Клініко-епідеміологічна характеристика сімейного урогенітального хламідіозу в умовах Одеського регіону (діагностика, лікування, профілактика): Автореф

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I?I?NOA?NOAI IOI?IIE CAeI?IA’ss OE?A?IE

IAOe?IIAEUeIEE IAAeE*IEE OI?AA?NEOAO

?iai? I. I. Aiaiiieueoey

Ia i?aaao ?oeiieno

OAeE 616.617-002-076.1-08-055.1: [ 615.844.6 + 615.33 ]

OAAe*OE AIEIAeEIE? IAO?IAE*

EE?I?EI — AI?AeAI?IEIA?*IA OA?AEOA?ENOEEA

N?IAEIIAI O?IAAI?OAEUeIIAI OEAI?Ae?ICO A OIIAAO

IAeANUeEIAI ?AA?IIO.

(ae?aaiinoeea, e?eoaaiiy, i?io?eaeoeea)

14.01.20. — oe??i? ? aaia?e/i? oai?iae

A A O I ? A O A ? A O

aeena?oaoe?? ia caeiaoooy a/aiiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe

EE?A — 1999

Ae?na?oaoe??th ? ?oeiien.

?iaioo aeeiiaii a Iaeanueeiio aea?aeaaiiio iaaee/iiio

oi?aa?neoao? I?i?noa?noaa ioi?iie caei?ia’y Oe?a?ie.

IAOEIAEE aeieoi? iaaee/ieo iaoe, i?ioani?

EA??AIEE : EIAAIIANUeEEE AE?A ?AAIIAE*,

Iaeanueeee aea?aeaaiee
iaaee/iee oi?aa?neoao, IIC Oe?a?ie, caa?aeoaa/ eaoaae?e oe??ieo oa
aaia?e/ieo oai?ia.

IO?Oe?EI? aeieoi? iaaee/ieo iaoe., i?ioani?

IIIIAIOE : NOAIAIAIEI A?EOI? ?AAIIAE*,

Iaoe?iiaeueiee iaaee/iee
oi?aa?neoao ?i. I.I.

Aiaiiieueoey, IIC Oe?a?ie,
i?ioani? eaoaae?e

oe??ieo oa aaia?e/ieo oai?ia.

eaiaeeaeao iaaee/ieo iaoe,
aeioeaio

AIEEI TH??E ssEIAE*,

Ee?anueea iaaee/ia aeaaeai?y
i?neyaeeieiiii?

ina?oe ?i.I.E.Ooi?ea, IIC
Oe?a?ie, aeioeaio

eaoaae?e oe??ieo oa aaia?e/ieo oai?ia.

I?IA?AeIA Aei?i?iiao?ianueea iaaee/ia aeaaeai?y,
eaoaae?a

ONOAIIAA: oe??ieo oa aaia?e/ieo oai?ia, IIC Oe?a?ie,
i. Aei?i?iiao?ianuee.

Caoeno aeena?oaoe?? a?aeaoaeaoueny 4 eenoiiaaea 999 ?. i 13:30 aiae. ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.003.02 o Iaoe?iiaeueiiio
iaaee/iiio oi?aa?neoao? ?iai? I.I. Aiaiiieueoey ca aae?anith: 252004, i.
Ee?a, aoe. Oaa/aiea, 17.

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? Iaoe?iiaeueiiai
iaaee/iiai oi?aa?neoaoo ?iai? I.I. Aiaiiieueoey ( 252057, Ee?a,
aoe.Ciieia?/ia, 1).

Aaoi?aoa?ao ?ic?neaii 14 o?aaiy 1999 ?.

A/aiee nae?aoa?

Niaoe?ae?ciaaii? a/aii? ?aaee

ae.i.i., aeioeaio
N.A. Nae?eae.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie.

Aeooaeuei?noue i?iaeaie iaoiiaeaia oei i?noeai na?aae iaea?eueo
aaaeeeaeo i?iaeai no/anii? aaia?ieia?? ? a?iaeieia??, ui iin?aea?
oeai?ae?eia ?ioaeoe?y.

Ca?aeii no/aniei aeaiei oeai?ae?eiith ?ioaeoe??th o?aaeaii a?ae 20% aei
65% ae?iie, ui no?aaeaeathoue ia o?iaai?oaeuei? caiaeuei? caoai?thaaiiy
?ioaeoe?eii? ao?ieia??. C oeai?ae?icii iia’ycaia aaeeea ?icia?ooy
neiae?ii?a ? oneeaaeiaiue, ui aeoiaeyoue ca ?aiee o?aaeeoe?eii?
aaia?ieia??. A?i iiaea o?aaeaoe i?aeoe/ii an? i?aaie ? oeaieie
ethaenueeiai i?aai?cio, aea iniaeeaiai cia/aiiy iaaoaa? o noa?? ioi?iie
caei?ia’y iaoa?? ? aeeoeie ( Iaa?ia ?.?.,1994; ?eue?i ?.?.,1987;
Iieyeiaa A.N.,Aeaceiaa E.E., 1990; Eiceiaa A.?., Iooia? A.O., 1995,
I??ae Ae., ??aeaeoae Ae.,1984 ? ?i.).

A aeaiee /an a?aenooi? noaoenoe/ii iaai? aeai? i?i iioe?aii?noue oe???
?ioaeoe?? na?aae ??cieo a?oi ianaeaiiy ? ?? oneeaaeiaiue /a?ac
a?aenooi?noue iaia’yceiai? ?a?no?aoe?? o?iaai?oaeueiiai oeai?ae?ico.

Iacaaaeath/e ia aeinyaioo? iaai? oni?oe o aea/aii? oe??? iaoieia??,
i?aaie ioi?iie caei?ia’y aeioaia? ia iathoue aeineoue aoaeoeaieo
iaoiae?a eaai?aoi?ii? ae?aaiinoeee oa e?eoaaiiy, ui iiaea i?ecaiaeeoe
aei ?aoeeaeea?a, oneeaaeiaiue ? iiaeaeueoiai iioe?aiiy aeaii? ?ioaeoe??.

Iniaeeaa cia/aiiy oea iaaoaa? a oiiaao ai?aeai?ieia?/ieo iniaeeainoae
Iaeanueeiai ii?nueeiai — ii?oiaiai ?aa?iio, yeee caeia? i?ia?aeia i?noea
i?ioyaii ?yaeo inoaii?o ?ie?a ii ?iciianthaeaeaiith aaia?e/ieo
caoai?thaaiue a Oe?a?i?. Iaeiei c aieiaieo aeaea?ae ca?aaeaiiy
oeai?ae?icii, ye ? ?ioeie caoai?thaaiiyie, ye? ia?aaeathoueny noaoaaei
oeyoii, ? ?ia?oieee ieaaaeueiiai neeaaeo noaeai ii?nueeiai oeioo.
O?eaaea a?ae??aai?noue a?ae n?i’? a oiiaao ii?nueeeo ?aen?a, aea
iaoyaeoth/ith ianoaaeiith ? aieea ia i?aai?ci neeaaeiiai aeeiai?/iiai
eiiieaeno, i?ioan?eii iaoiiaeaieo o?ce/ieo, ineoiaaiieo ? ?yaeo ?ioeo
oaeoi??a, iaoiiaeththoue a?eueo ?ioaineai? noaoaa? ? iiaooia? n?iaei?
eiioaeoe, a oaeiae aeiaaeeia? noaoaa? eiioaeoe i?ae /an noiyiee noaeai o
ii?oao. Oea i?ecaiaeeoue aei aeieeiaiiy ina?aaee?a oeai?ae?ico ?, o
ia?oo /a?ao, n?iaeieo, aoeieia?/ia aeyaeaiiy yeeo /anoi, iaaeaeue,
i?iaiaeeoueny c aaeeeei cai?ciaiiyi.

E?eoaaiiy oeai?ae?eii? o?iaai?oaeueii? ?ioaeoe?? yaey? aaeee?
o?oaeiiu?, a?aoiaoth/e a?ieia?/i? iniaeeaino? caoaeieea, ? iio?aao?
iiaeaeueoiai oaeineiiaeaiiy. Aioea?ioeee oao?aoeeee?iiaiai ?yaeo, ui ?
i?aia?aoaie aeai?o o e?eoaaii? oeai?ae?ico, ia??aeei ia aeicaieythoue
aeinyaoe iiaii? ee?i?/ii? ? aoeieia?/ii? aee?eoaaiino?.

Aeuaaeeeaaeaia iaoiiaeei iaaaeueio iio?aao aea/aiiy ee?i?ei —
ai?aeai?ieia?/ieo iniaeeainoae oeai?ae?eii? ?ioaeoe?? a Iaeanueeiio
?aa?ii?, oaeineiiaeaiiy ?? eaai?aoi?ii? ae?aaiinoeee ? e?eoaaeueii —
i?io?eaeoe/ii? ?iaioe, ui ciaeoei na?e a?aeaeoie o iao? ? caaea/ao iaoeo
aeine?aeaeaiue.

Ca’cie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie.

Aeaia aeena?oaoe?eia ?iaioa ? o?aaiaioii a?aeii/i? oe?eueiai? i?ia?aie
N.08 “Ai?ioueaa c aaia?e/ieie caoai?thaaiiyie”, a oaeiae iniiaiei
?icae?eii iaoeiai-aeine?aeii? ?iaioe aea?aeaaiiai ieaio aeiiii?/iiai ?
nioe?aeueiiai ?icaeoeo Oe?a?ie: “ ?ic?iaeoe ia iniia?
iaaeeei-a?ieia?/ieo aeine?aeaeaiue o?iaai?oaeueieo ?ioaeoe?e
(oeai?ae?ic, i?eiieaciic ) eiiieaen e?eoaaeueii — i?io?eaeoe/ieo
caoiae?a, ni?yiiaaieo ia cieaeaiiy caoai?thaaiino? ? aoi?eiii?
aacie?aeiino? ( ? aea?ae. ?a?no?aoe?? 01860771902 ).

Iaoa ? caaea/? aeine?aeaeaiiy.

Iaoith ?iaioe ? ?ic?iaea ? ai?iaaaeaeaiiy a i?aeoeeo ioi?iie caei?ia’y
iiaiai aenieiaoaeoeaiiai eiiieaeno ae?aaiinoe/ieo ? e?eoaaeueii —
i?io?eaeoe/ieo caoiae?a noiniaii aei oeai?ae?eii? ?ioaeoe??, ui
a?aoiao? iniaeeaino? Iaeanueeiai ?aa?iio, ni?yiiaaiiai ia aeoeaio
naiaoe?th n?iaeieo ina?aaee?a caoai?thaaiiy, iiia?aaeaeaiiy ?aoeeaeea?a
? oneeaaeiaiue.

