eeoe iieiaeiai aic?anoa, no?aaeathueo o?iie/aneei aeeiaieeciii // AEo?i.
aooieo, iiniaeo ? ai?eiaeo oai?ia. – 1999. – ? 3. – C. 19-22.

6. O?ieia A.I., Io?aoiaa E.E., Caaieioiue E.A., Uaoeieia O.A.
Yooaeoeaiinoue oeiiaaia a ea/aiee aiaei i?e aoi?e/iuo eiioiiaeaoeoeeoao
// Cae?aaiio?. Aeiiaanna. – 1997. – ? 1. – N. 57-59.

7. Uaoeieia O.A. Aeeyiea i?aia?aoia oeiona e oeeo?aia ia eiioiiua e
oeeoiaaiaoe/aneea iieacaoaee o aieueiuo o?iie/aneei aeaeiiiaine?iaaiiui
oiiceeeeoii // I?iaeaie aeieia?/ii? oa iaaee/ii? aaiaoeee ? ee?i?/ii?
?ioiieia??: Ca. iaoeiaeo i?aoeue. – Ee?a-Eoaainuee, 1997. – Aei. 3. – N.
202-208.

8. Uao?i?ia O.I. Ee?i?ei-?ioiieia?/ia oa?aeoa?enoeea oai?eo ia
o?ii?/iee oiicee?o // I?iaeaie aeieia?/ii? oa iaaee/ii? aaiaoeee ?
ee?i?/ii? ?ioiieia??: Ca. iaoeiaeo i?aoeue. – Ee?a-Eoaainuee, 1998. –
Aei. 2. – N. 198-207.

9. Uaoeieia O.A. Aeeyiea eiiieaena aioeieneaeaioia, yioa?ini?aaioia e
eiioiiei??aeoi?ia ia eiioiieiae/aneea iieacaoaee o aieueiuo o?iie/aneei
oiiceeeeoii // I?iaeaie aeieia?/ii? oa iaaee/ii? aaiaoeee ? ee?i?/ii?
?ioiieia??: Ca. iaoeiaeo i?aoeue. – Ee?a-Eoaainuee, 1998. – Aei. 3. – N.
152-164.

10. Uaoeieia O.A. Iee?ioee?eoeyoi?iua ia?ooaiey o aieueiuo o?iie/aneei
oiiceeeeoii // I?iaeaie aeieia?/ii? oa iaaee/ii? aaiaoeee ? ee?i?/ii?
?ioiieia??: Ca. iaoeiaeo i?aoeue. – Ee?a-Eoaainuee, 1999. – Aei. 1. – N.
201-203.

11. Caaieioiee E.A., Uao?i?ia O.I. Noai i?e?iaaiiaeeiai?ee oa
aeoeai?noue i?ioean?a IIE o oai?eo ia o?ii?/iee oiic?e?o c ?aoeeaeeaaie
aia?i // O?c?ieia?y oa iaoieia?y ?ioi?oaoo, aaiinoaco oa ia?aeeniiai
ieeneaiiy e?i?ae?a: Ca??iee oac aeiiia?aeae I?aeia?iaeii? eiioa?aioe??.
– Iieoaaa, 1997. – C. 22-23.

12. Uao?i?ia O.I. ?ioii? ii?ooaiiy oa noai ia?ieneaeaoe?? e?i?ae?a o
oai?eo ia o?ii?/iee oiic?e?o // O?c?ieia?y oa iaoieia?y ?ioi?oaoo,
aaiinoaco oa ia?aeeniiai ieeneaiiy e?i?ae?a: Ca??iee oac aeiiia?aeae
I?aeia?iaeii? eiioa?aioe??. – Iieoaaa, 1997. – C. 111.

13. Uao?i?ia O.I. Aoaeoeai?noue aeeoa?aioe?eiaaiii? ?ioii-ei?aeoe?? o
oai?eo o?ii?/ieie oiic?e?oaie // O?c?ieia?y oa iaoieia?y ?ioi?oaoo,
aaiinoaco oa ia?aeeniiai ieeneaiiy e?i?ae?a: Ca??iee oac aeiiia?aeae
I?aeia?iaeii? eiioa?aioe??. – Iieoaaa, 1997. – C. 112.

