OA?E?ANUeEEE AeA?AEAAIEE IAAeE*IEE OI?AA?NEOAO

I?E?OI? E?A?ss AANEE?AIA

OAeE: 618.7-002.3-083-089.28

I?IO?EAEOEEA ? IIOEI?CAOe?ss E?EOAAIIss

AI?EII-NAIOE*IEO ONEEAAeIAIUe IOA?IA??TH

14.01.01. — aeooa?noai ? a?iaeieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Oa?e?a — 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oa?e?anueeiio iaoeiai-aeine?aeiiio ?inoeooo?
i?e?ia?ieia?? oa ?ioiieia?? ?i. ?.?. Ia/i?eiaa I?i?noa?noaa ioi?iie
caei?ia’y Oe?a?ie, ia eaoaae?? ia?eiaoieia?? oa a?iaeieia??
Oa?e?anueeiai ?inoeoooo oaeineiiaeaiiy e?ea??a I?i?noa?noaa ioi?iie
caei?ia’y Oe?a?ie.

Iaoeiaee ea??aiee — aeieoi? iaaee/ieo iaoe, i?ioani?

Ea?ena A?eai??aia Iaca?aiei.

Oa?e?aneee ?inoeooo oaeineiiaeaiiy e?ea??a,

i?ioani? eaoaae?e ia?eiaoieia?? oa a?iaeieia??

Io?oe?ei? iiiiaioe: -aeieoi? iaaee/ieo iaoe, i?ioani?

TH??e Noaiaiiae/ Ia?auoe, Oa?e?anueeee aea?aeaaiee

iaaee/iee oi?aa?neoao, i?ioani? eaoaae?e aeooa?noaa

oa a?iaeieia?? ? 2.

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

Iaoae?y Ieeiea?aia I?ciaa, Iaeanueeee aea?aeaaiee

iaaee/iee oi?aa?neoao, i?ioani? eaoaae?e aeooa?noaa

oa a?iaeieia?? oaeoeueoaoo oaeineiiaeaiiy e?ea??a.

I?ia?aeia onoaiiaa: ?inoeooo iaae?ao??? , aeooa?noaa oa a?iaeieia??

AII Oe?a?ie, a?aeae?e iaoieia?? aaa?oiino? oa iieia?a.

Caoeno a?aeaoaeaoueny “ 26” o?aaiy 1999 ?. i 13 — 30 aiaeei? ia

can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae. 64.600.01 i?e
Oa?e?anueeiio

aea?aeaaiiio iaaee/iiio oi?aa?neoao? ( 310022, i.Oa?e?a, i?. Eai?ia, 4)

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Oa?e?anueeiai

aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ( 310022, i.Oa?e?a, i?. Eai?ia, 4)

Aaoi?aoa?ao ?ic?neaiee “01” ea?oiy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee

eaiaeeaeao iaaee/ieo iaoe, aeioeaio
I.I. Oaiueei

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie.

I?iaeaia i?io?eaeoeee ? e?eoaaiiy ai?eii-naioe/ieo oneeaaeiaiue (ANO) a
aeooa?noa? caaaeaee aeooaeueia, ine?eueee iino?eii o ca’yceo c oe?eei
eiiieaenii oaeoi??a ci?ith?oueny caaaeueiee ??aaiue caei?ia’y ianaeaiiy,
no?oeoo?a iaoieia?? aanoaoe?eiiai ia??iaeo, i?e?ia?ieia?/ia ioi/aiiy.
Ioaea, c’yaeythoueny iia? oai?aoe/i? ? i?aeoe/i? ieoaiiy, ye?
iio?aaothoue ae??oaiiy (A.I. Aaioeeianueeee oa ni?aaao., 1996?., A.?.
A?euaiei, I.A. Aiea?’yi, 1998?.).

?ioaeoe?ei? oneeaaeiaiiy ioa?ia??th caeiathoue iaeia ?c ia?oeo i?noeue
a no?oeoo?? iaoa?einueei? caoai?thaaiino? ? nia?oiino?. Ia?aianaia a
i?neyiieiaiaiio ia??iae? ?ioaeoe?y ia?aoeiaeaea? a?aeiiaeaiith
iaino?oaeueii?, ae?oi?iaeii?, naenoaeueii? ooieoe?e ae?ii/iai i?aai?cio,
ui iio?aao? o?eaaeiai, eiooiaiiai ? ia caaaeaee aoaeoeaiiai e?eoaaiiy,
ni?ey? ?icaeoeo iae?iaiaeie?eiieo ?iceaae?a, ?iaae?aeecoth/eo noai?a. Ca
oeeo oiia iiooe iiaeo iioeiaeueieo iaoiae?a i?io?eaeoeee, e?eoaaiiy ANO
ioa?ia??th, ?aiiuei? ae?aaiinoeee iaaoaa? iniaeeai? cia/ouino?
(A.E.Noaiaie?anueea, 1996 ?.).