Caaea/? aeine?aeaeaiiy:

1. Aea/eoe iniaeeaino? ai?aeai?ieia?? oa ee?i?/iiai ia?aa?ao oeai?ae?ico
na?aae noaoaaeo ? o?nieo iiaooiaeo eiioaeo?a ?ia?oiee?a ieaaaeueiiai
neeaaeo ianaaee?nueeiai ii?nueeiai oeioo, ui no?aaeaea? oe??th
?ioaeoe??th.

2. I?iaanoe ii??aiyeueiee aiae?c aoaeoeaiino? ?yaeo iaoiae?a
ae?aaiinoeee oeai?ae?ico ? oaeineiiaeeoe eiai eaai?aoi?io ae?aaiinoeeo.

3. Aea/eoe /anoioo aeyaeaiiy noiooi?o o?iaai?oaeueieo ?ioaeoe?e o
ianoaaeaieo oai?eo ia oeai?ae?ic.

4. ?ic?iaeoe ? ai?iaaaeeoe a i?aeoeeo iiaee iaoiaaiaoe/ii iaa?oioiaaiee
eiiieaen e?eoaaeueii-i?io?eaeoe/ieo i??ii?e?inoa, ni?yiiaaiee ia
naiaoe?th ina?aaee?a n?iaeiiai oeai?ae?ico na?aae ?ia?oiee?a Iaeanueeiai
ii?nueeiai ia?iieaanoaa ? aeeoae?a onueiai oa?eoi??aeueiiai ?aa?iio.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

Iaie aia?oa cai?iiiiiaaia ? ?ic?iaeaia “Ea?oa ianoaaeaiiy ?
niinoa?aaeaiiy in?a c o?iaai?oaeueiith iaoieia??th” o aeaeyae?
eiii’thoa?ii? i?ia?aie, ui aeicaieeea i?iaanoe eiiieaenia
ai?aeai?ieia?/ia ianoaaeaiiy na?aae oaoiaeo ?ia?oiee?a Iaeanueeiai
ii?nueeiai ia?iieaanoaa c iaoith ?aiiueiai aeyaeaiiy in?a, ui
no?aaeaeathoue ia oeai?ae?eio ?ioaeoe?th, ?a?no?aoe?th ?o noaoaaeo ?
o?nieo iiaooiaeo eiioaeo?a, ?c ianooiiei ?oi?i e?eoaaiiyi ? nai?/aniith
naiaoe??th ina?aaee?a n?iaeiiai oeai?ae?ico.

Aia?oa aea/ai? iniaeeaino? ee?i?/iiai ia?aa?ao oeai?ae?eii? ?ioaeoe?? o
oeueiai eiioeiaaioo oai?eo.

?ic?iaeaiee “ Can?a aeyaeaiiy C.trachomatis” ( A.N. ? 1723129 a?ae
01.12.1991 ?.), ui i?aeaeuo? aoaeoeai?noue ? nei?i/o? oa?i?i
ae?aaiinoeee oeai?ae?ico. Ia i?aenoaa? ?acoeueoao?a aaaaoi??/iiai
eaai?aoi?iiai ianoaaeaiiy, aeiaaaeaia iaiao?aei?noue eiiieaeniiai
i?aeoiaeo, ui aeeth/a? iie?ia?acio eaioethaiao ?aaeoe?th, aeey
i?aeaeuaiiy aoaeoeaiino? ae?aaiinoeee oeai?ae?ico.

Iaoiaaiaoe/ii iaa?oioiaaiee ? ai?iaaaeaeaiee iiaee iaoiae e?eoaaiiy
oeai?ae?eii? ?ioaeoe??, yeee ia?aaeaa/a? eiia?iiaaia canoinoaaiiy
aioea?ioee?a ? aaeoa??eieo a?ieia?/ieo i?aia?ao?a (a?o?aeoiaaeoa??i,
eaeoiaaeoa??i), ui iathoue aioaaii?noe/io aeoeai?noue o a?aeiioaii? aei
aaaaoueio iaoiaaiieo i?e?ii?aai?ci?a, i?aeaeuothoue ?ioiieia?/io
?aaeoeai?noue ? caaaeueio ianiaoeeo?/io ?acenoaioi?noue i?aai?cio
oai?iai, noeioeththoue ?aia?aoeai? i?ioeane a ina?aaeeao o?aaeaiiy, a
oaeiae iathoue i?io?eaeoe/io ni?yiiaai?noue.

I?aeoe/ia cia/aiiy ?iaioe oa ai?iaaaeaeaiiy io?eiaieo ?acoeueoao?a.

?iaioa ia? nooo?ao iaoeiai – i?aeoe/io cia/ei?noue. Iaoa??aee
aeena?oaoe?? aeei?enoiaothoueny i?e /eoaii? eaeoe?e ? i?iaaaeaii?
i?aeoe/ieo caiyoue ?c nooaeaioaie, e?ea?yie-?ioa?iaie, iaa?no?aie,
e?ea?yie ia eo?nao i?aeaeuaiiy eaae?o?eaoe?? ia eaoaae??
aea?iaoiaaia?ieia?? oa ii?nueei? iaaeeoeeie Iaeanueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo.

Io?eiai? iaie ?acoeueoaoe aeine?aeaeaiue aeicaieeee:

— aeyaeoe na?aae noaoaaeo ? o?nieo iiaooiaeo eiioaeo?a ii?ye?a, oai?eo
ia oeai?ae?eio ?ioaeoe?th, in?a, ui neeaaeathoue a?oie ?eceeo oeueiai
caoai?thaaiiy;

— ?ic?iaeoe a?eueo oi/i?, i?enei?ai? iaoiaee ae?aaiinoeee oeai?ae?ico,
oaeineiiaeeoe eiai oa?ai?th, ?ic?iaeoe ? ai?iaaaeeoe a i?aeoeeo iaoiaee
aeeniaina?ecaoe??, ui i?aeaeuothoue aoaeoeai?noue i?io?eaeoe/ieo
caoiae?a.

?ic?iaeai? e oaeineiiaeai? iaoiaee ae?aaiinoeee,e?eoaaiiy ? i?io?eaeoeee
oeai?ae?eii? ?ioaeoe?? ai?iaaaeaeai? a i?aeoeeo i?io?eueieo iaaee/ieo
neoaea *i?iiii?nueeiai ia?iieaanoaa, aea?iaoi-aaia?ieia?/ieo,
o?ieia?/ieo, aeooa?nueei — a?iaeieia?/ieo a?aeae?eaiue i?nueeeo ?
iaeanieo e?ea?aiue Iaeanueei?, Ieeiea?anueei? ? Oa?niinueei? iaeanoae.

Iaoa??aee aeena?oaoe?? aeeth/aii o aeaeai? iaoiaee/i? ?aeiiaiaeaoe??
“Aiiaeaiiieiaiy, aeiaaiinoeea, eieoaaiiy, i?ioieaeoeea caoai?thaaiue,
yei ia?aaeathoueny noaoaaei oeyoii” Iaeana, 1992 . C o?aooaaiiyi
iaoa??ae?a i?iaaaeaieo aeine?aeaeaiue aeaeaiee ?ioi?iaoe?eiee eeno
“I?aai?caoe?y aeeniaina?iiai niinoa?aaeaiiy oai?eo ia o?iaai?oaeueiee
oeai?ae?ic”, Ee?a ,1989.

Iniaenoee aianie caeiaoaa/a.

Aeena?oaoe?eia ?iaioa ? iniaenoith i?aoeath aaoi?a. An? ee?i?/i?
niinoa?aaeaiiy oa eaai?aoi?i? aeine?aeaeaiiy aeeiioaaeenue aaoi?ii
naiino?eii ia aac? eaoaae?e oe??ieo oa aaia?e/ieo caoai?thaaiue
Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo, iaoeiai — aeine?aeiiai
oeaio?a “AIII”, Iaeanueeiai iaoeiai — aeine?aeiiai ?inoeoooo a??onieia??
oa ai?aeai?ieia?? ?i. ?.?. Ia/i?eiaa. Aaoi?ii iniaenoi aoea i?iaaaeaia
nenoaiaoecaoe?y, aiae?c oa iaoaiaoe/ia ia?iaea io?eiaieo ?acoeueoao?a, c
aeei?enoaiiyi no/anieo eiiiueth?ieo i?ia?ai. Noai?aia eiii’thoa?ia aaca
aeaieo ?acoeueoao?a ianoaaeaiiy oai?eo. Ni?eueii c iaoeiaei ea??aieeii
noi?ioeueiaai? aeniiaee ?iaioe.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??.

Iniiai? iieiaeaiiy aoee iia?aeiieai? e iaaiai?ai? ia IO, O, OI
Ia/i?eianueeeo i?aeiaeanieo eiioa?aioe?yo iieiaeeo a/aieo — iaaeee?a o
1986, 1987 ? 1989 ?., i.Iaeana; Ananithci?e eiioa?aioe?? c aeooaeueieo
ieoaiue ae?aaiinoeee ? e?eoaaiiy oeai?ae?eii? ?ioaeoe??, i. Iineaa, 1986
?.; iaoeiai — i?aeoe/i?e eiioa?aioe?? aeooa??a — a?iaeieia?a, i.
Eeoei?a, 1989 ?.; iaoeiai — i?aeoe/i?e eiioa?aioe?? c aeooaeueieo
ieoaiue ii?nueei? iaaeeoeeie, i.Iaeana, 1990 ?.; OII Oe?a?inueeiio
?anioae?eainueeiio c’?cae? i?e?ia?ieia?a, ai?aeai?ieia?a ?
ia?aceoieia?a, i. Oa?e?a,1991 ?.; Oe?a?inuee?e iaoeiai — i?aeoe/ii?
eiioa?aioe?? c aeei?enoaiiy iaoaiaoe/ieo iaoiae?a ia/enethaaeueii?
oaoi?ee a iaaeeei-a?a??i?/ieo aeine?aeaeaiiyo, i.Ee?a, 1993 ?.;
?a?iiaenuee?e eiioa?aioe?? e?ea??a, i.Aa?e?i, 1995 ?.; iaoeiai —
i?aeoe/i?e eiioa?aioe?? “Aeooaeuei? ieoaiiy ae?aaiinoeee ? e?eoaaiiy
caoai?thaaiue, ui ia?aaeathoueny noaoaaei oeyoii”, i.Iaeana,1997 ?.
iaoeiai — i?aeoe/i?e eiioa?aioe?? “Caoai?thaaiiy, ui ia?aaeathoueny
noaoaaei oeyoii”, i.Ee?a,1998 ?.

Ioae?eaoe??.

Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 25 iaoeiaeo i?aoeue, c ieo 5
noaoae o oaoiaeo iaoeiaeo aeo?iaeao, ui ?aeiiaiaeiaai? AAE Oe?a?ie, 11
noaoae o ca??ieeao iaoeiaeo i?aoeue, ?io? o iaoa??aeao c’?cae?a ?
eiioa?aioe?e. Aeaeaii iaoiaee/i? ?aeiiaiaeaoe??, ?ioi?iaoe?eiee eeno,
io?eiaii aaoi?nueea iina?ae/aiiy ia aeiao?ae «Can?a aeae?eaiiy Chlamydia
trachomatis ? 1723129 a?ae 01.12.1991 ?.», iioae?eiaaiee o ” Atheeaoaia
ioe?uoee e ecia?aoaiee”, ? 12 a?ae 30.03.92.

No?oeoo?a oa ianya aeena?oaoe??.

Iiaiee ianya aeena?oaoe?? — 161 noi??iea iaoeiiieniiai oaenoo,
?ethno?iaaia 8 oaaeeoeyie ? 8 ?enoieaie. ?iaioa neeaaea?oueny ?c anooio,
iaeyaeo ? aiae?co e?oa?aoo?e, /ioe?ueio ?icae?e?a aeanieo
aeine?aeaeaiue, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e. Nienie
aeei?enoaii? e?oa?aoo?e i?noeoue 142 iaoeia? ioae?eaoe?? a?o/eciyieo ?
176 ?iicaiieo aaoi??a.

INIIAIEE CI?NO AeENA?OAOe??

Aeey aeinyaiaiiy iinoaaeaii? iaoe aoee aeei?enoai? caaaeueiiee?i?/i?,
oeeoieia?/i?, ?ioiiethi?ianoeaioi?, ii?oieia?/i?, eoeueoo?aeuei?,
na?ieia?/i?, ?ioiieia?/i?, noaoenoe/i? iaoiaee. I?ae iaoei
niinoa?aaeaiiyi ciaoiaeeeeny 588 ae?iie (ae?oaeeie ? ni?aiaoeaiee
ii?ye?a) ? ?o 258 ae?oae. I?iaaaeaii niaoe?aeuei? aeine?aeaeaiiy
naeoe?eiiai iaoa??aeo a?ae 125 iiia?eeo ae?oae c iaoith aecia/aiiy
caoaeiee?a oeai?ae?eii? ?ioaeoe??.

Aeey aeaoaeueiiai ? anaa?/iiai aea/aiiy ee?i?ei — ai?aeai?ieia?/ieo
iniaeeainoae oeai?ae?eii? ?ioaeoe?? iaie aoea ?ic?iaeaia «Ea?oa
ianoaaeaiiy ? niinoa?aaeaiiy in?a c o?iaai?oaeueiith iaoieia??th», ui
i?noeoue 350 ieoaiue ca caaaeueieie ? niaoe?aeueieie ?icae?eaie, eoaee
caiineeeny io?eiai? aeai? c ianooiiei aiae?cii.

Aioeaai C.trachomatis aeyaeyee iaoiaeii i?yii? ?ioiioethi?anoeaioe?? ?c
aeei?enoaiiyi oethi?anoeoth/eo iiiieeiiaeueieo aioeo?e «Oeai? Neaeae»,
ae?iaieoeoaa «EAAae?aaiinoeea» ( ?in?y ).

Oeeoiieaciaoe/i? aeeth/aiiy o c?oe??aiiio iaoa??ae? oeee?iae?e/iiai
ai?oae?th aea/aee iaoiaeii caaa?aeaiiy ca ?iiaiianueeei — A?ica.

Aio?oeai?ae?ei? aioeo?ea aecia/aee a ne?iaaoeao o ?aaeoe?? iai?yii?
?ioiioethi?anoeaioe?? (?I?O), c aeei?enoaiiyi oano?a ae?iaieoeoaa
iaoeiai — aeine?aeiiai ?inoeoooa ai?aeai?ieia?? oa i?e?ia?ieia?? ?i.
Aaiae?? (Iineaa) ? ?aaeoe?? ca’ycoaaiiy eiiieaiaioa (?NE) ?c
?iaeiniaoeeo?/iei aioeaaiii Iaeanueeiai i?aei?e?inoaa ii ae?iaieoeoao
aaeoa??eieo i?aia?ao?a.

I?e i?iaaaeaii? aeine?aeaeaiue aeei?enoiaoaaee ?ic?iaeaiee iaie
i?ea?iaeueiee can?a aeae?eaiiy C.trachomatis o eoeueoo?? ee?oei
(aaoi?nueea iina?ae/aiiy ia aeiao?ae ?1722329 a?ae 01.12.1991).
Cai?iiiiiaaiee can?a ni?iuo? ?cieyoe?th oeai?ae?e ?c iaoa??aeo a?ae
oai?eo, i?aeaeuo? eiai aoaeoeai?noue o ia?aeiii — o?einei?ciaaiie
eoeueoo?? ee?oei ieoaaeo o?a?iaeano?a ? nei?i/o? oa?i?ie aeine?aeaeaiiy.

Aeey aeyaeaiiy oeai?ae?eieo AeIE aeei?enoiaoaaee iie?ia?acio eaioethaiao
?aaeoe?th (IE?), i?eioeei yei? caniiaaiee ia i?ioean? aiie?o?eaoe??
AeIE. Aeey oeueiai canoiniaoaaee aeaa iaiiaeeo?eiaaieo
ie?aiioeeaioeaeieo i?aeia?a, neioaciaaieo ia iniia? a?aeiii?
ioeeaioeaeii? iine?aeiaiino? aaia 16S ??ainiiaeueiie ?IE C.trachomatis.
Oano — nenoaia ae?iaieoeoaa “ A?ieii ” (Iineaa). .

O aeaio a?oi ae?iie ( ia?oa a?oia — 57 ae?iie ?c caiaeueieie
caoai?thaaiiyie o?iaai?oaeueiiai o?aeoo oeai?ae?eii? ao?ieia??, ae?oaa —
34 i?aeoe/ii caei?iaeo iaoe??ioee, aecia/aee a?aeiinia ? aaniethoia
/enei O- ? A- e?ioioeeo?a e?ia? ? ?oi?o noaiiioeyoe?e, a oaeiae
eiioeaio?aoe?th a ne?iaaooe? e?ia?, ?ioiiaeiaoeei?a eean?a A,I,G, ca
aeiiiiiaith ae?aaiinoe/ieo iaai??a ae?iaieoeoaa ?inoeoooo ?i. Aaiaea?
(Iineaa, ?in?y).

Aea/aii naeoe?eiee iaoa??ae 125 iiia?eeo ae?oae a?ae 0 aei 3 ?ie?a ?c
iaoith aeyaeaiiy oeai?ae?e. Oeii/ee?a aoei -72, ae?a/aoie -53; o oiio
/ene? a?ae iiaiia?iaeaeaiino? aei 6 i?nyoe?a — 61 aeeoeia, a?ae 6
i?nyoe?a aei 1 ?ieo — 39 ae?oae, a?ae 1 ?ieo aei 1,5 ?ieo — 15 ae?oae,
a?ae 1,5 ?ie?a aei 3 ?ie?a -10 ae?oae.

Aeey aeae?eaiiy oeai?ae?e o eoeueoo?? ee?oei aeei?enoiaoaaee e?i?th
ee?oei L — 929 ? ia?aeiii-o?einei?ciaai? o?a?iaeanoe aia??iia ieo?, ye?
ca?aaeoaaee 10% noniaic?yie i?aai?a caaeaeeo ae?oae.

Caaaeueiii?eeiyo? iaoiaee e?eoaaiiy oeai?ae?ico, ia?aaeaa/athoue oae?
eo?nia? aeice aioea?ioee?a, ui iathoue iaaaoeaiee aieea ia i?aaie ?
nenoaie ethaenueeiai i?aai?cio (?iaeaothoue ?ioiiaaiac, aeeeeeath/e
aeieaaeo ?ioiiaeiaoe?iiaeo ?aoeaioi??a e?ioioeeo?a, aeeeeeathoue
ae?naaeoa??ic eeoeiaiai o?aeoo ? oea i?ecaiaeeoue aei ??ciiiai?oieo
ii?ooaiue iai?io ?a/iaei). Oaeei /eiii aeieea? iio?aaa ooeaoe iia?
oa?aiaaoe/i? i?aeoiaee, ui ii?aeiothoue iaeneiaeueio aoaeoeai?noue ?
i?i?iaeueiee aieea ia iae?ii?aai?ci.

I?ioyaii inoaii?o ?ie?a a i?aeoeoe? aeei?enoiaothoueny aaeoa??ei?
a?ieia?/i? i?aia?aoe eoeueoo? ooai?a ii?iaeueii? i?e?ioei?e ethaeeie:
a?o?aeoiaaeoa??i, eaeoiaaeoa??i, eie?aaeoa??i ? ?oi? niieo/aiiy, aeey
ei?aeoe?? i?e?ioei?e i?e eeoeiaeo caoai?thaaiiyo.

Iaie cai?iiiiiaaii aeei?enoaiiy a?o?aeoiaaeoa??ia, eaeoiaaeoa??ia
?io?aaaa?iaeueii c iaoith a?aeiiaeaiiy a?ioeaiico o aeaeyae?
noiiceoi???a, ui ia? ia?aaaae i?e aeei?enoaii? oa oi/iiio aeicoaaii?.

E?eoaaiiy 204 ae?iie iniiaii? a?oie i?iaiaeeee ca cai?iiiiiaaiith iaie
iaoiaaiaoe/ii iaa?oioiaaiith eiiieaeniith iaoiaeith. Oai?? c
iiiioeai?ae?eiith ?ioaeoe??th io?eioaaee aioeaaeoa??aeueio oa?ai?th
o?eaae?noth aei o?ueio oeaei?a, niieo/ath/e aeieneoeeee?i (ii 0,2 a?aia
2 ?ace ia aeaiue i?ioyaii 7 aei?a), ioeienaoeei ( ii 0,3 a?aia 2 ?ace
ia aeaiue i?ioyaii 7 aei?a), eaeoiaaeoa??i ( per os ii 6 aeic 3 ?ace ia
aeaiue ? iaeii/anii o aeaeyae? aaa?iaeueieo noiiceoi???a ii 6 aeic 1
?ac ia aeaiue i?ioyaii 14 aei?a ), a oaeiae aaa?iaeuei? na?/? c
eeiiiiith eeneioith. I?e a?aenooiino? i?ioeiieacaiue i?ioyaii onueiai
eo?no i?ecia/aee i?ci?ae ( ii 0,2 a?aia iaeei ?ac ia aeaiue ), a?oai?ii?
eiiieaene, o?einei i?ioyaii 7 — 14 aei?a, aeia, i?aia?aoe ye?
aeanainea?e?cothoue.

