[Study of nasal and tonsillar mucosal microbiocenoses as one of the health indices].

The qualitative and quantitative compositions of nasal and tonsillar mucosal biocenoses were studied in healthy individuals and patients with chronic tonsillitis as an ecological criterion for assessing the stability of biocenosis and human health. The qualitative composition of tonsillar mucosal biocenosis turned out to be steady-state both in health and disease. The human nasal mucosa showed itself as an indicator system. Staphylococcal strains with a high persistent potential and polyantibiotic resistance, which may cause an exacerbation of the inflammatory process on translocation to the tonsillar mucosa, were selected on the nasal mucosa of patients with chronic tonsillitis.

[The role of persistence and virulence factors in microecological changes in a humans].

The patterns of persistence and virulence factors expression in the representatives of human microbial biocenosis depends on a complex of the environmental conditions: influence of microbes-symbionts, biotope peculiarities, properties of microorganisms located within eukaryotes. Interactions of symbionts in pairs "indigen-indigen" isolated from mucous membrane of tonsils in healthy persons, did not lead to changes in expression of pathogenic properties. Interinfluence in pairs "pathogen-indigen" and "indigen-indigen", isolated from patients with chronic tonsilitis were accompanied by an increase of anti-lysozyme, hemolytic and lecithovitellase activities. Migration of strains of non-enzymatized gram-negative bacteria (NEYNB) from nasal into tympanic cavity in experimental acute purulent otitis is connected with an earlier increase of their number in the nasal cavity and the expression of anti-lysozyme activity. In acute and chronic pyoderma, expression of ALA is more marked in bacteria from a perifocal damage in contrast to focal damage of normal skin. In conditions of interaction between erythrocytes and staphylococcal clones with different levels of expression of pathogenic factors, differences were observed in dynamics of hemolytic and anti-hemoglobin activities.

[Microflora of the mucous membrane of human tonsils in the normal state and in pathology].

A total of 50 healthy persons and 50 chronic tonsillitis patients were examined with the use of the bacteriological method. The microflora of tonsillar mucous membrane was represented by 8 genera of facultative anaerobic microorganisms. In the biocenosis of the tonsillar mucosa of the healthy subjects the occurrence of Streptococcus was 1.5-fold greater than in that of the patients; microorganisms of the genus Staphylococcus prevailed on the tonsillar mucosa of chronic tonsillitis patients 1.3-fold prevailed more often and Klebsiella and Neisseria prevailed 4-fold more often. Among the microorganisms isolated from the patients, cultures simultaneously having two or more pathogenicity markers occurred twice as often as among the representatives of the microbiocenosis obtained from the healthy subjects. The microflora of the tonsillar mucosa of the chronic tonsillitis patients was characterized by resistance to penicillins, macrolides and aminoglygosides, but was simultaneously sensitive to lincosamides and glycopeptides.

[Bacterial interactions]. / Mezhbakterial'nye vzaimodeistviia.

The review deals with specific features of interactions in microbial biocenoses. The subdivision of the mechanisms of microbial interactions in associations into direct and indirect ones is proposed. The formation of intercellular contacts and matrix belongs to one group of mechanisms, the second group includes the products of metabolism (changes in the physical and chemical composition of the medium, specific growth regulators) and secreted factors (antibacterial substances, pheromones and signal molecules, vitamins, specific mediators). The applied aspects of the knowledge of microbial interactions in the human body are presented.

[Some features of tonsillar microflora and microbial interaction (in normal and pathological states)]. / Nekotorye osobennosti mikroflory mindalin i mezhmikrobnogo vzaimodeistviia (v norme i pri patologii).

The description of a new method for the determination of interaction between bacterial strains isolated from the mucous membrane of tonsils of healthy children and patients with chronic tonsillitis. In the analysis of mutual influence of symbionts on the hemolytic, lecitovitellase, lysozyme and antilysozyme activity of microbes isolated from healthy children no changes in the expression of these pathogenicity and persistence factors have been detected in the overwhelming majority of cases (70.8-89.9%). In the microflora of sick children interactions were synergic with respect to pathogenicity factors in 35.2-46.7% of cases and antagonistic in 18.7-31.3% of cases.