Aiae?c aeaieo no/anii? e?oa?aoo?e c iaoith iiooeo iaoiae?a iioei?caoe??
e?eoaaiiy ? i?io?eaeoeee ioa?ia?aeueii? ?ioaeoe?? aeicaiey? i/?eoaaoe
iiceoeaieo ?acoeueoao?a: a?ae ei?aeoe?? ?ioiieia?/ieo ii?ooaiue
iaaeeeaiaioicieie ? iaiaaeeeaiaioicieie caniaaie, a oaeiae a?ae
oa?aiaaoe/ieo aieea?a ia eieaeueiiio ??ai? (cie?aia aioo??oiueiiaoeia?,
aioo??oiuei/a?aaeii?)

(A.ss. Aieioa oa ni?aaao., 1992 ?., I.I. I?ciaa oa ni?aaao., 1993 ?.).

Iaeiei ?c ia?niaeoeaieo aeey aeei?enoaiiy a aeooa?nuee?e i?aeoeoe? ?c
/enea a?o/eciyieo aioenaioee?a ? aeaeaiaoienei, yeee oa?aeoa?eco?oueny
oe?ieei niaeo?ii aioei?e?iaii? ae??, i?iyaey? aeoeai?noue aei
a?aiiiceoeaieo ? a?aiiaaaoeaieo aaeoa??e, aii???aeieo eie?a, nii?iaeo
i?e?ii?aai?ci?a, ianii?iooai?thth/eo aiaa?ia?a, ae??aeaeaeaiiae?aieo
a?ea?a, i?ino?eoeo, a??on?a (TH.E.Aieyineee, 1981a., A.E.Iaeee,
A.A.Neaei?oe, 1993a.).

Iiiaeeiie? a?aeiiino? i?i canoinoaaiiy aeaeaiaoieneio ie?aiei
eiioeiaaioai ae?iie ia aeathoue ae/a?iii? ?ioi?iaoe?? uiaei iiaeeeainoae
eiai oa?aiaaoe/iiai aieeao ia ia?aa?a ?ioaeoe?eieo oneeaaeiaiue
ioa?ia??th. I?io?eaeoe/i? aniaeoe canoinoaaiiy aeaeaiaoieneio a
aeooa?nuee?e i?aeoeoe?, ye ia?niaeoeaiiai caniao caiia?aaiiy ANO, aei
oeueiai /ano oaeiae ia aoee iaoith niaoe?aeueieo aeine?aeaeaiue.

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

Oaia, ui ia?aia aeey aeaiiai aeine?aeaeaiiy, ? neeaaeiaith /anoeiith
i?ia?ai Oa?e?anueeiai IAe? i?e?ia?ieia?? oa ?ioiieia?? ?i. ?.?.
Ia/i?eiaa, yei aea/athoue oa?aiaaoe/io oa i?io?eaeoe/io aoaeoeai?noue
iio?aeieo /aoaa?oeiieo aiii??aeo niieoe o ??cieo aaeocyo i?aeoe/ii?
iaaeeoeeie, ia?aaeaa/athoue iiaeeaeaia aeine?aeaeaiiy iaoai?ci?a
aioei?e?iaii? ae?? i?aia?ao?a oe??? a?oie, aecia/aiiy ia?niaeoea ?
iiaeeeainoae ?o ee?i?/iiai canoinoaaiiy (?? aea?ae. ?a?no?aoei?
186.00060.76; 01.9.10.041919).

Iaoa aeine?aeaeaiiy.

Iaoa aeine?aeaeaiiy — cieaeaiiy /anoioe ANO ioa?ia??th, iioei?caoe?y
e?eoaaiiy eieae?ciaaieo oi?i ?ioaeoe?? i?neyiieiaiaiai ia??iaeo oeyoii
aeei?enoaiiy aioenaioeea a?oie /aoaa?oeiieo aiii??aeo niieoe
aeaeaiaoieneio.

Iniiai? caaea/? aeine?aeaeaiiy.