O aeiaaeeo niieo/aii? ?ioaeoe?? ia ia?oiio aoai? i?ecia/aee niaoeeo?/io
oa?ai?th a?aeiia?aeii? ao?ieia?/ii? ni?yiiaaiiino?. C iaoith ei?aeoe??
ae?naaeoa??ico ia?i?aeueii i?ecia/aee eaeoi-, a?o?aeoiaaeoa??i, a iio?i
i?iaiaeeee ae?oaee aoai — e?eoaaiiy oeai?ae?eii? ?ioaeoe??.

Iniaeeao oaaao i?eae?eyee e?eoaaiith aaa?oieo ae?iie, ui no?aaeaeaee ia
oeai?ae?eio ?ioaeoe??th, 47 aaa?oiei iniiaii? a?oie i?ecia/aee
a??o?ii?oeei ( ii 0,1 a?aio 3 ?ace ia aeaiue iai?ioyc? 10 aei?a ) oa
a?o?aeoiaaeoa??i ( ii 5 aeic 3 ?ace ia aeaiue per os ? o aeaeyae?
aaa?iaeueieo na?/ie ii 5 aeic 1 ?ac ia aeaiue i?ioyaii 10 aei?a); 37
ae?ieai c oneeaaeiaiith aaa?oi?noth, ui no?aaeaeaee ia oeai?ae?ic ? 22
ii?iae?eeyi ?c o??th ae iaoieia??th ?aeiiaiaeoaaee a??o?ii?oeei ca
i?eaaaeaiith aeua noaiith, a oaeiae ia?i?aeueii eaeoiaaeoa??i ( ii 6
aeic 3 ?ace ia aeaiue ) ? o aaa?iaeueieo na?/ao ( ii 6 aeic 1 ?ac ia
aeaiue i?ioyaii 10 aei?a ).

Eiio?ieueio a?oio c 181 ae?iee, ui oai??ee ia o?iaai?oaeueiee
oeai?ae?ic, e?eoaaee aeieneoeeee?iii oa a??o?ii?oeeiii ca
?aeiiaiaeiaaieie aeicaie, ca oiiae niieo/aii? ?ioaeoe?? — a?aeiia?aeieie
i?aia?aoaie. Ianiaoeeo?/io oa?ai?th i?iaiaeeee i??iaaiieie i?aia?aoaie
(i??iaaiae, i?iaeea?icai), a?inoeioeyoi?aie (iaoeeo?aoeee, aeaea??n),
a?oai?iaie.

Aeey naiaoe?? ae?oae ie canoiniaoaaee oae? noaie: ae?oyi a?ae 3 aei 7
?ie?a i?ecia/aee a??o?ii?oeei o ia?oee aeaiue 0,2 , iio?i ii 0,1 o?e
?ace ia aeaiue i?ioyaii 10 — 14 aei?a aai ac?o?ii?oeei o ia?oee aeaiue
80 ia, iio?i c 2 ii 14 aeaiue ii 50 ia iaeei ?ac ia aeiao; a?ae 7 aei 11
?ie?a ac?o?ii?oeei i?ecia/aee o ia?oee aeaiue 125 ia, iio?i c 2 ii 14
aeaiue ii 80 ia uiaeiy. Aeey ae?oae 12 ?ie?a i?ecia/aee ac?o?ii?oeei o
ia?oee aeaiue 250 ia, iio?i c 2 ii 14 aeaiue ii 80 ia uiaeiy.

Aeey ei?aeoe?? ae?naaeoa??ico ae?oyi iieiaeoa 7 ?ie?a i?ecia/aee
eaeoiaaeoa??i per os ii 5 aeic 2 ?ace ia aeiao, a noa?oei ae?oyi — ii 5
aeic 3 ?ace ia aeiao i?ioyaii 12 — 14 aei?a.

Aoaeoeai?noue i?iaaaeaiiai e?eoaaiiy ioe?ithaaee ii noeoiiino? ?yaeo
ia’?eoeaieo ? noa’?eoeaieo iciae, ca ?acoeueoaoaie eaai?aoi?ieo iaoiae?a
aeine?aeaeaiiy.

Noaoenoe/ia ii?aoethaaiiy io?eiaieo aa??aoe?eieo ?yae?a i?iaiaeeee ?c
canoinoaaiiyi e?eoa??th aeinoia??iino? ii Nouethaeaioo ca aeiiiiiaith
a?aeiia?aeieo eiii’thoa?ieo i?ia?ai.

Ee?i?/ia oa?aeoa?enoeea oai?eo ia oeai?ae?eio ?ioaeoe?th.

Io?eiai? iaie ?acoeueoaoe ianoaaeaieo noaoaaeo ? o?nieo iiaooiaeo
eiioaeo?a ?ia?oiee?a ii?nueeiai o?ainii?oo, ui no?aaeaeaee ia
na/inoaoaaee oeai?ae?ic, caiineee a ?ic?iaeaio ea?oo : «Ianoaaeaiiy ?
niinoa?aaeaiiy in?a c o?iaai?oaeueiith iaoieia??th» ?c ianooiiei
ii?aoethaaiiyi ia eiii’thoa??. Aiia i?noeea a?n?i ?icae?e?a, ui
a?aeaeaaee nea?ae iaoe??ioa, aiaiiac aeeooy ? oai?iae, ?acoeueoaoe
ia’?eoeaiiai ianoaaeaiiy na/inoaoaai? nenoaie, aeai? o?ao?ineii??,
nioe?aeueio oa?aeoa?enoeeo ethaeeie, yeo ianoaaeoaaee, a oaeiae
a?aeiiino? i?i i?eionoei? aeaea?aea ca?aaeaiiy. O ea?oo caiineee oaeiae
aeai? i?i aeiaaeeia? aai o?eaae? noaoaa? ? iiaooia? eiioaeoe, ye o
oetha?, oae ? iica iei.

I?e ianoaaeaii? 588 ae?iie ( ae?oaeeie ? ni?aiaoeaiee ii?ye?a, ui
no?aaeaeaee ia oeai?ae?ic ) oeai?ae?eia ?ioaeoe?y aeyaeaia a 385 ( 65,5
% ) ? a 188 ( 72,9 % ) ae?oae ?c 258, ye? ciaoiaeeeenue ia ianoaaeaii?.
Na?aae oai?eo ae?oae ae?a/aoie aoei 106, oeii/ee?a — 82.

Na?aae 385 ?io?eiaaieo ae?iie o 250 ( 64,9% ) aoee aeyaeai? caiaeuei?
caoai?thaaiiy o?iaai?oaeueiiai o?aeoo, 92 ( 23,9% ) iaoe??ioee ia
ia??iae ianoaaeaiiy aoee aaa?oi?, i?e oeueiio 47 ( 12,2% ) — aac
oneeaaeiaiue, a 45 ( 11,7% ) ?c oaeeie. Na?aae ?io?eiaaieo aoei 43 (
11,2% ) ii?iae?eeue. Ae?oae ?c caiaeueieie caoai?thaaiiyie o?iaai?oae?e
aoei 51

( 27,1% ), ?c aeno?aaai?oaeueiith iaoieia??th oeai?ae?eii? ao?ieia??:
i?aai?a aeeoaiiy — 47 ( 25,0% ), eiiuethieoea?oaie 49 ( 26,1% ),
niieo/aiith iaoieia??th o?iaai?oae?e ? eiiuethieoeae — 41 ( 21,8% ).

Ca nioe?aeueiei noaiii: in?a ?c aeuith ina?oith aoei 68 ( 17,7% ), ?c
na?aaeiueith oaoiaith ina?oith — 123 ( 31,9% ), aeiiiainiiaea?ie — 194

( 50,4% ).

I?e aiii?iiiio iieooaaiii? 147 ( 38,1% ) ae?iie aeacaee ia iicaoethai?
aai aeiaaeeia? noaoaa? ca’ycee c iaeiei aai aeae?eueeiia ia?oia?aie.

Na?aae ?io?eiaaieo 385 ae?iie oeai?ae?eia ?ioaeoe?y ye naiino?eia
caoai?thaaiiy aeyaeaia o 83 ( 21,6 % ), a niieo/aii? c o?eoiiiiicii — o
70 ( 18,1% ), c o?aaieaciicii — o 40 ( 10,4% ), c aa?aeia?aeacii — o 31
( 8,1% ), c eaiae?aeicii — o 27 ( 7,0% ), c o?eoiiiiicii oa
o?aaieaciicii — o 23 ( 5,9% ), c o?aaieaciicii ? aa?aeia?aeacii — o 19 (
4,9% ), c o?aaieaciicii ? eaiae?aeicii — o 15 ( 3,9% ), c o?eoiiiiicii,
o?aaieaciicii ? eaiae?aeicii — o 13 ( 3,4% ). O 64 ae?iie ( 16,6% ) aoei
aeyaeaii niieo/aiiy oeai?ae?eii? ?ioaeoe?? c aai?oaeueiei aa?ianii, ui
?aoeeaeeao?.

Naiino?eii o?iaai?oaeueiee oeai?ae?ic na?aae 188 ?io?eiaaieo ae?oae
a?aecia/aee o 126 ( 67,0% ), a niieo/aii? c ae??aeaeaeiaeie o?aaeaiiyie
— o 43 ( 22,8% ), ?c aai?oaeueiei aa?ianii — o 19 ( 10,2% ).

Aino?ee ee?i?/iee ia?aa?a oeai?ae?ico a?aecia/aee o 42 ( 10,9% )
ae?iie, iai?aaino?ee — o 46 ( 11,9% ), o?ii?/iee — o 86 ( 22,3% ),
oi?ieaeiee — o 98 ( 25,5% ), aneiioiiiee — o 113 ( 29,4% ).

Oeai?ae?eia o?aaeaiiy o?ao?e aoei aeyaeaii o 88 ( 22,85% ) ae?iie,
oea?a?eno — o 91 ( 23,6% ), aoeueae — o 84 ( 21,82% ), aaa?ie — o 99

( 25,7% ). Ia aoei ee?i?/ieo i?iyaeaiue — o 23 ( 5,9% ) ae?iie.

An? oai??, ye cacia/aii aeua, aoee iiae?eai? ia aea? a?oie. Aei iniiaii?
a?oie aoei aeeth/aii 297 oai?eo, ye? e?eoaaeeny ca cai?iiiiiaaiith iaie
iaoiaeeeith. C ieo 204 ae?iee, 93 ae?oae, o oiio /ene? 41 ae?iea ? 34
aeeoeie, ui no?aaeaeaee o?eueee ia oeai?ae?eio ii?aceo o?iaai?oaeueiiai
o?aeoo, 27 ae?oae — c o?iaai?oaeueiei oeai?ae?icii ? iaoieia??th i?aai?a
aeeoaiiy ? 21 aeeoeia — c o?iaai?oaeueiei oeai?ae?icii ?
eiiuethieoea?oii, 11 ae?iie c o?c?ieia?/iith aaa?oi?noth ? oeai?ae?icii,
36 aaa?oieo c oaeith ae aaa?oi?noueth ? oeai?ae?eii — o?eoiiiiaaeiith
?ioaeoe??th, 37 aaa?oieo c oneeaaeiaiith aaa?oi?noueth ( o 21 —
ae?aaiinoiaaia niieo/aia oeai?ae?eii — o?aaieaciiaa ?ioaeoe?y, o 16
oeai?ae?eii -aa?aeia?aeacia ), 57 oai?eo ia o?iaai?oaeueiee oeai?ae?ic ?
eaiae?aeic, 22 ii?iae?ee? c oeai?ae?icii oa 11 ae?oae c oeai?ae?eiei
eiiuethieoea?oii.

