[Microbial ecology and the state of the gastrointestinal mucosa in patients with allergic diseases]. / Mikrobnaia ékologiia i sostoianie slizistoi obolochki zheludochno-kishechnogo trakta u bol'nykh allergicheskimi zabolevaniiami.

Patients with allergic diseases of the skin and the respiratory system were found to have a high rate of disturbances in the microbial ecology of the gastrointestinal tract and the involvement of all its sections into the pathological process. On the mucous membrane of different sections of the digestive tract spiral-like bacteria were detected in a large percentage of cases. The possibility of the fact that the development and maintenance of the allergic process were evidently linked with the detected changes in the microbial ecology and pathomorphological features of the gastrointestinal mucosa could hardly be excluded, which made it necessary to make corrections in the therapeutic process.

[Clinical and microbiological features of acute enteric mixed infection caused by Hafnia alvei and rotavirus]. / Kliniko-mikrobiologicheskie osobennosti ostroi kishechnoi mikst-infektsii, vyzvannoi bakteriiami Hafnia alvei i rotavirusom.

The data obtained in the clinical and laboratory study of 72 hospitalized patients with acute enteric infection are presented. The observed outbreak was caused by H. alvei producing heat-stable enterotoxin. The role of this etiological agent is also confirmed by simultaneous occurrence of the disease after using the same foodstuff, a short incubation period, the severity of the course of the disease with pronounced symptoms of neurotoxicosis, a high detection rate of H. alvei in material taken from patients at the acute period of the disease, rapid disappearance of this agent in the period of convalescence and a pronounced rise in the titer of specific antibodies to H. alvei in the dynamics of the disease. At the same time in the feces of 8 patients rotavirus antigen was detected, which, in combination with residual catarrhal phenomena, hyperemia and granularity of the pharynx, yellow stool, was indicative of the simultaneous circulation of rotavirus among these patients.

[Treatment efficacy in acute intestinal infections, chronic diseases of the gastrointestinal tract and viral hepatitis B using large doses of Russian Bifidumbacterin-forte]. / Effektivnost' lecheniia ostrykh kishechnykh infektsii, khronicheskikh boleznei zheludochno-kishechnogo trakta i virusnogo gepatita B bol'shimi dozami otechestvennogo Bifidumbakterina forte.

Until now viral and bacterial acute intestinal infections have a high percent in the whole structure of modern intestinal disorders morbidity. Taking into consideration inefficacy of antibacterial treatment in a number of cases, probiotics with antagonist effect on a wide range of bacteria have found a wide usage. This study proves clinic and morphological efficacy of large doses Bifidumbacterinum forte for the treatment of the diseases mentioned. The patients of the test group demonstrated a relation dyspeptic disturbances, improvement of total state in a shorter period than the patients of control group.

[Pathomorphology of the large intestinal mucosa in acute infectious colitis]. / Patomorfologiia slizistoi obolochki tolstoi kishki pri ostrykh infektsionnykh kolitakh.

634 biopsies of distal colon mucosa from 393 patients with acute intestinal bacterial and viral infections were studied histologically, histochemically and morphometrically. Acute catarrhal or catarrhal-hemorrhagic inflammation was found regardless of the colitis etiology (Shigella, Salmonella, Campylobacter, rotavirus). The most pronounced inflammation was in shigellosis and minimal one in rotavirus infection. Marked eosinophilic infiltration of the epithelium and tunica propria was observed in colonic contamination with C. pylori. Correlation analysis between morphometric indices in shigellosis and salmonellosis revealed a decrease in the number of strong functional links and the appearance of new ones indicating morphofunctional derangement.

[The leading pathways and factors in the transmission of the causative agents of campylobacteriosis under current conditions]. / Vedushchie puti i faktory peredachi vozbuditelei kampilobakterioza v sovremennykh usloviiakh.

The authors have studied the epidemiological importance of different paths and factors of the transmission of causative agents in the foci of campylobacteriosis, as well as the character and frequency of microbial associations detected in cases of campylobacteriosis. The family foci of campylobacteriosis have been epidemiologically studied and the detected factors contributing to contacting campylobacteriosis have been analyzed. As revealed in this study, 41.6% of the foci of campylobacteriosis are linked with the active action of the alimentary factor, while 37.9% of the foci are linked with the factor of everyday contacts. High frequency of microbial associations with Campylobacter has been established (20.8%), which makes it possible for sporadic cases and especially outbreaks of campylobacteriosis to be disguised as other infections.