14. Uaoeieia O.A., Nioeeay ss.A. Aeeyiea i?aia?aoia oeiona e oeeo?aia
ia eiioiiua iieacaoaee o aieueiuo o?iie/aneei oiiceeeeoii // I
iaoe?iiaeueiee eiia?an Oe?a?ie c ?ioiieia??, aea?aieia?? oa
?ioii?aaa?e?oaoe??: Ca??ea oac. – Ee?a, 1998. – N. 127-128.

15. O?ieia A.I., Io?aoiaa E.E., Ne?aeiiaiei A.A., Uao?i?ia O.I.
Iaoiaeeea e?eoaaiiy oyaeeeo oi?i aia?i // ?a?no? iaaeeei-a?ieia?/. ?
iaoeiai-oaoi?/. iiaiaaaaeaiue. – Aei. 8. – Ee?a, 1998. – 15/8/8. – N. 9.

AIIOAOe?ss

Uao?i?ia O.I. Aoaeoeai?noue eiina?aaoeaiiai e?eoaaiiy o?ii?/iiai
oiicee?oo c aeei?enoaiiyi aioeieneaeaio?a, aioa?ini?aaio?a ?
?ioiiei?aeoi??a. – ?oeiien.

Aeena?oaoe?y ia caeiaoooy a/aiiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca
oaoii 14.01.19 – ioi?eiiea?eiaieia?y. – Eoaainueeee aea?aeaaiee
iaaee/iee oi?aa?neoao. – Eoaainuee, 1999.

Aeena?oaoe?y aeeth/a? ?acoeueoaoe eiiieaeniiai ee?i?ei-?ioiieia?/iiai,
a?io?i?/iiai oa ?ino?oiaioaeueiiai ianoaaeaiiy 282 oai?eo ia o?ii?/iee
oiicee?o. Anoaiiaeaii, ui aeeth/aiiy aioeieneaeaio?a, aioa?ini?aaio?a ?
?ioiiei?aeoi??a aei eiiieaeno eiina?aaoeaiiai e?eoaaiiy o?ii?/iiai
aeaeiiiainiaaiiai oiicee?oo (OAeO) iaoiiaeth? a?eueo oaeaeeo
e?ea?aeaoe?th neiae?iio ?ioieneeaoe?? oa ?aa?an?th i?noeaaeo i?iya?a
caoai?thaaiiy, ni?ey? aeinyaiaiith iiaiioe?iii? ee?i?/ii? ?ai?n??, a
oaeiae a?aeiiaeaiith a?io?-i?/ieo, ?ioiieia?/ieo oa i?e?iaaiiaeeiai?/ieo
iieaciee?a.

Ia iiiaio aeienee c noaoe?iia?o o 84,6% oai?eo ia OAeO, ye? io?eiaee
cai?iiiiiaaiee eiiieaen aioeieneaeaio?a, aioa?ini?aaio?a oa
?ioiiei?aeoi??a, a?aei?/a?oueny ii?iae?caoe?y ?ioiieo iieaciee?a. I?e
i?iaaaeaii? aeeniaina?iiai niinoa?aaeaiiy i?ioyaii ?ieo no?eea
iiaiioe?iia ?ai?n?y iaea i?noea o 79,8% oai?eo ia OAeO iniiaii? a?oie. O
20,2% iaoe??io?a o?eaae?noue ii?iae?caoe?? ?ioiieo iieaciee?a neeaaeaea
4-6 i?n, i?ney /iai aeiaaaeinue i?iaaaeaiiy iiaoi?iiai eo?no
?ioiiei?aeoe??.

Eeth/ia? neiaa: o?ii?/iee oiicee?o, ?ioiiee noaoon, “na?aaei? iieaeoee”,
ia?aeenia ieeneaiiy e?i?ae?a, neiae?ii aiaeiaaiii? “iaoaaie?/ii?
?ioieneeaoe??”, i?e?iaaiiaeeiai?ea, aioeieneaeaioe, aioa?ini?aaioe,
?ioiiei?aeoi?e.

AIIIOAOeEss

Uaoeieia O.A. Yooaeoeaiinoue eiina?aaoeaiiai ea/aiey o?iie/aneiai
oiiceeeeoa n i?eiaiaieai aioeieneaeaioia, yioa?ini?aaioia e
eiioiiei??aeoi?ia. – ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.19 – ioi?eiiea?eiaieiaey. – Eoaaineee
ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao. – Eoaaine, 1999.