Eiio?ieueia a?oia neeaaeaeany c 276 ?io?eiaaieo ( ae?iie — 181, ae?oae —
95 ) oeai?ae?yie iaoe??io?a, yeeo e?eoaaee ca cae/aeieie iaoiaeeeaie. O
oiio /ene? 35 ae?iie ? 34 aeeoeie, ui no?aaeaeaee o?eueee ia oeai?ae?eio
ii?aceo o?iaai?oaeueiiai o?aeoo, 31 aeeoeia — c o?iaai?oaeueiei
oeai?ae?icii ? iaoieia??th i?aai?a aeeoaiiy ? 23 aeeoeia — c
o?iaai?oaeueiei oeai?ae?icii ? eiiuethieoea?oaie, 9 ae?iie ?c
o?c?ieia?/iith aaa?oi?noth ? oeai?ae?icii, 32 aaa?oieo ?c
iaoneeaaeiaiith aaa?oi?noth, o yeeo aoee aeyaeai? oeai?ae?? ?
o?eoiiiiaaee, 33 aaa?oieo c oneeaaeiaiith aaa?oi?noth ( o 19 —
ae?aaiinoiaaia niieo/aia oeai?ae?eii — o?aaieaciaia ?ioaeoe?y, o 14
oeai?ae?eii — aa?aeia?aeacia ), 51 oai?a c o?iaai?oaeueiei oeai?ae?icii
? eaiae?aeicii, 21- ii?iae?ee? c oeai?ae?icii ? 7 ae?oae ?c oeai?ae?eiei
eiiuethieoea?oii.

Ee?i?/ia ? aoeio?iiia aee?eoaai?noue oai?eo iniiaii? a?oie aoea
aeinyaiooa a 257 ( 86,5%) aeiaaeeao. ?aoeeaeeae oeai?ae?ico a oe?e a?oi?
a?aecia/ai? o 40 ( 13,5% ) iaoe??io?a. O eiio?ieuei?e a?oi? oe?
iieacieee neeaaeaee 204 ( 73,9 % ) ? 71 ( 25,7% ) a?aeiia?aeii.

Niieo/aia aeei?enoaiiy aoeio?iiieo oa aaeoa??eieo i?aia?ao?a i?aeaeuo?
aoaeoeai?noue e?eoaaiiy. Ia?i?aeueiue i?eeii inoaii?o ia?aoeiaeaea?
?icaeoeo ae?naaeoa??ico eeoeiaiai o?aeoo, ?o i?noeaaa aaa?iaeueia
canoinoaaiiy, o aeaeyae? noiiceoi???a, noeioeth? ?aia?aoeai? i?ioeane a
ai?oae?? o?iaai?oaeueiiai o?aeoo, a o aaa?oieo ae?iie ? aaaeeeaei
caniaii i?io?eaeoeee ?icaeoeo oeai?ae?eii? ?ioaeoe?? a iaeaooiuei?
aeeoeie. Canoinoaaiiy oeeo a?ieia?/ieo i?aia?ao?a o cai?iiiiiaai?e oi?i?
ia? ia?aaaao ia?aae ?inoeeyoe?yie oa oaiiiiaie, oiio ui caaacia/o?
i?inoioo canoinoaaiiy ? oi/i?noue aeicoaaiiy.

Aino?ee oeai?ae?eiee o?ao?eo oa?aeoa?ecoaaany iiyaith ii/oooy
aeeneiioi?oo, naa?aey/ee ? iaaaee/ei? ia/?? a o?ao?aeueiiio eaiae?, c ?o
ia?inoaiiyi i?ioyaii 1- 2 oeaei?a, iio?i c’yaeyeeny neecoaao?, neecoaaoi
— ai?ei? aeae?eaiiy c ciai?oiueiai ioai?o na/?aieea. Iaeaea a iaei???
o?aoeie oai?eo aeieeaa a?eue ia ii/aoeo na/iaeioneaiiy. I?e caeo/aii? a
caiaeueiee i?ioean ia?ao?ao?aeueieo caeic a?aecia/aee aeia?ai?th ?oi?o
aea?aeieo i?ioie?a ? ai?eii — neecoaao? aeae?eaiiy. O 6 ( 1,6% ) oai?eo
aino?ee oeai?ae?eiee o?ao?eo noi?iaiaeaeoaaany ii?aceith ia?aaeioa?i?o
i?oae, o 3 ( 0,8% ) — ?c ii?aceith ia?aaeioai?o i?oae ? ee?oi?a.

Aeey aea/aiiy ai?aeai?ieia?/ieo iniaeeainoae n?iaeiiai o?iaai?oaeueiiai
oeai?ae?ico ie ianoaaeeee 49 n?iae ?ia?oiee?a ii?nueeiai o?ainii?oo, ui
no?aaeaeaee ia oeai?ae?eio ?ioaeoe??th. Oey a?oia neeaaeaeanue c 49
/ieia?e, c 49 ?oi?o ae?oaeei, 79 ae?oae, 15 i?aaenoaaiee?a noa?oiai
iieie?iiy ( 10 ae?iie, 5 /ieia?e ). O 19 ( 38,8% ) n?i’yo aoea 1
aeeoeia, i?e/iio o 13 ( 68,4% ) — oea aoea ae?a/eiea, a a 6 ( 31,6% ) —
oeii/ee. A ?ioeo 30 ( 61,2%) aoei aeai? ae?oae, o oiio /ene?
iaeiinoaoaaeo — o 19 ( 38,8% ) oa ??ciinoaoaaeo o — 11 ( 22,4 % )
n?i’yo.

Iioe?aiiy oeai?ae?ico a oeeo n?i’yo aoei oaeei : a iaio aaouee?a — o 41
( 83,7 % ), a iaeiiai c aaouee?a — o 8 ( 16,3 % ) , o oiio /ene? o?eueee
a aaoueea — o 5 ( 10,2 % ), o?eueee a iaoa?? — o 3 ( 6,1 % ). O 5 ( 50%
) ae?iie noa?oiai iieie?iiy aoa aeyaeaiee o?iaai?oaeueiee oeai?ae?ic.

Oeai?ae?ic ye iiii?ioaeoe?th a?aecia/aee o 21 ( 45,6 % ) /ieia?ea ? o 28
( 57,1 % ) ae?iie c aeaii? a?oie, ?acii c o?eoiiiiicii — 15 ( 32,6 % )
/ieia?e?a ? o 12 ( 24,5 % ) ae?iie, c aiii?a?th — o 7 ( 15,2 % )
/ieia?e?a ? o 6 ( 12,2 % ) ae?iie, c aiii?a?th oa o?eoiiiiicii o 3 ( 6,5
% ) /ieia?e?a ? o 3 ( 6,1 % ) ae?iie.

Ca oa?aeoa?ii ia?aa?ao a 14 ( 30,4% ) /ieia?e?a oeai?ae?ic ia iaa
ee?i?/ieo i?iya?a, o 10 ( 21,7% ) — ?c yaeuaie o?ao?eoo, o 22 ( 47,8% )
— i?inoaoeoo, a o 5 ( 10,9% ) /ieia?e?a a?aecia/aee ua ?
aeno?aaai?oaeuei? i?iyae o aeaeyae? eiiuethieoea?oa ? ii?acee
aii?eeiainoiiieo ? eie?iieo noaeia?a — neiae?ii ?aeoa?a. O 20 ( 40,8 % )
ae?iie o?iaai?oaeueiue oeai?ae?ic noi?iaiaeaeoaaany oea?a?oeeoii, o 8 (
16,3 % ) — eieuei?oii, a a 21 ( 42,8 % ) — i?io?eaa aacneiioiiii.

C 79 ianoaaeaieo ae?oae oe??? «n?iaeii?» a?oie o 25 ( 31,6% ) aoei
aeyaeai oeai?ae?ic, ?c ieo oeii/ee?a aoei — 7 ( 28 % ), a ae?a/eiie — 18

( 72 % ). sse iiii?ioaeoe?y oeai?ae?ic aoa — o 6 ( 85,7 % ) oeii/ee?a ?
a 13 ( 72,2 % ) ae?a/aoie, ?acii c o?eoiiiiicii a 1 oeii/eea e o 3 (
16,7 % ) ae?a/aoie, a c aiii?a?th o 2 ae?a/aoie.

O 3 ( 42,8 % ) oeii/ee?a oa 5 ( 27,8 % ) ae?a/aoie aoa oeai?ae?eiee
eiiuethieoea?o , a o 13 ( 72,7 % ) ae?a/aoie niinoa??aaee
aoeueaiaaa?i?o.

Noaoaaee oeyo ia?aaea/? oeai?ae?eii? ?ioaeoe??, o oiio /ene? ? ?ioeano,
eaoaai?e/ii caia?a/eany ye aaoueeaie, oae ? ianoaaeaieie i?aee?oeaie. O
oie naiee /an 14 ( 28,6 % ) iaoa??a i?eioneaee iiaeeea?noue aeei?enoaiiy
i?aaeiao?a ooaeaoo (ii/aeee, ?ooieee, einiaoeea ) iaeii/anii c ?oi?ie
aei/eaie. A aiaiiac? a 23 ( 46,9 % ) iaoa??a a?aecia/aeany iaoieia?y
aaa?oiino? ? ?iae?a.

Aeey aecia/aiiy /ooeeaino? canoiniaoaaieo iaoiae?a ae?aaiinoeee
oeai?ae?ico, c?iaeee ii??aiyiiy ye a iniiai?e ( 297 ?io?eiaaieo ia
oeai?ae?ic ) oa a eiio?ieuei?e ( 156 caei?iaeo ethaeae ) a?oiao.

?acoeueoaoe ianoaaeaiiy iniiaii? a?oie iieacaee, ui iaea?eueo /ooeeaith
auyaeeanue iie?ia?acia eaioethaiaa ?aaeoe?y, yea aoea iiceoeaiith o 268
c 297 ( 90, 2% ) ianoaaeaieo, oiae? ye iaoiae eoeueoo?e ee?oei o 192 (
69,1% ), ?aaeoe?y iai?yii? ?ioiioethi?anoeaioe?? — o 180 ( 64,8% ),
?aaeoe?y i?yii? ?ioiioethi?anoeaioe?? — o 175 ( 62,9% ), ?aaeoe?y
ca’ycoaaiiy eiiieaiaioa — o 166 ( 59,6% ), iaoiae ?iiaiianueeiai —
A?ica o 132 ( 47,3% ).

