[MEDICAL AND SOCIAL STATE OF HEALTH IN FAMILIES WITH THE FOCUS OF RESPIRATORY CHLAMYDIA].

Medical and social state of health in family persons was assessed on the basis of a questionnaire. Developed by the author's questionnaire included two sections, reflecting the state of health, health risk factors and social characteristics of the family members of ENT patients. In the article there is presented an analysis of the medical and social state of 44 families of patients with diseases of the upper respiratory tract associated with chlamydial infection. The comparison was performed with 43 families of ENT patients with unconfirmed respiratory chlamydia. Diagnosis of Chlamydia infection complex was carried out with the use of laboratory methods (direct immunofluorescence and enzyme-linked immunosorbent assays, polymerase chain reaction). The health and social status of families with hearth respiratory chlamydia were shown to be significantly worse compared with families with the lack of the latter

[Optimization of medical care provided to the patients suffering respiratory chlamydiosis].

The objective of the present study was to elaborate the complex of measures intended to optimize medical care for the patients suffering respiratory chlamydiosis. The adequate organizational measures concerning the prophylactic and therapeutic treatment of inflammatory pathology of the upper respiratory tract associated with Chlamydia infection have not been proposed up to the present time and need to be urgently developed. The importance of this issue has been confirmed in a study involving 245 subjects that demonstrated the imperfection of the structure of the currently operating system of outpatient and hospital-based service provided to the patients with respiratory chlamydiosis. The authors propose the program that defines priority activities in the field under discussion and outline possible ways to reduce morbidity and the number of cases.

[Peculiar manifestations of familial chlamydiasis of the upper respiratory tract].

The aim of the present study was to elucidate the frequency of chlamydial infection in the members of the families having the confirmed disease and concomitant ENT pathologies. Another objective was the comparative analysis of otorhinolaryngological morbidity in the families with and without the carriers of respiratory chlamydiasis. A total of 87 families were involved in the study. Chlamydial infection was diagnosed by a set of laboratory methods including direct immunofluoresent and immunoenzyme analysis as well as polymerase chain reaction (PVR). It was shown that the presence of a patient suffering from respiratory chlamydiasis in the family creates the risk of infection for its remaining members. Moreover the frequency of ENT morbidity increases in the families that serve as a hotbed of chlamydiasis of the upper respiratory tract.

[Comparative characteristics of the staphylococcus landscape of nasal mucosa in patients with sinusitis and rhinitis].

This paper reports results of the study of nasal mucosal microflora in patients with chronic sinusitis (CS) and rhinitis (CR). The study revealed dysbacteriosis of nasal mucosa in the patients of both groups. At the same time, the structure of mucosal microbiocenoses was not significantly different in patients with CS and CR. Moreover, the study has demonstrated enhanced pathogenic activity of Staphylococcus bacteria in both CS and CR.

[Properties of nasal mucosal microflora in patients with allergic rhinosinusitis].

Analysis of microbial composition of nasal mucosa in patients with allergic rhinitis revealed marked changes in microflora compared with healthy subjects. Specifically, the overall diversity of staphylococci decreased while the abundance of S. aureus increased. The number of strains with pathogenic and persisting properties in patients with allergic rhinitis was greater than in controls.

[Microbiocenosis of nasal mucous membrane during allergic rhinosinusitis].

Overall quantity of microorganisms and their relative prevalence on nasal mucous membrane in patients with allergic rhinosinusitis are determined. Microbial flora in studied group was characterized qualitatively and quantitatively. Obtained results showed that there were changes of microbiocenosis of nasal mucous membrane during allergic rhinosinusitis and in characteristics of species in Staphylococcus genus.

[A method of myringoplasty used in patients with extensive defects of the tympanic membrane]. / Sposob miringoplastiki u lits s obshirnymi defektami barabannoi pereponki.

Multilayer transplants made up of an ultrathin allocartilaginous plate (an internal layer), autofascia of musculus temporalis (an intermediate layer) and stored amnion (an external layer) were used to eliminate extensive perforations of the tympanic membrane. The transplantation resulted in high proportion of the graft takes with a considerable improvement of hearing.