Vol 94, No 6 (2017)

FLOW-CYTOFLUORIMETRIC ANALYSIS OF CYTOTOXICITY OF YERSINIA PESTIS STRAINS

Sazanova E.V., Shmelkova T.P., Kravtsov A.L., Malyukova T.A., Popov Y.A.

Abstract

Aim. Study cytotoxic effect of Yersinia pestis strains with various degree of virulence on leukocytes of whole defibrinated human blood. Materials and methods. 15 strains of Y. pestis were used in the study. DNA histograms were registered using flow cytofluorimeter. Results. Possibility of using cytotoxicity to differentiate Y. pestis into virulent and avirulent wfas experimentally proven. The data obtained was comparable with LD5o for mice and did not contradict molecular-genetic characteristics of the strains. Conclusion. The approach proposed allows to obtain reliable results and is perspective for evaluation of virulence for Y. pestis strains.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):3-9
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ESTIMATE OF VIRUS ZIKA SPREAD RISK IN THE REPUBLIC OF ABKHAZIA ASSOCIATING THE LOCAL POPULATION OF MOSQUITOES AEDES AEGYPTI AND AEDES ALBOPICTUS

Maletskaya O.V., Dubyansky V.M., Belyaeva A.I., Shaposhnikova L.I., Agapitov D.S., Ermolova N.V., Tsapko N.V., Taran T.V., Kotenev E.S., Belova O.A., Kulichenko A.N.

Abstract

Aim. Chracteristic of number and distribution of mosquitoes Ae. aegypti and Ae. albopictus in the Republic of Abkhazia and a risk assessment of virus Zika spread. Materials and methods. The accounting of mosquitoes number was made by the method «on the observer» in 20 minutes at the 70 nature landscapes points in april-oktober 2016. Results. The Black sea coast of the Republic of Abkhazia has favorable ecological conditions for the mosquitoes ingrowth of Ae. aegypti and Ae. albopictus. At 2016 the mosquitoes Ae. albopictus having vector competence to spread a Zika virus, has been revealed in the open stations in the territory from Ochamchirsky district to border with the Russian Federation. Their number is correlated with the air temperature in the region. The control of efficiency of the insecticidal works showed that in the open stations Ae. albopictus were not found within 3 - 7 days after the disinsection actions. However, their number of recovered as a result of settling from nearby natural biotopes. Conclusion. The risk of local Zika virus transmission has estimated as a low. Considering the gravity of the disease caused by the Zika virus carrying out a wider complex of the control methods of the mosquitoes number in areas of their dwelling, especially on the epidemiologically significant objects is necessary. The most effective of the population protection action is riddance of the reproduction mosquitoes places and sanitation of territory.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):10-15
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MOLECULAR AND GENETIC FEATURES OF THE METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) - CAUSATIVE AGENTS OF PURULENT DISEASES AT CANCER PATIENTS

Khokhlova O.E., Peryanova O.V., Bobrova O.P., Sergeeva V.K., Modestov A.A., Eremeeva O.G., Potkina N.K., Kapshuk D.N., Alabusheva A.V., Yamamoto T...

Abstract

Aim. Study of the molecular and genetic features of the MRSA, causative agents of purulent diseases at cancer patients. Materials and methods. In the work were used - bacteriological method, molecular genetic methods (PCR, M-PCR, sequencing). Results. MRSA share among staphylococcal infections at cancer patients in 2003 - 2007 has made 37,6%, and in 2010 - 2015 has increased up to 51,3%. At a research of molecular and genetic features of the allocated MRS A ] strains, have established, existence of two main clones: ST239/spa3(t037)/SCCmecIIIA and ST8/ . spal(t008)/SCCmecIVc. Representatives of clones differed in resistance level to antibiotics. Conclusion. In cancer patients in Krasnoyarsk, the distribution of two variants of MRSA-ST239Kra$ and ST8Kras, corresponding to the variants common in the Krasnoyarsk region, was revealed. i

Journal of microbiology, epidemiology and immunobiology. 2017;94(6):15-20
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REGULATION OF MICROORGANISMS SENSITIVITY TO ANTAGONISTIC ACTIVE REPRESENTATIVES OF MUTUALISTICALLY MICROFLORA BY THE ANTIMICROBIAL PEPTIDES

Sycheva M.V., Peshkova Y.I., Kartashova O.L., Andreeva A.V.