Iaie aea/aiee naeoe?eiee iaoa??ae 125 iiia?eeo ae?oae a?ae ??ciiiai?oii?
?ioaeoe?eii? iaoieia?? (iiaaiii?y, nainen ? ?i.) o noaoe?iia?ao i.Iaeane
a ia??iae ?c 1987 ii 1997 ?. ?ioiiethi?i?noeaioiee iaoiae aeicaieea
aeyaeoe aioeaai oeai?ae?e o naeoe?eiiio iaoa??ae? 31 aeeoeie

( 28% ), eoeueoo?aeueiee — o 12 ( 9,6% ) caaeaeeo ae?oae. Oeai?ae??
aeae?eyee c o?aoa?, eaaai?a oa naeac?iee.

A?aecia/aii oae? iaoieiaiaiaoii?/i? iniaeeaino? a i?aaiao caaeaeeo
ae?oae: aeaneaaiaoe?y ai?oae?th a eaaaiyo, aa?aaaoe?y a?eo?ioeeo?a o
i?ina?oeo a?iio?a, a?ae?i?caoe?y iaia?ai, aeano?oeoe?y aaiaoioeeo?a o
ia/?ioe?, neoi/aiiy e?ioioeeo?a o iaaeie?eao, cieaeaiiy ian ueoiaeaeii?
caeice, ciaioaiiy /enea oeiioeeo?a.

Aeey aecia/aiiy ??aiy ciaiue i?i oai?iae, ui ia?aaeathoueny noaoaaei
oeyoii, na?aae ianoaaeaiiai iaie eiioeiaaioo, aoei aieaoiaaii 177
ae?iie. Anoaiiaeaii, ui i?i i?io?eaeoeeo caoai?thaaiue, ye?
ia?aaeathoueny noaoaaei oeyoii, 143 ( 80,7% ) ae?iee ia iaee /?oeiai
oyaeaiiy.

?ic?iaeaiee iaie eiiieaen i?io?eaeoe/ieo caoiae?a o a?aeiioaii?
o?iaai?oaeueiiai oeai?ae?ico aoa oi?iaaaeaeaiee ?c iiceoeaieie
?acoeueoaoaie a i?aeoeeo ioi?iie caei?ia’y Iaeanueeiai iaeaniiai ?
i?nueeiai oe??ii — aaia?ieia?/ieo aeeniaina??a, ?cia?euenueeiai oe??ii
-aaia?ieia?/iiai aeeniaina?o, aaia?ieia?/iiai aeeniaina?o
*i?iiii?nueeiai ia?iieaanoaa. A?i aeeth/a? iniaenoo i?io?eaeoeeo, aea
ii?yae ?c eeane/ieie caoiaeaie ?aeiiaiaeo?oueny canoinoaaiiy 0,05%
?ic/eio a?o/eciyiiai i?aia?aoo i??ai?noeia, a ai?iaaoe?? yeiai ie a?aee
o/anoue, a oaeiae nai?oa?ii — i?ina?oiy ?iaioa. Iaiao?aeii oaeiae
ianoaaeaiiy ia oeai?ae?ic aaa?oieo ae?iie ?c ianooiiith ?oiueith
naiaoe??th aeey caiia?aaiiy ca?aaeaiiy iaeaooiuei? aeeoeie ? oi?ioaaiiy
n?iaeieo ina?aaee?a.

A E N I I A E E.

1. Na?aae 588 ae?iie ( ae?oaeeie ? ni?aiaoeaiee ii?ye?a, ui no?aaeaeaee
ia oeai?ae?ic ) oeai?ae?eia ?ioaeoe?y aeyaeaia o 385 ( 65,5 % ). Ca
nioe?aeueiei noaiii 317 ( 82,3% ) ae?iie aoee c na?aaeiueith oaoiaith
ina?oith oa aeiiiainiiaea?ee. Ee?i?/iee ia?aa?a oeai?ae?ico a?aecia/aee
ye aino?ee — o 42 ( 10,9% ) ae?iie, iai?aaino?ee — o 46 ( 11,9% ),
o?ii?/iee — o 86 ( 22,3% ), oi?ieaeiee — o 98 ( 25,5% ), aneiioiiiee — o
113 ( 29,4% ). Oeai?ae?eia o?aaeaiiy o?ao?e aeyaeaii o 88 ( 22,85% )
ae?iie, oea?a?eno — o 91 ( 23,6% ), aoeueae — o 84 ( 21,82% ), aaa?ie —
o 99

( 25,7% ). N?iaeiee o?iaai?oaeueiee oeai?ae?ic a oiiaao Iaeanueeiai
oa?eoi??aeueiiai ?aa?iio oa?aeoa?eco?oueny iayai?noth o cia/iiai /enea
oai?eo niieo/aiiy oe??? ?ioaeoe?? c o?eoiiiiaaeiith — o 18,1 %,
o?aaieaciiaith — o 10,4 %, aa?aeia?aeaciith — o 8,1 %, eaiae?aeiciith —
o 7,0 % ? ?ioeie anioe?aoe?yie caoaeiee?a o?iaai?oaeueieo caiaeueieo
i?ioean?a.

2. ?ic?iaeaiee iiaee i?ea?iaeueiee “ Can?a aeyaeaiiy C.trachomatis ”
i?aeaeuo? iiaeeeaino? eaai?aoi?ii? ae?aaiinoeee oeai?ae?ico ?
?aeiiaiaeo?oueny aeey oe?ieiai eiai aeei?enoaiiy a i?aeoeeo o eiiieaen?
c ?ioeie iaoiaeaie ae?aaiinoeee oeai?ae?eii? ?ioaeoe??.

3. I?e i?iaaaeaii? iaoieiaiaiaoii?/ieo aeine?aeaeaiue naeoe?eiiai
iaoa??aeo 125 ae?oae, i?e/eiith nia?o? yeeo aoea ??ciiiai?oia
?ioaeoe?eia iaoieia?y ( iiaaiii?y, nainen ? ?i.), o 28% aeyaeaii
aioeaai oeai?ae?e, ui aeaco? ia iaiao?aei?noue a?eueo ?aoaeueiiai,
niaoe?aeueiiai ae?aaiinoe/iiai ianoaaeaiiy aaa?oieo ae?iie ia iayai?noue
oeai?ae?eii? ?ioaeoe?? ?c iaoith nai?/aniiai ? aaeaeaaoiiai ?oiueiai
e?eoaaiiy ? iiia?aaeaeaiiy aioo??oiueioo?iaiiai ?io?oee?oaaiiy ieiaeo.

4. ?ic?iaeaiee eiiieaeniee iaoiae e?eoaaiiy oeai?ae?eii? ?ioaeoe??
oeyoii eiia?iiaaiiai canoinoaaiiy aioea?ioee?a ?c aaeoa??eieie
a?ieia?/ieie i?aia?aoaie ( a?o?aeoiaaeoa??i, eaeoiaaeoa??i ),
ia?i?aeueii ? o aeaeyae? noiiceoi??e, i?aeaeuo? aoaeoeai?noue oa?ai?? ca
?aooiie caiia?aaiiy ?icaeoeo ae?naaeoa??ico, i?aeaeuaiiy ?ioiieia?/ii?
?aaeoeaiino? iae?ii?aai?cio, noeioeyoe?? ?aia?aoeaieo i?ioean?a a
ina?aaeeao o?aaeaiiy ? ia? i?io?eaeoe/io ni?yiiaai?noue i?e e?eoaaii?
oeai?ae?eii? ?ioaeoe?? o aaa?oieo ae?iie, cieaeoth/e ?ecee ?icaeoeo
aeaiiai caoai?thaaiiy o iaeaooiuei? aeeoeie.

5. Cai?iiiiiaaiee eiiieaen i?io?eaeoe/ieo caoiae?a aeicaieeoue
noaa?e?coaaoe ? cieceoe caoai?thaai?noue oeai?ae?eiith ?ioaeoe??th ?
?ioeie caoai?thaaiiyie, ye? ia?aaeathoueny noaoaaei oeyoii a Iaeanueeiio
?aa?ii?.

NIENIE Ae?OEIAAIEO IAOEIAEO I?AOeUe

CA OAIITH AeENA?OAOe??.

1. Eiiieaenia e?eoaaiiy ae?iie, oai?eo oeai?ae?eiith o?iaai?oaeueiith
?ioaeoe??th. // Aaeeoeueeee e?ea?nueeee a?niee. — 1999.- o.6.- ?2.- N.
81- 82.

2. Auyaeaiea oeaieaeeeiie eioaeoeee i?e iaeioi?uo o?iie/aneeo
caaieaaaieyo o?iaaieoaeueiiai o?aeoa. / niaao. Iaeeeiaa I.A., Iaoi?ioeo
3.I., Ai?aethaeaae/ E.A., A?aaacthe A.N., Eaaaaethe I.I. // Na.
o?oaeia «Oeaieaeeeiua eioaeoeee». — Iineaa.- 1986.- N. 69 -71.

3. ?anularities of chlamidia-bacteria assotiations in chronic urological
and gynecological patology. / V. Nicolaevsko, I. Lebediuk. // Absti. 6
th Eur.conf. in Aaalin.- 1995.- P.124.

4. Iee?iaeieiae/aneea e yeieiae/aneea aniaeou oeaieaeeeiie eioaeoeee a
thaeiii ?aaeiia Oe?eiu. / niaao. Iaeeeiaa I. A., Iaoi?ioeo C.I.,
Eaaaaethe I.I., Aeooaiei 3.A., Ai?aethaeaae/ E.A., Aie/aiei I.A. //
Iee?iaeieiae/aneee aeo?iae. — 1994 — o.56.- N. 312 — 313.

5. Niinia auaeaeaiey N.trachomatis ?4823490/13 io 07. 05. 90. NNN? /
niaao. Eaaaaethe I.I., Iaeeeiaa I.A., Iaoi?ioeo C.I. // Atheeaoaiue
ioe?uoee, ecia?aoaiee 30.03.92. ?12.

6. Aeeyiea oeaieaeeeiie eioaeoeee ia iaoieiaeth ia?eiaoaeueiiai
ia?eiaea. / niaao. Ai?aethaeaae/ E.A., Iaeeeiaa I.A., Eaaaaethe I.I. //
«Aeooaeueiua aii?inu aeooa?noaa». Iaoa?. eiioa?.- Eeoeiaa.- 1989.-
N.123-124.

