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1.
Stud Russ Econ Dev ; 33(1): 100-106, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35233158

RESUMEN

The article presents the results of a correlation and regression analysis of the spatial placement of banking divisions in Russia as a basis for the development of structural transformations corresponding to solving the problems of modernizing the country's economy and eliminating regional imbalances in socioeconomic development. Variants of a qualitative assessment of structural changes in the Russian banking system are proposed, taking into account Russian specifics and predictive studies. The authors' contribution is an introduction to the correlation-regression analysis of the territorial location of the banking structures of microfinance organizations to test the hypothesis of their mutual complementarity.

2.
Artículo en Ruso | MEDLINE | ID: mdl-30695342

RESUMEN

AIM: Evaluate antibacterial activity of an experimental mixture of phages, belonging to several well-studied species. MATERIALS AND METHODS: The study was carried out using a group of 55 clinical Pseudomonas aeruginosa strains of various origins,- 4 mono-species mixtures of 32 virulent bacteriophages (species phiKZ-, phiKMV-, phiPBl-, PaP3-like phages) and 2 novel phages, phiMK (species PaK-P2) and phiPerm5. Activity of preparations from mono-species mixtures of bacteriophages ofvarious species were compared with activity of 3 commercial mixtures. Standard methods of study of bacteriophages were used: determination of lytic activity by seeding onto bacterial lawns of P. aeruginosa, restriction analysis of phage DNA for confirmation of their be- longing to certain species. RESULTS: Cumulative activity of 6 mono-species mixtures of virulent phages was shown to be similar to lytic activity of commercial therapeutic mixtures used against P. aeruginosa infections. 54 of 55 strains of clinical isolates of P: aeruginosa showed sensitivity to experimental mixtures composed of mono-species mixtures of bacteriophages. 53 strains were lysed by commercial preparations. Wherein the possibility of accidental inclusion of moderate -bacteriophages in the experimental mixture is excluded. CONCLUSION: A possibility of creation of highly active therapeutic antibacterial preparations against P. aeruginosa using mono-species mixtures of 6 species of lytic bacteriophages is shown Use of such a mixture in therapy of lung infections reduces the risk of emergence of bacterial strains with increased virulence and patho- genicity during prolonged administration.


Asunto(s)
Bacteriófagos , Terapia de Fagos , Infecciones por Pseudomonas/terapia , Pseudomonas aeruginosa/virología , Humanos
3.
Virology ; 468-470: 472-478, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25254945

RESUMEN

A unique feature of the Pseudomonas aeruginosa giant phage phiKZ is its way of genome packaging onto a spool-like protein structure, the inner body. Until recently, no similar structures have been detected in other phages. We have studied DNA packaging in P. aeruginosa phages EL and Lin68 using cryo-electron microscopy and revealed the presence of inner bodies. The shape and positioning of the inner body and the density of the DNA packaging in EL are different from those found in phiKZ and Lin68. This internal organization explains how the shorter EL genome is packed into a large EL capsid, which has the same external dimensions as the capsids of phiKZ and Lin68. The similarity in the structural organization in EL and other phiKZ-like phages indicates that EL is phylogenetically related to other phiKZ-like phages, and, despite the lack of detectable DNA homology, EL, phiKZ, and Lin68 descend from a common ancestor.


Asunto(s)
Bacteriófagos/fisiología , Bacteriófagos/ultraestructura , Genoma Viral/fisiología , Pseudomonas aeruginosa/virología , Microscopía por Crioelectrón
4.
Genetika ; 49(8): 930-42, 2013 Aug.
Artículo en Ruso | MEDLINE | ID: mdl-25474880

RESUMEN

The genome structure and some specific features of temperate Pseudomonas aeruginosa phage phi297 are considered. Analysis of sequencing data and genome annotation suggest that the phi297 genome displays a mosaic structure, which has formed through combining gene blocks from bacteria of taxonomically remote groups and/or their phages. The results of a comparison of the phi297 DNA homology level and pattern with the genome sequences of the currently known related P. aeruginosa bacteriophages are interpreted from the perspective of assumed active migration of these phages between different bacterial species.


