Combined use of antibiotics and probiotics as a way to enhance the efficiency of treatment for genital infections


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Abstract

Objective. To evaluate the efficiency of combined use of antibiotics and probiotics in patients with bacterial vaginosis and trichomoniasis. Material and methods. Based on subjective and objective (pH and redox potential, the number of lactobacilli, T. vaginalis, A. vaginae, G. vaginalis, Amsel, Nugent and Hay-Ison scoring criteria) parameters, the investigators evaluated the efficiency of combined use of oral metronidazole and the intravaginal probiotic lactoginal. The control group received traditional therapy. Results. The use of probiotics in combination with metronidazole led to a more intense normalization of the physicochemical and microbiological parameters of the biotope. The eff iciency of this therapy regimen was 80%, while that of traditional therapy was 20%. Conclusion. Potentiation of the antimicrobial activity of antibiotics by probiotics has been confirmed in vivo. Probiotics that potentiate the activity of antibiotics are able to replenish the function of the normal microflora during antibiotic therapy. A question is raised as to the need for a new indication for the use of probiotics - to improve the efficiency of antibiotic therapy.

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About the authors

Andrey Viktorovich Sgibnev

Institute of Cellular and Intracellular Symbiosis, Ural Branch, Russian Academy of Sciences

Email: sgibnew72@yandex.ru
doctor of Biology, associate professor, leading researcher, Laboratory for the study of the mechanisms of formation microbiocenoses of humans

Elena Aleksandrovna Kremleva

Institute of Cellular and Intracellular Symbiosis, Ural Branch, Russian Academy of Sciences; Orenburg State Medical University

Email: 1@mail.ru
MD, leading researcher, Laboratory for the study of the mechanisms of formation microbiocenoses of humans; Associate Professor, Department of Obstetrics and Gynecology

Yuliya Sergeevna Shchetinina

Orenburg State Medical University

Email: koto-yuliya@yandex.ru
PhD, Associate Professor, Department of Obstetrics and Gynecology

Yuliya Igorevna Cherkasova

Institute of Cellular and Intracellular Symbiosis, Ural Branch, Russian Academy of Sciences

Email: yulya.cherkasova.2018@mail.ru
postgraduate

References

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  5. Sgibnev A., Kremleva E. Influence of hydrogen peroxide, lactic acid, and surfactants from vaginal lactobacilli on the antibiotic sensitivity of opportunistic bacteria. Probiotics Antimicrob. Proteins. 2017; 9(2): 131-41.
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