Abstract

Aim. Study of the effect of antimicrobial peptides (AMP) on the sensitivity of the conditional pathogenic of bacteria to the action of antagonistic active of representatives mutualistically microflora. Materials and methods. The study used peptides from platelets of chicken obtained by the method of reversed-phase high-performance liquid chromatography in stepwise and linear gradients of increasing concentrations of organic solvent. The effect of AMP on the sensitivity of microorganisms to antagonistic active substances of the dominant bacteria of the genus Lactobacillus, and Enterococcus were investigated in a joint incubation. Antagonistic activity of bacteria studied the gup method. Results. Shown an increased expression of antagonistic activity of indigenous microflora in relation to associative microflora after concubinage with a peptide fractions from platelets of chicken. Conclusion. The obtained results allow to assume the existence of new mechanisms of formation of the colonization resistance of the biotope.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):21-25
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EPSTEIN - BARR VIRAL INFECTION: MODERN SITUATION AND CLINICAL-EPIDEMIOLOGICAL FEATURES AMONG FERTILE WOMEN AND NEWBORNS

Asratyan A.A., Simonova E.G., Kazaryan S.M., Orlova O.A., Ilenkina K.V., Raichich S.R., Sipacheva N.B., Karazhas N.V.

Abstract

Aim. The investigate the current manifestations of the symptomatic and inapparent epidemic process of Epstein-Barr infection, as well as identification of its features in women of childbearing age and newborns. Materials and methods. We performed an epidemiological analysis of the incidence of infectious mononucleosis and HIV infection in the Russian Federation. The trends of morbidity and its distribution across the territories and age groups was studied. A study was made on the frequency of detection of infection markers in women of childbearing age, incl. HIV-infected pregnant women and newborns. Results. It has been established that despite the complexity of the diagnosis, the incidence of infectious mononucleosis should be considered as an indicator of the epidemic process of the Epstein-Barr infection. Unlike healthy pregnant women, in HIV-infected pregnant women markers of acute infection that occurred without clinical manifestations were observed significantly more frequent. The maximum intensity of the active epidemic process was detected among 15 - 19 years old pregnant women who are in the latent stage of HIV with intravenous drug abuse. In older age groups of pregnant women, reinfection was observed. High incidence in newborns, as well as detection of markers of acute infection indicate the need for further research to obtain strong evidence of vertical transmission of the pathogen. Conclusion. The study showed evidence of high activity of the epidemic process of Epstein-Barr infection in fertile women. The maximum frequency of infection markers was found among HIV-infected pregnant women, which increases the risk of intrauterine infection of the fetus and newborns.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):25-31
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MODERN EPIDEMIOLOGICAL CHARACTERISTICS OF NOROVIRUS INFECTION IN MOSCOW

Kovalev V.A., Filatov N.N., Loktionova M.N., Frolovskaya T.G., Linok A.V., Zhukova G.A., Goliusov A.A.

Abstract

Aim. Norovirus infection (NVI) epidemiological characteristics evaluation in Moscow at municipal and district levels. Materials and methods. A retrospective analysis of NVI incidence rate was conducted according to the 2009 - 2016 state statistical reporting forms data. Results. In 2009 - 2016 NVI incidence rate has a trend to increase in Moscow, either at municipal and district levels. NVI cases were registered among children mostly (78% in the SEAD of Moscow, 80% in Moscow and 81% in Russia), at the same time adults proportion of NVI incidence rate increased significantly (up to 42,7% in Moscow and 13,9% in the Russian Federation) by 2016. The morbidity dynamics in different child population age groups was effected by the outbreaks cases. Totally in 2011 - 2016 33 outbreaks were registered in Moscow (24,3% from all acute diarrheal infection outbreaks in Moscow for the same period), where 64,3% with nonpercutaneous channel of infection and 35,7% alimentary. Outbreaks were more often recorded in children’s organized collectivity (69,7%). Conclusion. Nowadays in Moscow there is an NVI incidence increase trend is evidenced, with an increase of the adult population proportion in morbidity structure. At this stage, main contribution to group morbidity was made by children 7 - 14 and 15 - 17 years old. One of the reasons for the NVI incidence rate growth in Moscow (2016) could possibly be the lack of effective prevention measures. Actually, specific NVI diagnostics provided only in outbreaks, due to the lack of routine diagnostic tools. The main reason for the NVI group morbidity effective disease area formation is still sanitary and anti-epidemic regime violation at sites and facilities.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):32-37
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EFFECT OF YERSINIA PSEUDOTUBERCULOSIS TOXINS ON THE BIOFILM FORMATION