Asunto(s)
Genoma Viral , Fagos Pseudomonas/genética , Pseudomonas aeruginosa/virología , Microscopía Electrónica , Anotación de Secuencia Molecular , Pseudomonas aeruginosa/genética , Homología de Secuencia de Ácido Nucleico
5.
Genetika ; 48(9): 1057-67, 2012 Sep.
Artículo en Ruso | MEDLINE | ID: mdl-23113333

RESUMEN

Results of studying the novel virulent phage phiPMG1 active on Pseudomonas aeruginosa are presented. phiPMG1 was shown to exhibit detectable homology and resemblance in the total genome structure with temperate converting phage D3. Phage phiPMG1 differs from D3 in that it fails to stably lysogenize bacteria and can grow on strains carrying plasmids that cause growth inhibition of phage D3 and some other phages. This significantly diminishes the probability of horizontal gene transfer with phage phiPMG1 and suggests the possible employment of this phage in phage therapy. A comparison of genome structures in phages phiPMG1 and D3 demonstrated not only high homology of 65 genes, but also the presence in the phiPMG1 genome of 16 genes that were not recorded in the files of NCBI database. Apparently, the evolution of genomes in phages of this species is mostly associated with migrations into other species of bacteria and recombinations with phages of other species (for example, F116). Detailed structural analysis a genome region in which the essential nonhomology is exhibited between three D3-like phages (D3, phiPMG1, and PAJU2) revealed that the phiPMG1 genome supposedly is phylogenetically closer than the others to the genome of a hypothetical ancestor phage belonging to this species.


Asunto(s)
Genes Virales , Genoma Viral , Fagos Pseudomonas/genética , Pseudomonas aeruginosa/genética , Transferencia de Gen Horizontal , Fagos Pseudomonas/fisiología , Pseudomonas aeruginosa/virología , Análisis de Secuencia de ADN , Homología de Secuencia de Ácido Nucleico
6.
Genetika ; 47(7): 900-4, 2011 Jul.
Artículo en Ruso | MEDLINE | ID: mdl-21938953

RESUMEN

The genome of halo-forming temperate Pseudomonas aeruginosa phage phi297 and lytic activity of its virulent mutant were studied. A mosaic structure was revealed for phi297 genome by its complete sequencing. The phi97 genome was partly homologous to the genomes of phages D3 and F116. High lytic activity was assumed for temperate P. aeruginosa bacteriophage phi297 on the basis of morphological features of negative colonies. Virulent mutant phi297vir, which was capable oflysing bacteria, while the wild-type phage induced lysogeny, was isolated. Lytic activity was compared for phi297 and the phages from commercial mixtures of two manufacturers (facilities of Nizhnii Novgorod and Perm'). Phage phi297 caused lysis of the mutant PAO1 bacteria that were resistant to the phages from commercial preparations, but the lystic activity spectrum of phi297 was narrower that the spectra of the commercial phages. The use of nonreverting virulent mutants of certain temperate bacteriophages was proposed for the treatment of P. aeruginosa infections.


Asunto(s)
Bacteriófagos/fisiología , Genoma Viral/fisiología , Pseudomonas aeruginosa/virología , Infecciones por Pseudomonas/terapia , Infecciones por Pseudomonas/virología
7.
Genetika ; 47(2): 183-9, 2011 Feb.
Artículo en Ruso | MEDLINE | ID: mdl-21516790

RESUMEN

The article continues a study of pseudolysogeny in Pseudominas aeruginosa infected with phiKZ-like phages of the EL species. Analysis was performed for several newly isolated virulent mutants of EL phages (EL and RU) that were virulent (capable of causing lysis of bacteria infected with the wild-type phage) and a lower extent of opalescence of negative colonies (NCs). Wile-type recombinants were detected in crosses of virulent mutants of phages EL and RU to confirm the polygenic control of virulence. Since a deletion mutation was found in one of the virulent EL mutants and high genetic instability was characteristic of another mutant, a mobile genetic element was assumed to play a role in mutagenesis. Pseudolysogeny of bacteria provides for horizontal gene transfer between different bacterial strains. Hence, sequencing of the phage genome and demonstration of the lack of toxic gene products are insufficient for the phage to be included into a therapeutic mixture. To use live phages, it is essential to study in detail the possible consequences of their interaction with host bacteria.


