REDUCTION IN THE RISK OF INFECTIOUS COMPLICATIONS DURING ARTIFICIAL PREGNANCY TERMINATION AND THE POSSIBILITIES OF FURTHER REHABILITATION
- Autores: SAVELYEVA I.S1, PLOTKO E.E2, BAIKOVA M.K3
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Afiliações:
- Russian Peoples' Friendship State University, Russian Agency for Education
- «Harmony» Medical Center, Yekaterinburg
- City Hospital Seventeen, Western Administrative District, Moscow
- Edição: Nº 7-2 (2011)
- Páginas: 60-65
- Seção: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/246625
- ID: 246625
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Resumo
Objective. To define whether antiseptics (fluomizin) may be used for the reduction of the frequency of postabortion complications and for further rehabilitation and to provide evidence that the lactobacteria- and estriol-containing drug gynoflor E should be given to restore normal vaginal biocenosis in the postabortion period. Subjects and methods. The study covered 100 women (mean age 28.9±0.4 years) who had sought medical advice for artificial pregnancy termination (APT) at 5 to 9 weeks’ gestation. At the first stage of the study after having been examined for vaginal biocenosis, 31 patients diagnosed as having bacterial vaginosis and nonspecif ic vulvovaginitis underwent vaginal sanitation with f luomizin for 6 days prior to APT. At the second stage the women who had used fluomizin to be prepared for APT were given gynoflor E for 6 days after APT (regardless of the used technology) to restore normal vaginal biocenosis. All the pregnant women underwent a conventional clinical and laboratory study involving microscopic examination of vaginal discharge and an additional study of vaginal biocenosis by real-time PCR. Results. The paper gives the results of treatment for nonspecific bacterial vaginal infections, by using a two-step treatment regimen in the pre- and postoperative management of patients during APT. The broad-spectrum drug fluomizin (dequalinium chloride) was found to be effective in treating nonspecific bacterial vaginal infections. Evidence was provided that gynoflor E containing lactobacteria and estriol should be used to restore normal vaginal biocenosis in the postabortion period.
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Sobre autores
I. SAVELYEVA
Russian Peoples' Friendship State University, Russian Agency for Education
Email: interotdel@mail.ru
E. PLOTKO
«Harmony» Medical Center, Yekaterinburg
M. BAIKOVA
City Hospital Seventeen, Western Administrative District, Moscow
Bibliografia
- Буданов П.В., Баев О.Р., Пашков В.М. Нарушения микроценоза влагалища // Вопр. гин., акуш. и перинатол. - 2005. - Т. 4, № 2. - С. 78-88.
- Липова Е.В. Роль условно патогенной биоты в патологии урогенитального тракта женщин // Вестн. последипломного мед. образования. - 2008. - № 1. - С. 13-15.
- Медико-консультативная помощь при искусственном аборте // Под ред. В.И. Кулакова и др. - М.: ГЭОТАРМедиа, 2005.
- Морозов К.В. Медицинские аспекты современных технологий безопасного аборта: Автореф. дис.. канд. мед. наук. - Иваново, 2009.
- Перламутров Ю.Н., Чернова Н.И. Оптимизация терапии бактериального вагиноза у женщин репродуктивного возраста // Гинекология. - 2011. № 9(68). -С. 18-21.
- Ранние сроки беременности // Под ред. В.Е. Радзинского, А.А. Оразмурадова. - 2-е изд. - М.: Status Praesens, 2009.
- Трубина Т.Б. Профилактика и лечения инфекционных осложнений медицинского аборта в I и II триместре: Автореф. дис.. д-ра мед. наук. - Казань, 2000.
- Donders G. et al. Relationship of bacterial vaginosis and mycoplasma to the risk of spontaneous abortion // Am. J. Obstet. Gynecol. - 2000. Vol. 183, № 2. - P. 431-437.
- Leitich H., Bodner-Adler B., Brunbauer M. et al. Bacterial vaginosis as a risk factor for preterm delivery: a meta-analysis // Am. J. Obstet. Gynecol. 2003. Vol. 189, № 1. -P. 139-147.
- Ozkinay E., Terek M.C., Yayci M. et al. The effectiveness of live lactobacilli in combination with low dose oestriol (Gynoflor) to restore the vaginal flora after treatment of vaginal infections // Br.J.Obstet.Gynaecol. - 2005. -Vol. 112. - P. 234-240.
- Redondo Lopez V., Cook R.L., Sobel J.D. (1990) Emerging role of lactobacilli in the control and maintenance of the vaginal bacterial microflora. Reviews of Infectious Diseases 12. - P. 856-872.
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