1. Aecia/eoe iiioeyoe?eio no?oeoo?o oaeoi??a ?eceeo ANO ? oaiaeaioe??
?o ci?i a *a?i?aaoeuee?e iaeano? ia i?ioyc? 1992-1996 ??..

2. I?iaanoe ii??aiyeueia aea/aiiy aoaeoeaiino? i?io?eaeoe/iiai
canoinoaaiiy aeaeaiaoieneio ? o?aaeeoe?eieo iaoiae?a i?io?eaeoeee ia
iniia? ee?i?/iiai aiae?co ia?aa?ao i?neyiieiaiaiai ia??iaeo, aeeiai?ee
?iaiethoe?eii-?aaaia?aoi?ieo i?ioean?a o iaooe?.

3. I?iaiae?coaaoe aeeiai?eo ye?nieo ? e?euee?nieo iieaciee?a i?e?ioei?e
iieiaiaeo oeyo?a o ii?iae?eue i?ae aieeaii i?io?eaeoe/iiai canoinoaaiiy
aeaeaiaoieneio.

4. Aeine?aeeoe ee?i?/io aoaeoeai?noue eieaeueiiai canoinoaaiiy
aeaeaiaoieneio ye iniiaiiai eiiiiiaioa oa?ai?? eieae?ciaaieo oi?i ANO
ioa?ia??th.

5. Aea/eoe aieea aeaeaiaoieneio ia i?e?ioei?o iaoeiaiai ai?noo o
ii?iae?eue ?c eieae?ciaaieie oi?iaie ANO i?neyiieiaiaiai ia??iaeo.

Iaoeiaa iiaecia.

A oiiaao ai?aeai?ieia?/iiai ?ao?iniaeoeaiiai aiae?co aia?oa aecia/aii
aeeiai?eo oaeoi??a, ui iaoiiaeththoue no/aniee ??aaiue i?neyiieiaiai?
naioe/ii? caoai?thaaiino? a *a?i?aaoeuee?e iaeano?, anoaiiaeaii
ei?aeyoe?th ci?i /anoioe aaia?ae?ciaaieo oi?i ANO ioa?ia??th ? ??aiy
aaia?e/ii? caoai?thaaiino?.

Aeey i?io?eaeoeee ai?eii-naioe/ieo oneeaaeiaiue i?ney i?e?iaeieo
iieia?a ?ic?iaeaii ? ai?iaiaaii iaoiaeeeo aeei?enoaiiy aeaeaiaoieneio o
aaa?oieo, ?iae?eue ? ii?iae?eue. Aeaii ee?i?ei-i?e?ia?ieia?/ia
iaa?oiooaaiiy aeioe?eueiino? i?io?eaeoe/iiai canoinoaaiiy aeaeaiaoieneio
a aeooa?nueeiio noaoe?iia?? ye iaoiaeo, ui aa?aioo? cieaeaiiy /anoioe
?ioaeoe?eieo oneeaaeiaiue o iaoa?? ? iiaiia?iaeaeaiiai caaaeyee
o?iaiiaaaeaiith niiaaiaeiioaiiy iie?iaia-anioeiaioia a iie?iaiioeaiicao
iieiaiaeo oeyoia.

Aia?oa a oa?ai?? i?neyiieiaiaeo aiaeiiao?eo?a cai?iiiiiaaii ?
canoiniaaii iaoiaeeeo aioo??oiueiiaoeiaiai eaaaaeo aeaeaiaoieneio, ? a
oiiaao ii??aithaaeueiiai ee?i?ei-i?e?ia?ieia?/iiai aeine?aeaeaiiy
aeiaaaeaii ia?aaaae iaoiaeo uiaei aieeao ia i?ioeane ?aaaia?aoe??
aiaeiiao??y ? i?e?ioei?o ?ai?iaeoeoeaiiai o?aeoo.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a.

?ic?iaeai? iaoiaeeee i?io?eaeoe/iiai canoinoaaiiy aeaeaiaoieneio
i?ioyaii inoaii?o oeaei?a aaa?oiino?, i?ae /an iieia?a ? a
i?neyiieiaiaiio ia??iae? ni?eythoue a?eueo aeaaeeiio ia?aa?ao
ioa?ia??th, i?ecaiaeyoue aei cieaeaiiy /anoioe i?neyiieiaiai? ?ioaeoe??.
Caaaeueia /anoioa naioe/ieo oneeaaeiaiue ioa?ia??th ca oiia
i?io?eaeoe/iiai aeei?enoaiiy aeaeaiaoieneio cieceeanue aaea?/?,
o?eaae?noue ia?aaoaaiiy ia i?neyiieiaiaiio e?aeeo ciaioeeanue ia 15%.