Asunto(s)
Bacteriófagos/fisiología , Bacteriófagos/patogenicidad , Genoma Viral/fisiología , Lisogenia/fisiología , Mutación , Pseudomonas aeruginosa/virología , Filogenia
8.
Genetika ; 47(1): 5-9, 2011 Jan.
Artículo en Ruso | MEDLINE | ID: mdl-21446178

RESUMEN

The properties of new virulent bacteriophage TL of Pseudomonas aeruginosa belonging to the family Podoviridae (genome size of 46 kb) were investigated. This bacteriophage is capable of lysogenizing the bacterial lawn in halo zones around negative colonies (NC) of other bacteriophages. TL forms large NC, that are hardly distinguishable on the lawn of P. aeruginisa PAO1. At the same time, on the lawns of some phage-resistant PAO1 mutants, as well as on those produced by a number of clinical isolates, TL forms more transparent NC. It is suggested that more effective growth of the bacteriophage TL NC is associated with the differences in outer lipopolysaccharide (LPS) layer of the cell walls of different bacterial strains, as well as of the bacteria inside and outside of the halos. This TL property was used to optimize selection of bacteriophages producing halos around NC on the lawn of P. aeruginosa PAO1. As a result, a group of bacteriophages differing in the patterns of interaction between their halos and TL bacteriophage, as well as in some characters was identified. Taking into consideration the importance of cell-surfaced structures of P. aeruginosa in manifestation of virulence and pathogenicity, possible utilization of specific phage enzymes, polysacchadide depolymerases, for more effective treatment of P. aeruginosa infections is discussed.


Asunto(s)
Bacteriófagos/fisiología , Glicósido Hidrolasas/biosíntesis , Pseudomonas aeruginosa/virología , Tipificación de Bacteriófagos , Bacteriófagos/crecimiento & desarrollo , Mutación , Pseudomonas aeruginosa/genética , Pseudomonas aeruginosa/crecimiento & desarrollo
9.
Genetika ; 46(2): 159-67, 2010 Feb.
Artículo en Ruso | MEDLINE | ID: mdl-20297649

RESUMEN

Some properties of bacteriophages with large (200 kb and more) sequenced genomes have been compared. In contrast to other large bacteriophages from different families, bacteriophages active on pseudomonads of various species (phiKZ-like bacteriophages) have some common features, which suggests their phylogenetic relationship and independence of their evolution as a result of migration among bacteria of this family. Among such common features are the absence in the genomes of these phages of sites sensitive to endonuclease PstI, the absence of genes encoding DNA polymerases that are similar to the known enzymes of this type, possible dependence of replication of the phage genome on bacterial DNA polymerase, and a considerably larger average gene size as compared to that for other phages. Criteria are suggested for searching for novel phiKZ-like bacteriophages: the size of a phage particle, production by bacteria infected with such phages of a large amount of highly viscous mucus. Taking into account the use of these bacteriophages in therapeutic preparations (due to a broad spectrum of lytic activity) and a poor knowledge of a majority of their gene products, it seems necessary to perform a more comprehensive genetic analysis of phages of this genus or their mutants for selecting those adequate for phage therapy.


Asunto(s)
Bacteriófagos/fisiología , Evolución Molecular , Genoma Viral/fisiología , Bacterias/virología , Especificidad de la Especie
10.
Genetika ; 46(1): 26-32, 2010 Jan.
Artículo en Ruso | MEDLINE | ID: mdl-20198876

RESUMEN

In this work, a final piece of evidence proving that bacteria Pseudomonas aeruginosa are capable of transition to the pseudolysogenic state after infection with phiKZ-like phages has been produced. It was shown that the decisive factor in this process is multiple infection of bacteria with bacteriophages belonging to this genus. In the course of this work, stable clinical isolates of bacteria liberating novel bacteriophages of this genus (Che2/2 and Che21/5) were detected and attributed to species phiKZ and EL, respectively, according to their phenotypic characters and the results of DNA analysis. For three bacteriophages belonging to species EL (EL, RU, and Che21/5), mutants with disorders in the capability for pseudolysogenization were isolated. One of the mutants of phage EL possesses properties of virulent mutants of typical temperate phages (vir mutant). This mutant fails to form pseudolysogens and, moreover, provides the effect of dominance upon coinfection of bacteria with the wild-type phage EL, but however is unable to exhibit this effect upon joint infection of bacteria with wild-type phages of species phiKZ and Lin68. It is assumed that the effect of pseudolysogeny may be connected with functioning of phiKZ and EL genes that control the products similar to repressors of other phages. Because earlier wild-type phiKZ-like phages were shown to be present in commercial phage-therapeutic preparations (which represents certain problems), it is expedient to use virulent mutants of phages belonging to this genus rather than phages of the wild type.


