UrologiiaUrologiiaУрология1728-29852414-9020Bionika Media32215010.18565/urology.2017.6.126-130ArticlesСтатьиReview ArticleCONCOMITANT UROGENITAL INFECTIONS IN MENСочетанные урогенитальные инфекции у мужчинChubukovaO. AЧубуковаО. А

Ph.D., Associate Professor at the Department of Epidemiology

к.м.н., доцент кафедры эпидемиологии

tschubukowa.olga@yandex.ruShkarinV. VШкаринВ. В

Dr.Med.Sci., Professor-Consultant, Corr. Member of the RAS

д.м.н., профессор-консультант, член-корреспондент РАН

prezident@nizhgma.ruNizhny Novgorod State Medical Academy of Minzdrav of RussiaФГБОУ ВО «Нижегородская государственная медицинская академия» Минздрава России151220176NO6 (2017)№6 (2017)12613007042023Copyright ©; 2017, Bionika MediaCopyright ©; 2017, ООО «Бионика Медиа»2017Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/1728-2985/article/view/322150

The article presents possible combinations of urogenital infections of various etiologies and some pathogenetic, clinical and epidemiological features, and issues of epidemiological surveillance for co-infection. The authors describe in detail combinations with each other and with other diseases of such pathogens as Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma spp., Neisseria gonorrhoeae, Trichomonas vaginalis. They also focus on the problem of co-occurrence of human papillomavirus (HPV) with other urogenital pathogens. The article raises the question of the need to introduce new scientific data on the epidemiology of concomitant urogenital infections in men in the practice of diagnosis, treatment, registration, and implementation of preventive and anti-epidemic measures.

Представлены возможные сочетания урогенитальных инфекций различной этиологии, некоторые патогенетические, клинико-эпидемиологические особенности, а также проблемы эпидемиологического надзора за сочетанными инфекциями. Подробно описаны сочетания между собой и с другими заболеваниями таких возбудителей, как Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma spp., Neisseria gonorrhoeae, Trichomonas vaginalis. Отдельно рассматривается проблема сочетания вируса папилломы человека (ВПЧ) с другими возбудителями урогенитальных инфекций. В статье поднимается вопрос о необходимости внедрять новые научные данные по эпидемиологии сочетанных урогенитальных инфекций у мужчин в практику диагностики, лечения, регистрации и проведения профилактических и противоэпидемических мероприятий.

concomitancyurogenital infectionchlamydiaureaplasmosistrichomoniasisсочетанностьурогенитальная инфекцияхламидиозуреаплазмозтрихомонозBorovkova L.V., Chelnokova E.V. Current methods of diagnosis and treatment of sexually transmitted infections. Meditsinskii al’manakh. 2010;2(11):150- 156.Naumkina E.V., Rudakov N.V., Pakhalkova E.V., Temnikova N.V., Reshetnikova T.A., Berezkina G.V. Urogenital mixed infections involving ureaplasma species. Byulleten’ VSNTs SO RAMN. 2005;7(45):85-89.Utkin E.V., Kulavskii V.A. The main causes of development and current trends in the clinical course of inflammatory diseases of the pelvic organs in women. Rossiiskii vestnik akushera-ginekologa. 2008;1:40-44.Akyshbaeva K.S., Madibraimov K.M., Mukazhanov M.K. Clinical and epidemiological features of urogenital chlamydiosis in men. Andrologiya i genital’naya khirurgiya. 2014;4:50-53.Ryumin D.V., Savel’eva E.M. Features of the immune status in patients with mixed urogenital infections and the possibility of its correction. Prakticheskaya meditsina. 2013;1-4 (73):42-45.Zotova M.A., Lebedeva A.I., Tikhonova S.S., Bagaev K.V. Incidence of Ureaplasma and Gardnerella vaginalis in the urogenital tract of women and men. Vestnik Chelyabinskogo gosudarstvennogo universiteta. 2013;7(298):49.Potemina T.E., Shevchenko E.A., Kurylev V.V., Kondyurov I.M., Uspenskaya O.A., Bakhmet’ev O.A. Epidemiological, pathophysiological and diagnostic aspects of the problemofmixed infection ofthe urogenitaltract in personswith alcoholism. Meditsinskii al’mnakh. 2012;2(21) :42-43.Singur O.A., Turkutyukov V.B., Turkutyukov V.B. Monitoring of the resistance of Neisseria gonorrhoeae strains to antibiotics in mono- and mixed infections. Dal’nevostochnyi meditsinskii zhurnal. 2010;2:10-12.Deryabin D.G., Borisov S.D., Mikhailenko S.V. Mixed urogenital infection in men. ZhMEI. 2000;2:103-05.Syuch N.I., Ryumin D.V., Lashenkova N.N. Clinico-laboratory diagnosis of trichomoniasis in the clinic of internal diseases. Klinicheskaya meditsina. 2010;3:62-67.Neronova N.A., Simonova E.V., Zhigalova E.A., Bardaeva Yu.M. The state of the microflora ofthe urogenital tract in sexual partners in chronic genitourinary trichomoniasis (a review of the literature). Byulleten’ VSNTs SO RAMN. 2012;3(85):133-40.Dzhalilov D.Kh. Subcellular characteristic of associations of vaginal Trichomonas with ureaplasma in patients with mixed trichomonadal-mycoplasmal infection. Voprosypatogenezai terapii kozhnykh ivenericheskikh boleznei. Tashkent. 1989;82-84.Kupreeva S.V. Influence of trichomonas infection on vaginal microbiocenosis. Rossiiskii zhurnal kozhnykh i venericheskikh boleznei. 2007;4:74-77.Hafner L.M., McNeilly C. Vaccines for Chlamydia infections of the female genital tract. Future Microbiol. 2008;3(1):67-67.Zikeeva A.A., Bibicheva T.V., Isaenko T.P., Silina L.V., Lukashov M.I. Clinico-immunological features of papillomavirus infection of the anogenital region in men with mono- and mixed infections. Vestnik novykh meditsinskikh tekhnologii. 2011;3:180-83.Zikeeva A.A., Bibicheva T.V., Silina L.V. Clinical and laboratory characteristics of HPV infection with concurrent urogenital trichomoniasis. Kurskii nauchno-prakticheskii vestnik «Chelovek i ego zdorov’e». 2011 ;3:60-64.Akovbyan V.A., Prokhorenkov V.I. Sexually transmitted diseases: lessons from the past and a look into the future. Organizatsiya zdravookhraneniya i profilaktika. 1995;3:16-19.Kustova M.A. Papillomavirus and concomitant genital infection in pregnant women with HIV-negative and HIV-positive status. Problemy zdorov’ya i ekologii. 2012;2(32):77-84.Vasilenko A.A. Correction of immune disorders by nucleic acid preparations in patients with a combination of urogenital herpesvirus infection and ureaplasmosis. Kurskii nauchno-prakticheskii vestnik «Chelovek i ego zdorov’e». 2010;2:43-47.Shabalin A.R., Konoplya A.I., Gavrilyuk V.P. Clinico-immunological aspects of concomitant sexually transmitted urogenital infections. Belgorod. 2006;191 pGardella C., Brown Z.A. Managing genital herpes infections in pregnancy. Cleve Clin. J. Med. 2007;74(3):217-224.Gertner L.V., Gavrilyuk V.P., Bystrova N.A., Shabalin A.R. The use of derinate and magnetic-infrared-laser therapy in the management of concurrent urogenital herpesvirus and chlamydia infection. Uspekhi sovremennogo estestvoznaniya. 2004;8:109