Canoinoaaiiy iaoiaeeee aioo??oiueiiaoeiaiai eaaaaeo 0.02% ?ic/eio
aeaeaiaoieneio i?e oneeaaeiaii? ioa?ia??th aiaeiiao?eoii ciaioo? ?ecee
?iciianthaeaeaiiy ?ioaeoe??, ni?ey? a?eueo oaeaee?e ? aoaeoeai?e
ei?aeoe?? iaoieia?/iiai i?ioeano. O?eaae?noue ia?aaoaaiiy oai?eo ia
e?aeeo nei?i/o?oueny ia 15%, /anoioa ?iciianthaeaeaiiy ?ioaeoe??
cieaeo?oueny aaea?/? a ii??aiyii? c oeeie iieacieeaie a eiio?ieuei?e
i?aea?oi?, aea aeei?enoiaoaaeenue o?aaeeoe?ei? iaoiaee e?eoaaiiy.

Iaoiaeeea eieoaaeueii-i?ioieaeoe/iiai canoinoaaiiy aeaeaiaoieneio
ai?iaaaeaeaia a aeooa?nueeeo aiaeaeieaiiyo eieoaaeueieo caeeaaeia
*a?iiaaoeeii iaeanoi.

Iniaenoee aianie caeiaoaa/a.

Aaoi?ii iniaenoi i?iaaaeai? ee?i?/i? niinoa?aaeaiiy, aeeiiaii an?
ee?i?ei-ai?aeai?ieia?/i? aeine?aeaeaiiy, acyoi aaciina?aaeith o/anoue o
aeeiiaii? i?e?ia?ieia?/ieo, oeeoieia?/ieo, oeueo?acaoeiaeo
aeine?aeaeaiue.

Aiae?c ? ocaaaeueiaiiy iaea?aeaieo iaoa??ae?a, ye? aeicaieeee
noi?ioethaaoe iaoeia? iieiaeaiiy ? c?iaeoe aeniiaee aeaii? ?iaioe, ?
iniaenoei aianeii aeena?oaioa a iiaeaeueoo ?ic?iaeo i?iaeaie
i?io?eaeoeee ? oa?ai?? ANO a aeooa?nuee?e i?aeoeoe?.

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

Iniiai? iieiaeaiiy ?iaioe i?aaenoaaeai? ia i?aeia?iaei?e iaoeia?e
eiioa?aioe?? “?aea? ?.?. Ia/i?eiaa ? ?icaeoie no/aniiai
i?e?iaeiciaanoaa” (Oa?e?a, 1995), ia VI ?anioae?eainuee?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? “Canoinoaaiiy eaca??a a iaaeeoeei? ?
a?ieia??” (Oa?e?a, 1996), ia ia’?aeiaiiio can?aeaii? a/aii? ?aaee
Oa?e?anueeiai IAe? i?e?ia?ieia?? oa ?ioiieia?? ?i. ?.?. Ia/i?eiaa,
eaoaae? ee?i?/ii? i?e?ia?ieia?? oa ?ioiieia??, ia?eiaoieia?? oa
a?iaeieia?? Oa?e?anueeiai ?inoeoooo oaeineiiaeaiiy e?ea??a, ia
iiaeia?iaeiie eiioa?aioe?? “No?aoaaiy i oaeoeea ai?ioueae c
iioaeoeieieie caoai?thaaiiyie” (Oa?eia, 1998).

Ioae?eaoe?? .

Ca iaoa??aeaie ?iaioe iioae?eiaaii 3 noaoo? a iaoeiaeo aeo?iaeao, 2
iia?aeiieaiiy a oacao ? iaoa??aeao iaoeiaeo eiioa?aioe?e.

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

?iaioa neeaaea?oueny c anooio, iaeyaeo e?oa?aoo?e (2 ?icae?ee),
aenia?eiaioaeueii? /anoeie (4 ?icae?ee), ocaaaeueiaiiy ?acoeueoao?a
aeine?aeaeaiiy, aeniiae?a ? nieneo e?oa?aoo?ieo aeaea?ae.

Aeena?oaoe?y aeeeaaeaia ia 137 noi??ieao iaoeiiieniiai oaenoo,
?ethno?iaaia 44 oaaeeoeyie ? 4 iaethieaie (a ianyci 15 no.). Nienie
e?oa?aoo?ieo aeaea?ae aeeth/a? 163 iaeiaioaaiiy (a ianyci 14 no.).