Asunto(s)
Lisogenia/genética , Fagos Pseudomonas/genética , Pseudomonas aeruginosa/genética , Pseudomonas aeruginosa/virología , Regulación Viral de la Expresión Génica , Fagos Pseudomonas/crecimiento & desarrollo
11.
Genetika ; 45(2): 185-95, 2009 Feb.
Artículo en Ruso | MEDLINE | ID: mdl-19334612

RESUMEN

Comparison of Pseudomonas putida group of phages attributed to five species (af, phi15, phi27, phi2F, and pf16) with their common property of halo-formation (formation of lightening zones) around phage plaques was conducted. The halo around phage plaques appears as a result of reduction or disappearance of bacterial polysaccharide capsules. The concentration of viable bacteria remains unchanged within the halo. A comparison of specificities of halo-formation products from various phages was conducted by a simple method. These products were shown to be highly specific and inactive on other species of pseudomonads. Phage-resistant P. putida mutants scored with respect to various phages, which lost phage adsorption ability, were tolerant to the effect of halo-formation products in most cases. Apparently, the capsular polysaccharides, which serve as a substrate for depolymerases and are the primary phage receptors, may be often lost. Results of partial sequencing of the af phage genome revealed an open reading frame that encodes the enzyme transglycosylase similar rather to transglycosylases of oligotrophic bacteria belonging to different species than to lysozymes of other phages. Possibly, it is a polyfunctional enzyme combining functions of lysozyme and an enzyme that executes the penetration of phage particle across extracellular slime and capsule.


Asunto(s)
Bacteriófagos/enzimología , Biopelículas , Genoma Viral/fisiología , Muramidasa/metabolismo , Pseudomonas putida/virología , Proteínas Virales/metabolismo , Cápsulas Bacterianas/genética , Cápsulas Bacterianas/metabolismo , Bacteriófagos/genética , Muramidasa/genética , Sistemas de Lectura Abierta/fisiología , Polisacáridos/genética , Polisacáridos/metabolismo , Pseudomonas putida/enzimología , Pseudomonas putida/genética , Análisis de Secuencia de ADN , Proteínas Virales/genética
12.
Genetika ; 44(2): 185-94, 2008 Feb.
Artículo en Ruso | MEDLINE | ID: mdl-18619036

RESUMEN

A group of 12 Pseudomonas aeruginosa virulent bacteriophages of different origin scored with regard to the plaque phenotype are assigned to PB1-like species based on the similarity in respect to morphology of particles and high DNA homology. Phages differ in restriction profile and the set of capsid major proteins. For the purpose of studying adsorption properties of these phages, 20 random spontaneous mutants of P. aeruginosa PAO1 with the disturbed adsorption placed in two groups were isolated. Mutants of the first group completely lost the ability to adsorb all phages of this species. It is assumed that their adsorption receptors are functionally inactive or lost at all, because the attempt to isolate phage mutants or detect natural phages of PB1 species capable of overcoming resistance of these bacteria failed. The second group includes five bacterial mutants resistant to the majority of phages belonging to species PB1, These mutants maintain the vigorous growth of phage SN and poor growth of phage 9/3, which forms turbid plaques with low efficiency of plating. In the background of weak growth, phage 9/3 yields plaques that grew well. The examination of the progeny of phage 9/3, which can grow on these bacteria, showed that its DNA differed from DNA of the original phage 9/3 by restriction profile and is identical to DNA of phage PB1 with regard to this trait. Data supported a suggestion that this phage variant resulted from recombination of phage 9/3 DNA with the locus of P. aeruginosa PAO1 genome encoding the bacteriocinogenic factor R. However, this variant of phage 9/3 did not manifest the ability to grow on phage-resistant mutants of the first group. Possible reasons for the difference between phages 9/3 or SN and the remaining phages of PB1 species are discussed. A preliminary formal scheme of the modular structure for adsorption receptors on the surface of P. aeruginosa PAO1 bacteria was constructed based on the analysis of growth of some other phage species on adsorption mutants of the first type.