Terenteva N.A., Psareva E.K., Timchenko N.F., Golotin V.A., Rasskazov V.A.

Abstract

Aim. To study the effect of heat-labile (HLTY) and heat-stable (HSTY) lethal toxins of the of Yersinia pseudotuberculosis on the formation of biofilms by these bacteria. Materials and methods. For the isolation of toxins and the investigation their ability to effect on the biofilm formation there were used the strain of Y. pseudotuberculosis 512 (pYV48Mjl. рУМ82МД) and strain 2517, carrying virulence plasmid pYV and lost it, correspondingly. Results. The stimulation of biofilm formation at 20°C by the strain 2517 (pYV+), carrying virulence plasmid as well as the strain 2517 (pYV-) without plasmid were observed In the presence of HLTY. At low positive temperature (6 - 8°C) HLTY reduces the amount of the formed biofilm. HSTY inhibited the biofilm formation by the both strains of Y. pseudotuberculosis tested during the incubation for 3 days at 20°C and 6 - 8°C. Moreover the extent of inhibition was decreased with temperature decreasing. Conclusion. The both of the Y. pseudotuberculosis protein toxins has been revealed to affect on the biofilm formation by Y. pseudotuberculosis bacteria, however, the impact of HLTY and HSTY in the processes of biofilm formation was shown to be different, and the mechanism of such action of toxinsis under way.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):37-42
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FEATURES OF ESCHERICHIA COLI CLINICAL STRAINS, ISOLATED FROM THE PATIENTS WITH CROHN’S DISEASE

Gorodnichev R.B., Rakitina D.V., Manolov A.I., Baykova Y.P., Scherbakov P.L., Smirnov G.B., Ilina E.N.

Abstract

Aim. To characterize pool of Crohn’s disease-associated E.coli isolated from patients with Crohn’s disease. Materials and methods. 28 clinical stains were selected. Clinical isolates, as well as control samples, were tested for their possible belonging to a certain phylogenetic group, the ability to adhere and invade on the model of a monolayer of CaCo2 epithelial cells, the ability to form biofilms and their mobility. Results. We have shown that E.coli, isolated from a different biomaterial, belonged to different phylogenetic groups and differed in their ability to form biofilms. Adhesive-invasive E.coli were found mainly in the material of biopsy of the intestinal mucosa of patients with Crohn’s disease. Conclusion. There are reasons to suppose that adhesive-invasive E.coli formed at the junction of ecological niches of the lumen and the intestinal wall.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):42-49
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EFFECT OF METHODS OF IMMOBILIZATION OF ERYTHROPOIETIN ON THE SENSITIVITY FOR THE DETECTION OF SPECIFIC IgG TO EPO IN EXPERIMENTAL ANIMALS SERA

Kudryashova A.M., Borisova O.V., Mikhailova N.A., Lonshakov D.V., Katlinsky A.V.

Abstract

Aim. The study of the effect of the erythropoietin coating procedure on sensitivity using the same secondary detection methods to quantify anti-EPO IgG positive animal sera. Materials and methods. Sera from experimental animals - rabbits and guinea pigs - after rhEPO injection were used. The methods includes directly coated ELISA and two types of immunochemical immobilization: capturing biotinylated rhEPO on streptavidin coated microtiier plates and capturing rhEPO via a specific antibody Results. Immunochemical rhEPO immobilization results in a sensitivity from 2 to 10 of magnitude higher than direct coating of rhEPO. Conclusion. Our findings show that the method of rhEPO immobilization to microtiter plates is a critical determinant for the sensitivity of ELISA used for measuring anti-EPO antibodies. Assays in which rhEPO was captured via a specific mAb, or in which biotinylated rhEPO was captured via streptavidin, are preferred to detect serum antibodies to native structural state.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):49-55
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PLASMID DESIGN FOR PRODUCTION OF CHIMERIC ANTIBODIES WITH DEFINED SPECIFICITY IN EUKARYOTES

Oksanich A.S., Samartseva T.G., Faizjuloev E.B., Gavrilova N.F., Yakovleva I.V., Sviridov V.V., Zverev V.V.