[Chemotherapy of Campylobacter infections]. / Khimioterapiia kampilobakterioza.

A total of 600 patients with suspected alimentary food poisoning were hospitalized. The ++clinico-laboratory findings showed that 27 (4.5 per cent) of them had Campylobacter infection. The cultures of Campylobacter jejuni and Campylobacter coli were isolated from 24 and 3 patients, respectively. The patients underwent complex pathogenetic treatment with oral rehydration saline solutions, symptomatic agents, enzymatic preparations and diet (the basic therapy) supplemented with biological bacterial preparations in less severe cases (8 patients). Antibacterial drugs such as furazolidone (roxytromycin), gentamicin and levomycetin, as well as fluoroquinolones such as ofloxacin and ciprofloxacin were additionally used in the treatment of both the patients with the generalized infection and those with more severe processes of the disease, pronounced diarrhea with blood traces and persisting isolation of Campylobacter (12 patients). The most favourable results in the treatment of more severe patients with Campylobacter infection were obtained with the fluoroquinolones used after inadequately efficient therapy with furazolidone or antibiotics especially in the cases with repeated isolation of campylobacteria.

[The leading routes and factors in the transmission of the causative agent of campylobacteriosis under current conditions]. / Vedushchie puti i faktory peredachi vozbuditelia kampilobakterioza v sovremennykh usloviiakh.

Epidemiological investigations carried out at the foci of Campylobacter infection in Moscow and the Moscow region in 1987-1990 demonstrated that Campylobacter infection was recently registered as sporadic cases in a few foci. The alimentary route of the transmission of this infection was the main factor of its spread. A high role of everyday contacts in the spread of this infection was noted. The possibility for outbreaks and sporadic cases of Campylobacter infection to be masked by very frequently occurring associations of these bacteria is discussed.

[Morphological and morphometric characteristics of the large-intestinal mucosa in Campylobacter infections]. / Morfologicheskie i morfometricheskie osobennosti slizistoi obolochki tolstoi kishki pri kampilobakterioze.

Twenty-two biopsy specimens of colon mucosa were obtained from 16 patients with gastrointestinal campylobacteriosis histologically, histochemically and morphometrically. At the height of the disease colon mucosa of these patients showed a morphological picture of acute hemorrhagic and erosive--hemorrhagic colitis. When compared with such for other intestinal infections (shigellosis, salmonellosis, rotaviral gastroenteritis), the morphological features appeared to vary permitting a differential diagnosis with acute colitis due to above infections, but objective criteria to differentiate campylobacter-induced colitis from colitis in aggravation of nonspecific ulcerative one and Crohn's disease still remains to be found.

[Structure of the mucous membrane of the distal part of the large intestine in the monkey]. / Stroenie slizistoi obolochki distal'nogo otdela tolstoi kishki u obez'ian.

By means of histological, histochemical, immunohistochemical and morphometrical methods, according to 24 objective morphological parameters, bioptates of endoscopically unchanged mucosal membrane of the large intestine, obtained from 22 clinically healthy macaque rhesus males, have been studied. The data on vital structure and cellular interconnections in the mucous membrane of the distal part of the large intestine have been received. The data can be used for estimating certain pathological processes, when modelling the large intestine diseases in monkeys.

[Features of inflammation of the mucosa of the large intestine in nonspecific ulcerative colitis and Crohn's disease]. / Osobennosti vospaleniia slizistoi obolochki tolstoi kishki pri nespetsificheskom iazvennom kolite i bolezni Krona.

Histological, morphometric, and immunohistochemical studies (with detection of the local production of IgA, IgM, IgG, IgE, and IgD, secretory component of IgA, and deposition of the third complement component, C3) were carried out on biopsies of the colon mucosa from 66 patients with recurrent and continuous forms of nonspecific ulcerative colitis and 16 patients with Crohn's disease. Inflammation in the colon mucosa in the diseases under study was found to be accompanied by marked activation of the local immune system, increased local production of IgA and IgM as well as IgG, particularly in those parts of the mucosa which had no glands. Local synthesis of IgE and IgD also increases indicating allergic reaction in the mucosa alongside with tissue eosinophilia. The basal membrane of the surface epithelium was found to have C3 depositions. A typical feature was the lack of correlation between infiltration of the layer proper of the mucosa and epithelium which is regarded to be a manifestation of deficiency of T-lymphocytes (subpopulation of suppressors or lymphocytes taking part in regulation of epithelium regeneration).