Asunto(s)
ADN Bacteriano/metabolismo , Mutación , Myoviridae/fisiología , Pseudomonas aeruginosa/genética , Pseudomonas aeruginosa/virología , Sitios de Carácter Cuantitativo/fisiología , Adsorción , Proteínas Bacterianas/genética , Proteínas Bacterianas/metabolismo , ADN Bacteriano/genética , Myoviridae/genética , Receptores Virales/genética , Receptores Virales/metabolismo , Especificidad de la Especie
13.
Genetika ; 42(8): 1065-74, 2006 Aug.
Artículo en Ruso | MEDLINE | ID: mdl-17025156

RESUMEN

Study of two recently isolated giant bacteriophages Lu11 and OBP that are active on Pseudomonas putida var. Manila and Pseudomonas fluorescens, respectively, demonstrated their similarity in morphology, genome size, and size of phage particles, with giant bacteriophages of Pseudomonas aeruginosa assigned to the supergroup of phiKZ-like phages of the family Myoviridae designated in this manner according to the best studied phage phiKZ that belongs to the species of this group widely distributed in nature. Comparison of major polypeptide sizes of mature particles suggests the similarity of certain proteins in the phages examined. In OBP particles visualized with an electron microscope, an "inner body" was detected, which points to the specific DNA package intrinsic to phages of phiKZ group. In the meantime, phages Lul11 and OBP do not exhibit resemblance among themselves or with any of earlier described phiKZ-like phages in respect to other traits; particularly, they have no detectable DNA homology. Note that phage Lu11 of P. putida var. Manila exhibits very slight homology with phage Lin68 of the family of P. aeruginosa phiKZ-like phages detected only in blot hybridization. This suggests the possible involvement of these phages in interspecies recombination ("gene shuffling") between phages of various bacterial species. Results of partial sequencing of phage genomes confirmed the phylogenetic relatedness of phage OBP to phages of the phiKZ-supergroup, whereas phage Lu11 most probably belongs to a novel species that is not a member of supergroup phiKZ composition. The results of the study are discussed in terms of the evolution of these phages.


Asunto(s)
Fagos Pseudomonas/genética , Fagos Pseudomonas/fisiología , Pseudomonas aeruginosa/virología , Microbiología del Suelo , Genoma Viral/genética , Filogenia , Fagos Pseudomonas/ultraestructura , Análisis de Secuencia de ADN
14.
Genetika ; 42(2): 159-68, 2006 Feb.
Artículo en Ruso | MEDLINE | ID: mdl-16583699

RESUMEN

A study was made of several bacteriophages (including phages U2 and LB related to T-even phages of Escherichia coli) that grow both on E. coli K12 and on some Salmonella strains. Such phages were termed ambivalent. T-even ambivalent phages (U2 and LB) are rare and have a limited number of hosts among Salmonella strains. U2 and LB are similar to canonical E. coli-specific T-even phages in morphological type and size of the phage particle and in reaction with specific anti-T4 serum. Phages U2 and LB have identical sets of structural proteins, some of which are similar in size to structural proteins of phages T2 and T4. DNA restriction patterns of phages U2 and LB differ from each other and from those of T2 and T4. Still, DNAs of all four phages have considerable homology. Unexpectedly, phages U2 and LB grown on Salmonella bungori were unstable during centrifugation in a CsCl gradient. Ambivalent bacteriophages were found in species other than T-even phages and were similar in morphotype to lambdoid and other E. coli phages. One of the ambivalent phages was highly similar to well-known Felix01, which is specific for Salmonella. Ambivalent phages can be used to develop a new set for phage typing in Salmonella. An obvious advantage is that ambivalent phages can be reproduced in the E. coli K12 laboratory strain, which does not produce active temperate phages. Consequently, the resulting typing phage preparation is devoid of an admixture of temperate phages, which are common in Salmonella. The presence of temperate phages in phage-typing preparations may cause false-positive results in identifying specific Salmonella strains isolated from the environment or salmonellosis patients. Ambivalent phages are potentially useful for phage therapy and prevention of salmonellosis in humans and animals.