Abstract

Aim. In this study we aimed to design the universal genetic construction expressing the light and heavy chains of a chimeric antibody, to develop methodological approaches for the production of chimeric antibodies with defined specificity using the monoclonal antibodies to diphtheria toxin (DT) DT-17 in the CHO cells as an example and to evaluate their immunochemical and effector properties. Materials and methods. Variable region genes of the light and heavy chains of mouse antibodies DT-17 to diphtheria toxin were obtained by PCR method and cloned into pCI-neo plasmid vector. The S V DT -17neo «supervector» containing the genes of a chimeric antibody was constructed by using of genetic engineering techniques. CHO cells were transfected with «supervector» and a highly productive clone secreting chimeric antibodies to DT were collected. Immunochemical methods were used to evaluate antibody activity, and affinity chromatography was used to prepare preparative amounts of the antibodies. Results. U ni versal vectors pLK DT -17 and pHG DT-17 containing light and heavy chain genes of the chimeric antibodies DT -17 to DT were constructed. The variable and constant region genes were flanked by endonuclease restriction sites, which allows to change the specificity of the antibodies. In the future it will make possible to study the modifications of the class and species specificity of the chimeric immunoglobulins. When the CHO cell culture was transfected with the designed vectors, the accumulation of antibodies to DT in the culture medium was detected. The yield of purified DT-17 chimeric antibodies was 4 mg per 1 liter of culture medium. The minimum concentration of chimeric antibodies necessary for DT neutralization in the CHO cells was 30 pg/mL. Conclusion. Universal plasmids encoding the synthesis of light and heavy chains of chimeric DT -17 antibody have been designed. On the basis of these vectors, a «supervector» and a highly productive clone secreting specific antibodies that had neutralizing activity against DT were obtained.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):56-63
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DESIGN OF HEPATITIS E VIRUS GENOTYPE 1 RECOMBINANT ORF3 PROTEIN BY CODON OPTIMIZATION METHOD

Alatortseva G.I., Sidorov A.V., Nesterenko L.N., Luhverchik L.N., Zhukina M.V., Amiantova I.I., Milovanova A.V., Vorobev D.S., Ammur Y.I., Mikhailov M.I., Kyuregyan K.K., Kichatova V.S., Potemkin I.A., Isaeva O.V., Malinnikova E.Y., Karlsen A.A., Blinov V.M., Nurmatov Z.S., Nurmatov A.Z., Kasymov O.T., Zhavoronok S.V., Zverev V.V.

Abstract

Aim. The development of the hepatitis E virus (HEV) genotype 1 full-size ORF3 recombinant polypeptide. Materials and methods. Escherichia coli strains, plasmid vectors, serological and clinical samples, ELISA reagent kits, molecular biological, bioinformatic, biotechnological, biochemical and serological methods. Results. HEV genotype 1 RNA had been isolated from clinical samples collected in Kyrgyzstan. DNA copy of subgenomic virus RNA had been cloned and used for further development of E.coli strains producing full-size recombinant protein ORF3 fused to E.coli beta-galactosidase. Codons optimization method was used in aim to increase expression level of recombinant protein. Recombinant protein ORF3 had been isolated from the inclusion bodies of the E.coli biomass and purified by size exclusion chromatography. Antigenic specificity of recombinant polypeptide had been confirmed by enzyme-linked immunosorbent assay and Western blotting with the specific sera. Conclusion. HEVgenotype 1 ORF3 recombinant antigen had been designed, and it’s applicability in diagnostic tests had been experimentally confirmed.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):63-72
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DESIGN OF HEPATITIS E VIRUS GENOTYPE 1 RECOMBINANT CAPSID PROTEIN: CLONING, EXPRESSION, PURIFICATION, EVALUATION OF THE ANTIGENIC PROPERTIES

Alatortseva G.I., Sidorov A.V., Nesterenko L.N., Luhverchik L.N., Dotsenko V.V., Amiantova I.I., Kabargina V.Y., Milovanova A.V., Vorobev D.S., Ammur Y.I., Blinov V.M., Nurmatov A.Z., Nurmatov Z.S., Baiyzbekova D.A., Kasymov O.T., Kyuregyan K.K., Mikhailov M.I., Zhavoronok S.V., Zverev V.V.