Aeenna?oaoeey aeeth/aao ?acoeueoaou eiiieaeniiai
eeeieei-eiioiieiae/aneiai, aeioeie/aneiai ianeaaeiaaiey e eco/aiey
iee?iaaiiaeeiaieee o 282 aieueiuo n o?iie/aneei oiiceeeeoii, a oii /enea
202 – n o?iie/aneei aeaeiiiaine?iaaiiui (OAeO) e 80 /ae. – n o?iie/aneei
eiiiaine?iaaiiui oiiceeeeoii (OEO) a aic?anoa io 18 aei 45 eao. N?aaee
aieueiuo OAeO ?aaiaoe/aneea ii?aaeaiiy na?aeoea auee auyaeaiu o 31
(15,3%) /ae., nonoaaia – o 28 (13,9%) e ii/ae – o 19 (9,4%). O 115
(56,9%) iaoeeaioia n aeeaaiicii OAeO ioia/aeinue o?e e aieaa ?aoeeaeeaia
aiaei ia i?ioyaeaiee iineaaeiaai aiaea; o 35 (17,3%) eiae ianoi
aeeeoaeueiue noaoaa?eeeoao. Ianoiua ineiaeiaiey (ia?aoiiceeeeo) eiaee
ianoi a 10,4% neo/aaa. O aieueiuo n OEO ioia/aeenue ?aoeeaeeau aiaeiu
aei 2-o ?ac a aiae.

