[The two-phase growth medium for sub-culturing of Helicobacter pylori].

A. Pylori is a very undemanding microorganism needing the in support of complex of conditions including particular atmosphere, temperature of culturing and composition of growth medium. The two-phase growth medium is recommended to sub-culturing in Petri dishes with diameter of 90 mm. The growth medium consists of chocolate agar with addition of Schedler broth and enriched with 10% serum of cattle.

[Gastrointestinal giardiasis associated with Helicobacter pylori].

The study involved 160 patients with chronic cholecystitis associated with chronic gastroduodenitis. Obtaining biopsy specimens of gastric mucosa and bile samples allowed to compare the microbial picture and the morphological structure of gastric mucosa in the same patient, to identify patterns of colonization of the stomach, 12 duodenal ulcer and gall bladder various microorganisms. At cytological examination was detected in the gall bladder G. lamblia in 47.5 +/- 3.95% of cases in the stomach--in 29.09 +/- 6.12% of cases. The frequency of H. pylori detection in biopsy of gastric mucosa amounted to 98.18 +/- 1.8% of cases, in 12-duodenum--93.75 +/- 1.9%, in the gall bladder--to 54.38 +/- 3.94%, in the bile duct--in 54.38 +/- 3.94%. It was found strict association between the detection of H. pylori and G. lamblia in the stomach--100% of H. pylori-infection combined with giardiasis. Morphological changes of gastric mucosa in the form of lymphoid infiltration detected mainly in the mixed-infection H. pylori and G. lamblia.

[Domestic chromogenic medium for isolation of Helicobacter pylori].

The aim of the investigation was to design a differentially diagnostic selective medium for accelerated isolation and identification of H. pylori, by using with erythrite-serum agar with urea and amphotericin (ESAM). The developed nutrient medium and three control ones: blood agar (BA), blood agar with amphotericin B at a concentration of 2 microg/ml (BAA) and erythrite-blood agar with urea and amphotericin (EBAA) were comparatively studied on 12 freshly isolated H. pylori and 15 biopsy specimens from patients with various gastroduodenal diseases. P. vulgaris 019 (a positive control) and E. coli 657 (a negative control) were used as a control of urease activity. ESAM was shown to isolate H. pylori from the biopsy specimens in 80% of cases. The investigations have indicated that the proposed medium isolates H. pylori at the level of control media and accelerates identification with the preservation of the major biological properties of the microorganism. Thus, erythrite-serum agar with urea may be recommended for use at practical laboratories for the diagnosis of H. pylori-associated infection diseases.

[Cationic Blue O staining for the cytological detection of Helicobacter pylori].

This investigation was undertaken to study whether cationic blue O staining might be used to improve the cytological diagnosis of H. pylori infection at gastric and extragastric sites. One hundred and sixty-four patients with chronic inflammatory diseases of the stomach and gallbladder were examined with cytological and molecular studies. Impression smears from the gastric mucosa and bile portions A, B, and C were studied. The stain proposed by the authors ensures a high efficiency in detecting H. pylori in different biological materials (gastric biopsy specimens, bile) with the determination of the degree of contamination makes it possible to evaluate the morphological changes in the gastric mucosa and bile epithelium. The detection results of smear H. pylori correlated with those of DNA in this microorganism, by using the polymerase chain reaction. The proposed cytological study may be recommended for both the primary diagnosis of H. pylori infection in patients with diseases of the stomach, duodenum, and gallbladder and the monitoring eradication therapy and its deserves extensive use by cytological laboratories.

[Helicobacter pylori in patients with disorders of hepatobiliary system].

AIM: Detection of H. pylori in gastric mucosa, bile-excreting ducts, livertissue, and bile of patients with different disorders hepatobiliary system (HBS). MATERIALS AND METHODS: Seventy-six patients (52 females and 24 males) with following diagnoses: chronic noncalculous cholecystitis (25 patients), gallstone disease (28), liver cirrhosis (12), ischemic heart disease (control group, n = 11), admitted to hospitals in Kazan and Zelenodolsk (Republic of Tatarstan), were examined. Mean age of the patients was 56.5 years. Samples of bile as well as tissues of liver, bile ducts and gastric mucosa were used as materials for tests. Polymerase chain reaction and culture method were used for H. pylori detection. RESULTS: Analysis of obtained results showed association of clinical diagnosis and presence of H. pylori DNA in bile ducts mucosal epithelium. H. pylori was significantly more frequently detected in epithelium of bile ducts mucosa (66.7 +/- 13.6%) and bile(56 +/- 9.9%) than in liver tissue (33.3 +/- 13.6%) (p < 0.05). Rate of H. pylori detection in gastric mucosa (83.3 +/- 10.8% in patients with liver cirrhosis) correlated with its detection rate in bile ducts mucosa (66.7 +/- 13.6%). In the control group of 11 patients with ischemic heart disease H. pylori was not detected. In 16 samples of liver, bile ducts, and gastric tissues CagA-negative phenotype was observed. CONCLUSION: Presence of H. pylori in liver, bile ducts and bile could point to possible role of its microorganism in pathogenesis of hepatobiliary diseases.