Abstract

Aim. The development of the hepatitis E virus (HEV) genotype 1 recombinant capsid protein. Materials and methods. Escherichia coli strains, plasmid vectors, serological and clinical samples, ELISA reagent kits, molecular biological, bioinformatic, biotechnological, biochemical and serological methods. Results. Using HEV genotype 1 DNA copy of subgenomic virus RNA we made E.coli strains producing recombinabt capsid protein, containing C-terminal fragment of ORF2 protein fused to E.coli beta-galactosidase. Recombinant protein ORF2 had been isolated from the inclusion bodies of the E.coli biomass and purified by size exclusion chromatography. By Western blotting it had been shown specific interaction of the recombinant polypeptide with anti-HEV IgG from pool of positive sera. Antigenic specificity of the recombinant polypeptide had been confirmed by enzyme-linked immunosorbent assay with sera of hepatitis E patients and reference groups: healthy donors, patients with hepatitis А, В, C, infectious mononucleosis and cytomegalovirus infection, HIV-infected patients. Conclusion. HEV genotype 1 ORF2 recombinant antigen had been developed, and its possible use in diagnostic tests had been experimentally shown.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):72-80
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EFFECT OF PROBIOTIC BACTERIA AND LIPOPOLISACCHARIDES ON EPITELIOCYTES TIGHT JUNCTIONS OF RAT JEJUNUM

Rybalchenko O.V., Orlova O.G., Zakharova L.B., Vishnevskaya O.N., Markov A.G.

Abstract

Aim. The present study has been undertaken with the main objective the influence of probiotic bacteria Lactobacillus plantarum 8 РАЗ and Escherichia coli M17 and lipopolysaccharide on the ultrastructure of enterocytes tight junctions of mucous membranes of rat jejunum. Materials and methods. The study was carried out on E. coli lipopolysaccharide (Sigma-Aldrich, Germany) and probiotic bacteria L. plantarum 8PA3 and E. coli M17. Male Wistar rats were used. A comparative analysis of the ultrathin structure of enterocytes and tight junctions were carried out by successive incubation of rat jejunum with probiotic bacteria L. plantarum 8PA3 and E. coli Ml 7, with lipopolysaccharide and a complex of bacteria with LPS. Results. The effect of L. plantarum 8PA3 on the mucosa of rats jejunum on a number of characters was similar to E. coli Mil. It manifested by preservation of the intact structure of the intercellular space and tight junctions. At the same time, hollow spherical inclusions with fragments of bacteria surrounded by membranes detected in the cytoplasm of enterocytes testified to the possibility of penetration of probiotic bacteria through the mucous membrane of the jejunum by a transcellular pathway With simultaneous action on enterocytes of rats jejunum of probiotic bacteria and lipopolysaccharide complex no destructive changes in the structure of dense contacts were observed, however, in a significant number of cases, bacterial cells were found in the intercellular space next to the goblet cells. Conclusion. A similar effect of Gram-positive bacteria L. plantarum 8PA3 and Gram-negative bacteria E. coli Ml 7 and their complexes with lipopolysaccharide on the jejunum epitheliocytes was revealed. Morphological analysis showed that lipopolysaccharide might influence on parasel-lular transport by probiotic bacteria. In the absence of LPS, probiotic bacteria can possibly penetrate the mucosa of rats jejunum by a transcellular pathway.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):80-87
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EPIDEMIOLOGICAL STUDY OF MAIN CLONES DISTRIBUTION GENOTYPE BEIJING OF MYCOBACTERIUM TUBERCULOSIS WITHIN IRKUTSK REGION

Zhdanova S.N., Ogarkov O.B., Sinkov V.V., Khromova P.A., Orlova E.A., Koscheev M.E., Savilov E.D.