Ia?yaeo n iauaeeeie/aneei ianeaaeiaaieai aeey oa?aeoa?enoeee
eiioiieiae/aneeo iieacaoaeae i?eiaiyeenue neaaeothuea iaoiaeu
enneaaeiaaiey: eco/aiea /enea O-, A-eei-oioeeoia, noaiiioeyoeeiiiiai
ninoaaa O-eeaoie n au/eneaieai eiioii?aaoeyoi?iiai eiaeaena CD4/CD8;
ii?aaeaeaiea eiioeaio?aoeee OeEE a nuai?ioea e?iae e eo iieaeoey?iiai
ninoaaa, niaea?aeaiey eiioiiaeiaoeeiia iniiaieo eeannia (A, I, G) e
anoanoaaiiiai eiaeae?othuaai oaeoi?a (AEO); enneaaeiaaiea oaaioeeoa?iie
aeoeaiinoe iiiioeeoia (OAI) iieacaoaeae aooinaineaeeecaoeee e oeaiaaui
aooiaioeaaiai – oeioniiio, eiiieaeniiio aioeaaio ec oeaie iaaiie
ieiaeaeeiu, ia/aii/iiio eeiii?ioaeaeo, a oaeaea aaeoa?eaeueiui
aeea?aaiai – cieioenoiai noaoeeieieea e aaiieeoe/aneiai no?aioieieea. Ec
aeioeie/aneeo oanoia inouanoaeyeinue ii?aaeaeaiea niaea?aeaiey a
nuai?ioea e?iae o?iaiy “n?aaeieo iieaeoe”, iaoaaieeoia ia?aeeniiai
ieeneaiiy eeieaeia (IIE) – iaeiiiaiai aeeaeueaeaaeaea (IAeA) e aeeaiiauo
eiiuthaaoia (AeE), noeueoaeae?eeueiuo a?oii a aeai?ioaeiaoa e?iae;
eco/aeanue aeoeaiinoue oa?iaioia aioeieneaeaioiie nenoaiu (AIC) –
eaoaeacu e noia?ieneaeaeeniooacu; ii?aaeaeyeenue o?iaie yeeicaiieaeia a
e?iae e oeeeee/aneeo ioeeaioeaeia. Aeey ioeaiee yooaeoeaiinoe
i?aaeeaaaaiiai eiiieaena aioeieneaeaioia (oieioa?iea aoeaoao,
eaa?oeaoei), yioa?ini?aaioia (neeea?ae I, iieeni?a) e eiioiiei??aeoi?ia
(oeiiaai, aeeicai) ana ianeaaeiaaiiua aieueiua OAeO auee ?acaeaeaiu ia
aeaa ?aiaeiiece?iaaiiua a?oiiu, ia?aay ec eioi?uo (iniiaiay) aeeth/aea
104 aieueiuo, iieo/aaoeo i?aaeeiaeaiiue eiiieaen i?aia?aoia, e aoi?ay
(98 aieueiuo) – oieueei iauai?eiyoia ea/aiea. Aeeniaina?iia iaaethaeaiea
ca auienaiiuie iaoeeaioaie, eioi?ua iiaeeaaeaee ianeaaeiaaieth,
inouanoaeyeinue ia i?ioyaeaiee 1,5-2-o eao. I?e iaiaoiaeeiinoe aieueiui
n OAeO i?iaiaeeeinue i?ioeai?aoeeaeeaiia ea/aiea. Onoaiiaeaii, /oi
aeeth/aiea aioeieneaeaioia, yioa?ini?aaioia e eiioiiei??aeoi?ia a
eiiieaen eiina?aaoeaiiai ea/aiey OAeO i?e aai iaino?aiee (?aoeeaeea
aiaeiu) iiauoaao yooaeoeaiinoue oa?aiee, niinianoaoao aieaa auno?iio
nieaeaieth neiioiiia eioieneeaoeee e ?aa?annee ianoiuo i?iyaeaiee
caaieaaaiey, aeinoeaeaieth iieiioeaiiie eeeie/aneie ?aiennee. O aieueiuo
iniiaiie a?oiiu ioia/aaony /aoei au?aaeaiiay iieiaeeoaeueiay aeeiaieea
eiioiieiae/aneeo iieacaoaeae, eioi?ay i?iyaeyaony eeeaeaeaoeeae
O-eeioiiaiee, ii?iaeecaoeeae niioiioaiey O-oaeia?ia e O-noi?anni?ia
(CD4/CD8), iiauoaieai OAI, nieaeaieai o?iaiy OeEE e ii?iaeecaoeeae eo
iieaeoey?iiai ninoaaa, oiaiueoaieai au?aaeaiiinoe naineaeeecaoeee e
oeaiaaui aooiaioeaaiai (oeioniiio, ia/aii/iiio eeiii?ioaeaeo,
eiiieaeniiio aioeaaio ec oeaie iaaiie ieiaeaeeiu) e aaeoa?eaeueiui
aeea?aaiai (cieioenoiai noaoeeieieea, aaiieeoe/aneiai no?aioieieea). E
iiiaioo aeienee ec noaoeeiia?a o 84,6% aieueiuo OAeO, iieo/eaoeo
i?aaeeiaeaiiue eiiieaen aioeieneaeaioia, yioa?ini?aaioia e
eiioiiei??aeoi?ia, ioia/aaony ii?iaeecaoeey eiioiiuo iieacaoaeae. I?e
i?iaaaeaiee aeeniaina?iiai iaaethaeaiey a oa/aiea aiaea noieeay
iieiioeaiiay ?aienney eiaea ianoi o 79,8% aieueiuo OAeO iniiaiie a?oiiu.
O 20,2% iaoeeaioia i?iaeieaeeoaeueiinoue ii?iaeecaoeee eiioiiuo
iieacaoaeae ninoaaeyea 4-6 ian, iinea /aai o?aaiaaeinue i?iaaaeaiea
iiaoi?iiai eo?na eiioiiei??aeoeee.

