Vol 18, No 1 (2013)

The indices of immune response were studied in 68 patients with infectious mononucleosis caused by the Epstein-Barr virus (35 males, 33 females) aged 18 to 30 years. Materials and methods. The content of soluble forms of differentiation antigens (sCD95, sCD18, sCD50, sHLAI, sCD54) has been studied with enzyme immunoassay using monoclonal antibodies Mab IC0-20 and polyclonal antibodies to the antigens of the mononuclear cells of the peripheral blood. The control group included 60 healthy volunteers matched for age and sex with the main group. The aim of this study is the assessment of the content of soluble forms of differentiation antigens in patients with infectious mononucleosis caused by Epstein-Barr virus, depending on gender, age, severity of illness, comorbidities, laboratory values, the presence of viral DNA, as well as a demonstration of their value in predicting the course and outcome of the disease and the efficacy of antiviral and immunocorrecting therapy. In patients with negative results of DNA indication of EBV a significant increase in the content of soluble forms of differentiation antigens characterizing the adhesion of leukocytes (sCD18), the activity of T-lymphocytes (sCD50), the recognition of foreign antigens (sHLAI) in the blood in comparison with patients with a positive DNA indication of EBV was determined. Conclusion. According to the results of this performed work the criterion for an adequate immune response in patients with infectious mononucleosis caused by the Epstein-Barr virus was found to be the increase of the content of soluble forms of differentiation antigens (sCD95, sCD18, sCD50 sHLAI, sCD54). In patients with exanthema, tonsillar syndrome, leukocytosis, elevation of transaminases and the presence of antibodies to capsid antigen (a/VCAIgM) the content of soluble forms of differentiation antigens (sCD95, sCD18, sCD50 sHLAI, sCD54), was higher than in patients without such symptoms. In the treatment with cycloferon in patients with cyclic course of EBV infectious mononucleosis the content of sHLAI and sCD54 at 2nd-4th weeks of treatment increased by 1.5-2 times compared with the corresponding values before treatment. In patients with reactivation of the disease monotonically low indices of all studied soluble forms of differentiation antigens persisted over the 4 weeks during patients following up. In patients with infectious mononucleosis caused by Epstein-Barr virus, the dynamics of sHLAI and sCD54 after 2-4 weeks of treatment serves as secondary efficacy endpoint of antiviral, immunomodulatory therapy and the formation of the cyclic course of the disease.

The identification of fragments of pathogenicity islands (SAPI1, vSaα and vSaβ) in 11 clinical strains of Methicillin-resistant Staphylococcus aureus (MRSA), referred on the basis of spa- sequence typing and the restriction-modification test to different genotypes, has been performed. A set of studied pathogenicity islands was shown to be strain-specific and be available for usage as an epidemiological marker of hospital strains of Staphylococcus aureus.

The article is devoted to current epidemiological, social and economic aspects of parenteral viral hepatitis B and C. Statistical data on the incidence, prevalence, outcomes for viral hepatitides are provided. Prior medical and social factors influencing the formation of the epidemiological situation and the activity of infection with viral hepatitis B and C, including gaining the importance of the prevalence of parenterally transmitted viral hepatitis among drinkers, drug users, and HIV infected cases have been analyzed. The issues of economic losses and economic costs required to treat patients with viral hepatitis at various stages of infection were exhaustively covered. On the base of international recommendations a list of medical and social activities for prevention of chronic viral hepatitis B and C was given, the ways to reduce the prevalence of these socially significant diseases were proposed.

In the a review of the literature regarding the level of parasitemia in patients with malaria and data of analysis of history cases records of patients with malaria, which have been and haven’t been taken a chemopreventive medications in connection with being in a country endemic for malaria are presented

The paper presents comparative results of estimation of mortality from HIV infection, tuberculosis (TB), fibrosis and cirrhosis of the liver of nonalcoholic nature according to age group for the residents of the Krasnodar region for the period 2006 to 2011. The average age range of the probable development of death from HIV infection was 35-39, from tuberculosis - 45-49 and from liver cirrhosis 55-59 years. Given clinical case is demonstrating the importance of the underestimation of hepatitis "C" complicating diagnosis of cirrhosis in patients with HIV infection, suffering from secondary diseases: pulmonary tuberculosis, cytomegalovirus, toxoplasmosis, herpes infection, candidiasis. After a comprehensive review of the examples the authors provide recommendations for monitoring and management of patients with ТВ and HIV infection and chronic viral hepatitis "C".

In the paper the epidemic and epizootic periods of exacerbations of anthrax outbreaks were analyzed. The repetition time of such outbreaks has been shown to be equal 9-11-years, depending on solar activity. The greatest number of permanently disadvantaged anthrax points was found to be recorded in the phase of minimum solar activity in the minimum solar activity year and the preceding two years (m, m-1, m-2), and in the maximum phase - in the maximum solar activity year and a in the second year after it (M, M +2). The greatest number of human and animal disease rate, in addition to these terms takes place also in two following years (m +1, m +2 and M +3, M +4).