Abstract

Aim. To estimate the dynamics changes in the population structure of the tuberculosis (ТВ) pathogen in the Irkutsk region by comparison of genotypes of M. tuberculosis from patients of different age groups. Materials and methods. 588 epidemiologically unrelated strains of M. tuberculosis isolates from 567 ТВ patients were characterized using 24-locus MIRU-VNTR typing. 160 strains belonged to patients of different age groups. 59 strains were isolated from the «young» people with ТВ who were bom after 1990 and 101 isolates from people who were born before 1955. Results. Two-thirds of the samples (427/567) were genotype Beijing with the dominance of two subtypes belonging to the modem epidemic clonal complexes CC1 and CC2. The high level of clustering profiles of CC1 and CC2 genotype Beijing in «older» and «young» patients in the Irkutsk region indicates the presence and active transmission of epidemic CC1 and CC2 subtypes over the past fifty years.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):88-94
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REVIEWS

PNEUMOVIRUSES IN HUMAN INFECTIOUS DISEASES

Yatsyshina S.B.

Abstract

This review presents the actual data about structure, genetic diversity and pathogenicity factors of human respiratory syncytial virus (hRSv) and human metapneumovirus - which are the members of new Pneumoviridae family, according to updated taxonomy accepted by the International Committee on Taxonomy of Viruses (ICTV) in 2016. The results of own epidemiological and clinical studies are presented in comparison with literature data. Cyclic recurrence of hRSv circulation was revealed. The clinical and epidemiological characteristics of hRSv and hMpv infections were compared. The leading role of the hRSv in ARVI in children and the importance of hMpv as an etiological agent of respiratory infection in adults are shown. Significance of both viruses as the agents of the lower respiratory tract infections is emphasized. The factors contributing to the prevalence of the hRSv in children with ARI are analyzed. Prevention measures for these infections are considered.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):95-105
pages 95-105 views

EPIDEMIC ANALYSIS ON CHOLERA IN AFRICA AND PROBLEMS OF PROFILAXIS

Karnaukhov I.G., Cheldyshova N.B., Grazhdanov A.K., Krizky A.A., Zadnova S.P., Kedrova O.V., Ivanova A.V., Toporkov V.P., Smirnova N.I., Boiro A..., Boumbali S..., Boiro M.Y., Kutyrev V.V.

Abstract

Presently Africa is one of the most affected regions of the world as regards cholera. More than 55 000 people are infected every year. The review contains the data on comparative assessment of epidemic manifestations associated with the current pandemic, caused by Vibrio cholerae biovar El Tor, and the preceding six pandemics, the agent of which was cholera vibrios of classical biovar. Studied have been the factors of large-scale cholera dissemination in Africa in the modern period and problems of its prophylaxis.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):105-113
pages 105-113 views

TOPICAL ISSUES IN SCIENCE

GENERAL CHARACTERISTICS AND ISSUES MIXED INFECTIONS CAUSED BY OPPORTUNISTIC MICROORGANISMS

Shkarin V.V., Kovalishena O.V., Saperkin N.V., Shptykova O.N.

Abstract

Infections caused by opportunistic microorganisms occupy a special position. In microbial associations of opportunistic microorganisms is easier to implement its low pathogenic potential, activate properties of each other. Group polyetiologic infections caused by conditionally pathogenic microorganisms are quite diverse in terms of a nosological forms and groups. These include the so-called septic infection, which are also very diverse and clinical, epidemiological and etiological characteristics. Scientific evidence shows the urgency of the problem mixed infections, especially in surgery and indicate a lack of systematic data about the whole spectrum and the composition of microbial associations in different infections, quantification, insufficient study of the properties compared to monoagents. The problem mixed infections practically not been studied with epidemiologic standpoint, only a few studies devoted to the study of nosocomial infection of microbial associations are not developed microbiological monitoring. In this connection, you need comprehensive research mixed infections compared with monoagents to identify the characteristics and development of epidemiologic surveillance and control.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):114-126
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СОДЕРЖАНИЕ

CONTENTS

Article E.
Journal of microbiology, epidemiology and immunobiology. 2017;94(6):127-128
pages 127-128 views


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