7. E aii?ino oeaieaeeeii — ae?oniuo annioeeaoeee i?e o?iaaieoaeueiie
iaoieiaee. / niaao. Eiaaiianeee A.E., Eaaaaethe I.I. // Eioi?iaoeeiiiue
atheeaoaiue aeo?iaea “ Aea?iaoieiaey e aaia?ieiaey. ”. — Oa?ueeia.-
1996.- ? 1- N. 14

8. Iaeioi?ua aii?inu eiioieoaoa o aieueiuo o?iaaieoaeueiui
oeaieaeeicii. / niaao. Iaeeeiaa I.A., Eaaaaethe I.I., Iaoi?ioeo C.I.,
Oaeo I.A.// Na. iaoa?. eiioa?. «Oaeoi?u eeaoi/iiai e aoii?aeueiiai
eiioieoaoa i?e ?acee/iuo oeceieiae/aneeo e iaoieiae/aneeo ninoiyieyo».-
*aeyaeine.- 1990.-N.89.

9. Ainiaeeoaeueiua caaieaaaiey o?iaaieoaeueiiai o?aeoa oeaieaeeeiie
yoeieiaee o ii?yeia. / niaao. Eaaaaethe I.I., Iaeeeiaa I. A., Iaoi?ioeo
C.I., Ei?oia N. N., Aie/aiei 0.A., Ia?ouiia A.I. // Na. iao/.o?.
«Aeooaeueiua aii?inu ii?neie iaaeeoeeiu «.- Iaeanna.- 1990.- N.48.

10. Ea/aiea aieueiuo o?iie/aneeie o?ao?ii?inoaoeoaie oeaieaeeeiie
yoeieiaee. / niaao. Aie/aiei 0.A., Eaaaaethe I.I., Iaeeeiaa I.A.,
Iaoi?ioeo C.I., Ei?oia N.N., A?aaacthe A.N., Ia?ouiia A.I. // Na. iao/.
o?. «Aeooaeueiua aii?inu ii?neie iaaeeoeeiu».- Iaeanna. — 1990 .- N.
49.

11. E aii?ino eiiieaeniiai ianeaaeiaaiey ia N.trachomatis aieueiuo n
o?iie/aneie o?iaaieoaeueiie iaoieiaeae. / niaao. Eaaaaethe I.I. // I?AE
.- 1988.- ?. O ? 8.- ioae. 3013.

12. Eeeieei-yieaeaieieiae/aneea iniaaiiinoe oeaieaeeeiie eioaeoeee
n?aaee ieaaninoaaa iannaaee?neiai oeioa. / niaao. Eiaaiianeee A.E.,
Eaaaaethe I.I. // Eioi?iaoeeiiiue atheeaoaiue aeo?iaea “Aea?iaoieiaey e
aaia?ieiaey.”. — Oa?ueeia.- 1996.- ? 1- N. 14 — 15.

13. Ai?aeai?ieia?y, ae?aaiinoeea, e?eoaaiiy, i?io?eaeoeea caoai?thaaiue,
ye? ia?aaeathoueny noaoaaei oeyoii o ieaaninoaaa. / niaao.
Eiaaiianeueeee A.I., Iae?eiaa I.A., Eaaaaethe I.I., *aaioa?ueia A.?.,
Iaoi?ioeo C.I., Oaae/oe A.I., Eooiaa A. A., Ai?aethaeaae/ ?.A., *ieieia
0.A., Aie/aiei I.I., Iicaeiyeia N.A. //. Iaoiaee/i? ?aeiiaiaeaoe??.-
Iaeana.- 1992.-15 n.

14. Eeeieei — yieaeaieieiae/aneea e iaoiii?oieiae/aneea iniaaiiinoe
oeaieaeeeiie eioaeoeee o aeaoae. / niaao. Iaeeeiaa I.A., Iaoi?ioeo C.I.,
Eaaaaethe I.I., Ai?aethaeaae/ E.A., E?uaeaiianeay E.A. // Aio?iiiiiciua
oeaieaeeicu a thaeiii ?aaeiia Oe?aeiu. Iao. eiio.- Oa?ueeia. -1993.-
N.10.

15. Eniieueciaaiea YAI i?e ?anoeo?iaea o?iaaieoaeueiuo ainiaeeoaeueiuo
caaieaaaiee. / niaao. Caeoneei A.I., Eiiae?aoueaa A.I., Eaaaaethe I.I.,
Iaeeeiaa I.A., Iaoi?ioeo C.I. // Na.iao/.o?.”Iaoaaeaeaia — 93”.- Eeaa.-
1993.- N. 123.

16. ?ioiioa?iaioia oano-nenoaia aeey ae?aaiinoeee oeai?ae?ic?a. / niaao.
Iae?eiaa I.A., E?eaioa?i TH.N., Iaeee E.Ae., Iaoi?ioeo C.I.,
Aeaeo?ooaaaaa A.I., A?iueeianueea I.A. // Na.O??? c’?cae iaoeiaiai
oiaa?enoaa i?e?ia?ieia?a, ?i?aeai?ieia?a oa ia?aceoieia?a
?i.Ae.E.Caaieioiiai — Ee?a.-1996.- N. 121.

17. Cia/aiea oeaieaeeeiie eioaeoeee i?e iaoieiaee aa?aiaiiinoe e
?iaeia. / niaao. Iaeeeiaa I.A., Eaaaaethe I.I. // Iao. O eiio. o/aiuo
Oe?aeineie NN?. “Aii?inu aeooa?noaa e aeiaeieiaee.”- Aeiieoea.- 1989.-
N.9.

18. ?acoeueoaou eeeieei-eaai?aoi?iiai ianeaaeiaaiey ia oeaieaeeeioth
eioaeoeeth aieueiuo ?aciuo «a?oii ?enea «. / niaao. Iaeeeiaa I. A.,
Iaoi?ioeo C.I., Eaaaaethe I.I., Ai?aethaeaae/ E.A., Ia?ouiia A.I.,
Aie/aiei I.A., Aeiueeianeay I.A. // Na. «OI Oe?aeineee ?anioaeeeaineee
nueacae iee?iaeieiaia, yieaeaieieiaia e ia?aceoieiaia». /anoue I.-
1991.- N. 26.

19. Iniaaiiinoe oeaieaeeeiie e niaoaiiie eioaeoeee i?e o?iie/aneie
o?iaaieoaeueiie iaoieiaee o ieaaninoaaa. / niaao. Eaaaaethe I.I.,
O?eiieueneay E.N. // Iao/.- i?aeo. na. : “Aeooaeueiua aii?inu
aea?iaoieiaee “. — Aeiai?iiao?iane — Oiaeueieoeeee .- 1996.- N.114.

20. Iiuo eniieueciaaiey aaoi?neeo eiiiuethoa?iuo i?ia?aii i?e ?ac?aaioea
yooaeoeaiie nenoaiu yieaeiaaeci?a, i?ioeeaeoeee e ea/aiey caaieaaaiee,
ia?aaeathueony iieiaui iooai. / niaao. Eaaaaethe I.I., Ieeieaaaneee
A.A. // Iao/.- i?aeo. na.:“Aeooaeueiua aii?inu aea?iaoieiaee.”
-Aeiai?iiao?iane — Oiaeueieoeeee.- 1996. — N. 115.

21. I?eiaiaiea aeoa?iia a eiiieaeniii ea/aiee aieueiuo n o?iie/aneie
o?iaaieoaeueiie iaoieiaeae oeaieaeeeiie ae?oniie yoeieiaee. / niaao.
Eiaaiianeee A.E., Eaaaaethe I.I. // Iao/.- i?aeo. na.:” Aeooaeueiua
aii?inu aea?iaoieiaee”. — Aeiai?iiao?iane-Oiaeueieoeeee. -1996.- N.117.

22. Iiaua iiaeoiaeu e oaeoeea ea/aiey aieueiuo n o?iie/aneie
o?iaaieoaeueiie iaoieiaeae ae?onii — oeaieaeeeiie yoeieiaee. / niaao.
Eiaaiianeee A.E., Eaaaaethe I.I. // Iao. iaoe. — i?aeo. eiio.
“Caoai?thaaiiy, ui ia?aaeathoueny noaoaaei oeyoii.”- Ee?a.- 1998.- N.
48.

23. Yieaeaieieiae/aneea iniaaiiinoe naiaeiie oi?iu o?iaaieoaeueiiai
oeaieaeeica . / niaao. Eaaaaethe I.I., Eiaaiianeee A.E. // Iao. iaoe. —
i?aeo. eiio. “Caoai?thaaiiy, ui ia?aaeathoueny noaoaaei oeyoii.” —
Ee?a.- 1998.- N. 79.

24. Aeooaeueiua aii?inu eaai?aoi?iie aeeaaiinoeee caaieaaaiee,
ia?aaeathueony iieiaui iooai. / niaao. Eaaaaethe I.I., Eiaaiianeee A.E.
// Iao. iaoe. — i?aeo. eiio. “Caoai?thaaiiy, ui ia?aaeathoueny noaoaaei
oeyoii.” — Ee?a.- 1998.- N. 44.

25. Oaeoeea ea/aiey aeaiuei n ino?ie oeaieaeeeiie eioaeoeeae. / niaao.
Eaaaaethe I.I., Eiaaiianeee A.E. // Iao. iaoe. — i?aeo. eiio.

“ Caoai?thaaiiy, ui ia?aaeathoueny noaoaaei oeyoii.” — Ee?a.- 1998.- N.
78.

AIIOAOe?ss

Oaae/oe A.I. “ Ee?i?ei — ai?aeai?ieia?/ia oa?aeoa?enoeea n?iaeiiai
o?iaai?oaeueiiai oeai?ae?ico a oiiaao Iaeanueeiai ?aa?iio.”
(ae?aaiinoeea, e?eoaaiiy, i?io?eaeoeea). ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeueiinoth 14.01.20 — oe??i? oa aaia?e/i? oai?iae.
Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?iai? I.I.Aiaiiieueoey IIC Oe?a?ie,
i.Ee?a, 1999.

Caoeua?oueny ?oeiien aeena?oaoe??, yea i?noeoue aeai? eiiieaeniiai
ianoaaeaiiy 588 noaooaaeo oa o?nieo iiaooiaeo eiioaeo?a i?aoe?aiee?a
ii?nueeiai o?ainii?oo, ui oai??ee ia oeai?ae?ic. Aeyaeai? iniaeeaino?
ai?aeai?ieia??, ee?i?ee oeai?ae?ico oa ?ioiieia?/i? ci?ie i?e iueiio o
aeai?e nioe?aeuei?e a?oi?. Ioa?aeoa?eciaai? n?iaei? oi?ie oe???
?ioaeoe?? oa ?? iaoieiaiaiaoii?/i? iniaeeaino? o 125 caaeaeeo ae?oae.
Cai?iiiiiaaii iiaee niin?a aeeaaiinoeee N. trachomatis.