I?eiaiaiea aeioeie/aneeo iaoiaeia ianeaaeiaaiey iieacaei, /oi a iniiaiie
a?oiia aieueiuo OAeO iinea caaa?oaiiy eo?na eiina?aaoeaiiai ea/aiey n
i?eiaiaieai i?aaeeiaeaiiuo i?aia?aoia ?aaeno?e?oaony eeeaeaeaoeey
neiae?iia yiaeiaaiiie “iaoaaiee/aneie” eioieneeaoeee, i /ai
naeaeaoaeuenoaiaaei nieaeaiea o?iaiy “n?aaeieo iieaeoe”, a oaeaea
oiaiueoaiea eioaineaiinoe i?ioeannia IIE, /oi aeieoiaioe?iaaeinue
iiieaeaieai niaea?aeaiey a nuai?ioea e?iae aieueiuo i?iiaaeooi/iuo e
eiia/iuo i?iaeoeoia IIE – iaeiiiaiai aeeaeueaeaaeaea e aeeaiiauo
eiiuthaao. Ioia/aeinue oaeaea aic?anoaiea aeoeaiinoe oa?iaioia nenoaiu
aioeieneaeaioiie caueou (eaoaeacu e noia?ieneaeaeeniooacu), eeeaeaeaoeey
aeenaaeaina a nenoaiao yeeicaiieaeia e oeeeee/aneeo ioeeaioeaeia.
Onoaiiaeaii iieiaeeoaeueiia aeeyiea i?aaeeiaeaiiiai eiiieaena i?aia?aoia
ia iieacaoaee iee?iaaiiaeeiaieee o aieueiuo OAeO, /oi i?iyaeyeinue
ii?iaeecaoeeae oi?iu e eaeea?a iee?ininoaeia, eeeaeaeaoeeae aaaneoey?iuo
cii e ainnoaiiaeaieai a ieo e?iaioiea, oaaee/aieai eiee/anoaa
ooieoeeiie?othueo eaieeey?ia, en/aciiaaieai ia?eaaneoey?iiai ioaea,
nieaeaieai eiiuethieoeaaeueiue?o eiaeaenia.

Iinea ieii/aiey ea/aiey aaeoa?eieiae/aneia ianeaaeiaaiea iicaieeei
onoaiiaeoue, /oi iineoaeuenoai Staph. aureus a iniiaiie a?oiia ioia/aii
a 11,4% neo/aaa, a oi a?aiy eae a a?oiia niiinoaaeaiey a 3,8 ?ac /aua;
Str. pyogenes ec niaea?aeeiiai eaeoi iaaiuo ieiaeaeei auaeaeyeny a 20,9%
iaaethaeaiee a iniiaiie e 66,2% – a a?oiia niiinoaaeaiey.

Oaeei ia?acii, ?acoeueoaou eeeie/aneeo iaaethaeaiee, a oaeaea
eiiieaeniiai eiioiieiae/aneiai, aeioeie/aneiai e eino?oiaioaeueiiai
ianeaaeiaaiey iaoeeaioia n ?aoeeaeeaaie OAeO iicaieytho n/eoaoue
iaoiaaiaoe/anee iainiiaaiiui e oeaeaniia?aciui aeeth/aiea a eiiieaen
ea/aiey aeaiiie a?oiiu aieueiuo i?aia?aoia n aioeieneaeaioiuie
naienoaaie, eiioiiei??aeoi?ia e yioa?ini?aaioia.

Eeth/aaua neiaa: o?iie/aneee oiiceeeeo, eiioiiue noaoon, “n?aaeiea
iieaeoeu”, ia?aeeniia ieeneaiea eeieaeia, neiae?ii yiaeiaaiiie
“iaoaaiee/aneie eioieneeaoeee”, iee?iaaiiaeeiaieea, aioeieneaeaiou,
yioa?ini?aaiou, eiioiiei??aeoi?u.

SUMMARY

Shetinina T.A. Efficiency of conservative treatment chronic tonzillitis
with application of antioxidants, enterosorbents and immunocorrectors.
-Manuscript.

Dissertation for the degree of candidate of Medicine on a specialty
14.01.19 – otorhynolaryngology. – Lugansk state medical university.
-Lugansk, 1999.

The dissertation includes results of complex clinico-immunological,
biochemical and microhemodynamic inspection 282 patients with chronic
tonzillitis (ChT) in a phase of an aggravation as a relapse of quinsy.
Is established, that the inclusion of a complex antioxidants,
enterosorbents and immunocorrectors under the offered circuit in
addition to the standard conservative methods of therapy tonzillitis
raises efficiency of treatment ChT, promotes faster approach of regress
infectional and local displays of disease, achievement high-grade
clinical remission, and also liquidation of initially revealed
biochemical, immunological shifts and improvement microhemodynamic of
para-meters. Less expressed dynamics of the investigated parameters is
marked at heavy current of relapses of quinsy, often aggra-vations
tonzillitis, and also at the persons with clinical manifest accompanying
somatic by a pathology, that, on all visibility, just at this category
of the patients causes occurrence of the subsequent relapses ChT.

Key words: chronic tonzillitis, relapse of quinsy, immune status,
“medium molecules”, lipid peroxidation, syndrom endogenic metabolic
intoxication, microhemodinamic, antioxidants, enterosorbents,
immunocorrectors.

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