Asunto(s)
Proteínas de la Cápside/genética , ADN Viral/genética , Fagos de Salmonella/genética , Fagos T/genética , Anticuerpos/inmunología , Especificidad de Anticuerpos/genética , Especificidad de Anticuerpos/inmunología , Técnicas de Tipificación Bacteriana/métodos , Secuencia de Bases , Proteínas de la Cápside/inmunología , Escherichia coli K12/genética , Escherichia coli K12/inmunología , Escherichia coli K12/virología , Datos de Secuencia Molecular , Salmonella/genética , Salmonella/inmunología , Salmonella/virología , Fagos de Salmonella/inmunología , Homología de Secuencia de Aminoácido , Fagos T/inmunología
15.
Voen Med Zh ; 325(9): 46-51, 80, 2004 Sep.
Artículo en Ruso | MEDLINE | ID: mdl-15537103

RESUMEN

Psycho- and neurophysiologic investigation of 66 Navy specialists aged 18-71 has revealed the consecutive age-related worsening of different components of operators' activities with predominant and more early disorders in the processes of sensomotor coordination and attention. Apparently the age-related changes in functional state of certain cerebral areas underlie the observed disorders in operators' activities. It is supported by the results of correlation analysis between neurophysiologic and psychophysiologic indices.


Asunto(s)
Atención/fisiología , Encéfalo/fisiología , Memoria/fisiología , Personal Militar , Adolescente , Adulto , Factores de Edad , Anciano , Envejecimiento/fisiología , Envejecimiento/psicología , Electroencefalografía , Humanos , Masculino , Persona de Mediana Edad , Personal Militar/psicología , Medicina Naval , Federación de Rusia
17.
Genetika ; 38(11): 1470-9, 2002 Nov.
Artículo en Ruso | MEDLINE | ID: mdl-12500672

RESUMEN

A comparative study was made of a group of Pseudomonas aeruginosa virulent giant DNA bacteriophages similar to phage phi KZ in several genetic and phenotypic properties (particle size, particle morphology, genome size, appearance of negative colonies, high productivity, broad spectrum of lytic activity, ability to overcome the suppressing effect of plasmids, absence of several DNA restriction sites, capability of general transduction, pseudolysogeny). We have recently sequenced the phage phi KZ genome (288,334 bp) [J. Mol. Biol., 2002, vol. 317, pp. 1-19]. By DNA homology, the phages were assigned to three species (represented by phage phi KZ, Lin68, and EL, respectively) and two new genera (phi KZ and EL). Restriction enzyme analysis revealed the mosaic genome structure in four phages of the phi KZ species (phi KZ, Lin21, NN, and PTB80) and two phages of the EL species (EL and RU). Comparisons with respect to phage particle size, number of structural proteins, and the N-terminal sequences of the major capsid protein confirmed the phylogenetic relatedness of the phages belonging to the phi KZ genus. The origin and evolution of the phi KZ-like phages are discussed. Analysis of protein sequences encoded by the phage phi KZ genome made it possible to assume wide migration of the phi KZ-like phages (wandering phages) among various prokaryotes and possibly eukaryotes. Since the phage phi KZ genome codes for potentially toxic proteins, caution must be exercised in the employment of large bacteriophages in phage therapy.


Asunto(s)
Filogenia , Fagos Pseudomonas/fisiología , Pseudomonas aeruginosa/virología , Evolución Biológica , Cápside/metabolismo , Desoxirribonucleasa HindIII/metabolismo , Genoma Viral , Lisogenia/genética , Fagos Pseudomonas/clasificación , Pseudomonas aeruginosa/genética , Mapeo Restrictivo , Homología de Secuencia de Aminoácido , Transducción Genética
18.
Vopr Onkol ; 42(6): 69-71, 1996.
Artículo en Ruso | MEDLINE | ID: mdl-9123907

RESUMEN

The results of clinical trials of Makmiror-Complex for treatment of infectious vulvovaginitis of mixed etiology are discussed. The study group included 15 patients, aged 18-50, who contracted infectious vulvovaginitis of mixed etiology in the course or shortly after radiation and/or chemotherapy for tumors. The drug proved highly effective.


Asunto(s)
Antiinfecciosos/uso terapéutico , Antineoplásicos/efectos adversos , Radioterapia/efectos adversos , Vulvovaginitis/etiología , Adulto , Antiinfecciosos/efectos adversos , Femenino , Humanos , Persona de Mediana Edad , Resultado del Tratamiento , Vulvovaginitis/microbiología
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