?ic?iaeaii eiiieaeniee iaoiae e?eoaaiiy oeai?ae?eii? ?ioaeoe?? o ae?iie,
ui caiia?aa? iaaeeeaiaioiciei oneeaaeiaiiyi. Cai?iiiiiaai? i?io?eaeoe/i?
caoiaee, ye? caiia?aathoue ?iciianthaeaeaiith oeai?ae?eii? ?ioaeoe??.

Eeth/ia? neiaa: noaooaa? oa iiaooia? eiioaeoe, n?iaeiee o?iaai?oaeueiee
oeai?ae?ic, iaoiii?oieia?y, niin?a ae?aaiinoeee, e?eoaaiiy,
i?io?eaeoeea.

AIIIOAOeEss

Oaae/oe A.I. “Eeeieei — yieaeaieieiae/aneay oa?aeoa?enoeea naiaeiiai
o?iaaieoaeueiiai oeaieaeeica a oneiaeyo Iaeanneiai ?aaeiia ” (
aeeaaiinoeea, ea/aiea, i?ioeeaeoeea). ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.20 — eiaeiua e aaia?e/aneea aieacie.
Iaoeeiiaeueiue iaaeeoeeineee oieaa?neoao ei. A.A. Aiaiiieueoea.
Eeaa.1999.

Caueuaaony ?oeiienue aeenna?oaoeee, niaea?aeauay aeaiiua ii eiiieaeniiio
ianeaaeiaaieth 588 aeaiuei, yaeyaoeony iieiauie e oaniuie auoiauie
eiioaeoaie ?aaioieeia ii?neiai o?ainii?oa, aieueiuo oeaieaeeeiie
eioaeoeeae. Oeaieaeeeiay eioaeoeey a yoie a?oiia auyaeaia o 385(65,5%)
aeaiuei. I?e/ai, eae naiinoiyoaeueiia caaieaaaiea, auyaeaia oieueei o 83
( 21,6 %) eioeoee?iaaiiuo, a inoaeueiuo neo/ayo iia ni/aoaeanue n
o?eoiiiiicii — o 70 (18,1%), n o?aaieaciicii — o 40 (10,4%), n
aa?aeia?aeeacii — o 31 (8,1%), n eaiaeeaeicii — o 27 (7,0%), n
o?eoiiiiicii e o?aaieaciicii- o 23 (5,9%), n o?aaieaciicii e
aa?aeia?aeeacii — o 19 (4,9%), n o?aaieaciicii e eaiaeeaeicii — o 15
(3,9%), n o?eoiiiiicii, o?aaieaciicii e eaiaeeaeicii — o 13 (3,4%). O
64 aeaiuei (16,6%) auei auaeaii ni/aoaiea oeaieaeeeiie eioaeoeee n
aaieoaeueiui ?aoeeaeeae?othuei aa?ianii.

Aeaia oa?aeoa?enoeea eeeie/aneiai oa/aiey o?iaaieoaeueiiai oeaieaeeica o
aeaiiie nioeeaeueiie a?oiiu, a oaeaea eiioiieiae/aneea eciaiaiey i?e
oeaieaeeica. Iienaiu iniaaiiinoe noi?ie?iaaaoaeny naiaeiie oi?ia
oeaieaeeeiie eioaeoeee.

I?aaenoaaeaiu aeaiiua enneaaeiaaiey ia oeaieaeeic naeoeeiiiiai iaoa?eaea
125 iiaeaoeo aeaoae io eioaeoeeiiiie iaoieiaee. Eiioiiethieienoeaioiue
iaoiae iicaieee iaia?oaeeoue aioeaai oeaieaeee a naeoeeiiiii iaoa?eaea
31 ?aaaiea (28%), eoeueoo?aeueiue — o 12 (9,6%) iiaeaoeo aeaoae.
Oeaieaeee auaeaeyee ec o?aoae, eaaeeo e naeacaiee.

Ioia/aiu neaaeothuea iaoieiaiaiaoiie/aneea iniaaiiinoe a i?aaiao
iiaeaoeo aeaoae: aeaneaaiaoeey yieoaeey a eaaeeo, aaa?aaaoeey
y?eo?ioeeoia a i?inaaoa a?iioia, aeaeeiecaoeey iaia?ai, aeano?oeoeey
aaiaoioeeoia a ia/aie, neiieaiea eeioioeeoia a iaaeii/a/ieeao, nieaeaiea
iann ueoiaeaeiie aeaeacu, oiaiueoaiea /enea oeiioeeoia.

I?aaeeiaeai iiaue i?eaeiaeueiue niinia aeeaaiinoeee N.trachomatis a
eoeueoo?a eeaoie ( aaoi?neia naeaeaoaeuenoai ia ecia?aoaiea ? 1722329 io
01.12. 1991), iiauoathuee aiciiaeiinoe aai eaai?aoi?iie aeeaaiinoeee, a
?acoeueoaoa oi?iuaiey ecieyoeee oeaieaeee ec iaoa?eaea io aieueiuo e
oiaiueoaiey a?aiaie ennaeaaeiaaiey

?ac?aaioai eiiieaeniue iaoiae oa?aiee oeaieaeeeiie eioaeoeee o aeaiuei,
i?aaeiieaaathuee aeiiieieoaeueiia eniieueciaaiea i?aia?aoia (
eaeoiaaeoa?ei, aeoeaeoiaaeoa?ei ) a aeaea aaaeiaeueiuo naa/ae, /oi
iicaieyao eo oi/ii aeice?iaaoue e iaeaa/aao eniieueciaaiea, ii
n?aaiaieth n o?aaeeoeeiiiui, a aeaea einoeeyoeee eee oaiiiiia, nieaeaao
?ene iaaeeeaiaioiciuo ineiaeiaiee e, a ?acoeueoaoa, iiauoaao
yooaeoeaiinoue i?iaiaeeiiai ea/aiey. AEaiueiai n iiiioeaieaeeeiie
eioaeoeeae i?iaiaeeee aioeaaeoa?eaeueioth oa?aieth
i?iaeieaeeoaeueiinoueth aei o?ao iaaeaeue, ni/aoay aeieneoeeeeei ( ii
0,2 a?aiia 2 ?aca a aeaiue; a oa/aiea 7 aeiae), ioeienaoeei ( ii 0,3
a?aiia 2 ?aca a aeaiue, a oa/aiea 7 aeiae ), eaeoiaaeoa?eiii per os ii 6
aeic 3 ?aca a aeaiue e iaeiia?aiaiii a aeaea aaaeiaeueiuo noiiiceoi?eaa
ii 6 aeic 1 ?ac a aeaiue a oa/aiea 14 aeiae e aaaeiaeueiua naa/e n
eeiiiiie eeneioie. I?e ionoonoaee i?ioeaiiieacaiee, ia i?ioyaeaiee anaai
eo?na iacia/aee aioo?ue ieci?ae ii 0,2 a iaeei ?ac a aeaiue, aeoaieiiua
eiiieaenu, o?einei a oa/aiea 7-14 aeiae, aeiy, aeanaineaeeece?othuea
i?aia?aou. A neo/aa niaoaiiie eioaeoeee aia/aea iacia/aee aieueiui
niaoeeoe/aneoth oa?aieth niioaaonoaothuae yoeieiae/aneie iai?aaeaiiinoe.
N oeaeueth ei??aeoeee aeenaaeoa?eica ia?i?aeueii iacia/aeenue eaeoi-,
aeoeaeoiaaeoa?ei e oieueei iinea yoiai i?iaiaeeee aoi?ie yoai — ea/aiea
oeaieaeeeiie eioaeoeee.

Aa?aiaiiui aeaiueiai, eioeoee?iaaiiui oeaieaeeicii, iacia/aee
y?eo?iieoeei ii 0,1 a?aiio 3 ?aca a aeaiue, a oa/aiea 10 aeiae e
aeoeaeoiaaeoa?ei ii 5 aeic 3 ?aca a aeaiue per os e a aeaea
aaaeiaeueiuo naa/ae ii 5 aeic 1 ?ac a aeaiue, a oa/aiea 10 aeiae eee
eaeoiaaeoa?ei ii 6 aeic 3 ?ac a aeaiue per os e a aaaeiaeueiuo naa/ao
ii 6 aeic 1 ?ac a aeaiue, a oa/aiea 10 aeiae.

?aeiiaiaeoaiua i?ioeeaeoe/aneea ia?ii?eyoey aeeth/atho naieoa?ii —
i?inaaoeoaeueioth ?aaioo, ee/ioth i?ioeeaeoeeo, n eniieueciaaieai 0,05%
?anoai?a i?aia?aoa ie?aienoeia, a oaeaea iaiaoiaeeiinoue eiiieaeniiai
ianeaaeiaaiey anao /eaiia naiuee aieueiiai oeaieaeeicii, a ia?aoth
i/a?aaeue aa?aiaiiuo aeaiuei, aeey i?aaeoi?aaeaeaiey ?acaeoey aeaiiie
eioaeoeee o iiae?anoathuaai iieieaiey e oi?ie?iaaiey, a iineaaeothuai,
naiaeiuo i/aaia.

Eeth/aaua neiaa: iieiaua e auoiaua eiioaeou, naiaeiue o?iaaieoaeueiue
oeaieaeeic, iaoiii?oieiaey, niinia aeeaaiinoeee, ea/aiea, i?ioeeaeoeea.

ANNOTATION

Fedchook V.P. Clinical and epidemiological characteristic of family
forms of urogenital chlamydiosis in conditions of the Odessa region ”
(diagnostics, treatment, prophylaxis).

The manuscript of the dissertation on competition of a scientific degree
of the candidate of medical sciences on a speciality 14.01.20 — dermal
and venereal illnesses. National Medical Univrsity by Academician A.A.
Bogomolets. Kiev.1999.

The manuscript of the dissertation containing the data on complex
inspection of 588 sexual and close household contacts of the workers of
sea transport, patients with chlamydial infection is protected. The
features epidemyology, clinic and current urogenital chlamydiosis at the
given social group are revealed. The immunological changes are submitted
at chlamydial infection. The characteristic to the generated family
forms chlamydial infection is given. Are described pathomorfology of
feature chlamydial infection at 125 lost children. The new original way
of diagnostics Chlamydial trachomatis, raising opportunities of its
laboratory diagnostics is offered.

The complex method of therapy chlamydial infection at the women allowing
to lower risk of medicamental complications and, accordingly, raising
efficiency of spent treatment is developed. The advisable preventive
measures include sanitary — educational work, personal prophylaxis, and
also necessity of inspection of all members of family of the patient
with chlamydial infection, first of all of pregnant women, for the
prevention of development it at growing up generation.

Key words: sexual and household contacts, family urogenital
chlamydiosis, pathomorfology, way of diagnostics, treatment,
prophylactics.

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