INIIAIEE CI?NO ?IAIOE

Ia’?eo, iaoiaee oa iaoiaeieia?y aeine?aeaeaiiy.

Aeai? aeine?aeaeaiiy i?iaiaeeeenue i?ioyaii 1992-1996 ??. O
a?aeiia?aeiino? c aea?aiith i?iaeaiith ? iinoaaeaieie caaaeaiiyie i?e
a?aeai?? eiioeiaaioo aaa?oieo aeei?enoiaoaaee aeaa iaoiaee/ieo
i?aeoiaee, ui e aecia/eei iniiai? aoaie i?iaaaeaiiy ?iaioe.

Ia ia?oiio aoai? aoa canoiniaaiee ai?aeai?ieia?/iee iaoiae
aeine?aeaeaiiy, a oiae? yeiai aecia/eee iioe?ai?noue ANO ioa?ia??th a
*a?i?aaoeuee?e iaeano?, aeeiai?eo ? no?oeoo?o i?neyiieiaiai? naioe/ii?
caoai?thaaiino?, iiioeyoe?eio no?oeoo?o oaeoi??a ?eceeo oe??? iaoieia??,
iniiai?, iaea?eueo ?ioi?iaoeai? iciaee aeey i?iaiicoaaiiy ?ioaeoe?eieo
oneeaaeiaiue ioa?ia??th. Oaeiae aoee i?iaiae?ciaai? ianya oa
aoaeoeai?noue ae?aaiinoe/ieo oa e?eoaaeueieo caoiae?a o ae?iie c
eieae?ciaaieie oi?iaie ?ioaeoe??.

Ae?oaee aoai aoei iiaoaeiaaii ia iniia? aea??eiaiai iaoiaeo, yeee
aeicaieea ae??oeoe caaaeaiiy c aea/aiiy aoaeoeaiino? canoinoaaiiy
aeaeaiaoieneio aeey i?io?eaeoeee ANO ioa?ia??th, e?eoaaiiy eieaeueieo
oi?i ANO ?-ai aoaio ?iciianthaeaeaiiy ?ioaeoe?eiiai i?ioeano ca
Aa?oaeuenii.

A iaaeao ia?oiai aoaio aoei i?iaaaeaii ai?aeai?ieia?/iee
?ao?iniaeoeaiee aiae?c, iaoa??aeii yeiai noaee oi?ie aea?aeaaii?
noaoenoe/ii? ca?oiino? caeeaae?a ?iaeiiiii/? *a?i?aaoeueei? iaeano?
(oi?ia ?21, aeai? ui??/iiai aiae?co naioe/ii? i?neyiieiaiai?
caoai?thaaiino? a ee?i?/ieo iieiaiaeo aoaeeieao ?1 ? ?2 i. *a?i?aoe?).
Oaeiae aoee caeo/ai? iaoa??aee i?aiaoiaea?aeae?eo *a?i?aaoeueeiai
oe??ii-aaia?ieia?/iiai aeeniaina?o uiaei caoai?thaaiino? ia neo?e?n oa
aiii?ath.

Iaie aoei i?iaiae?ciaaii 69 ?noi??e iieia?a (o.096/o),
?iaeea?aeoaeueieo ea?o (o.111/o) ae?iie, o yeeo aaa?oi?noue
caaa?oeeanue iieiaaie o 1996 ?., a i?neyiieiaiaee ia??iae oneeaaeieany
iicieia?/ieie oi?iaie ?-ai aoaio ?iciianthaeaeaiiy ?ioaeoe?? ca
Aa?oaeuenii.

Ae?oaee aoai aeine?aeaeaiiy i?iaiaeeany i?ioyaii 1993-1996 ?ie?a ia
aac? iieiaiai-a?iaeieia?/iiai a?aeae?eaiiy Aa?oea?anueei? Oe?E. A
caeaaeiino? a?ae iaoiaeeee i?io?eaeoe/iiai aai e?eoaaeueiiai
canoinoaaiiy aeaeaiaoieneio aoei noi?iiaaii 4 ee?i?/ieo a?oie, eiaeia c
yeeo aoea iiae?eaia ia i?aea?oie A (iniiaia, o ye?e i?io?eaeoeea aai
e?eoaaiiy ioa?ia?aeueii? ?ioaeoe?? i?iaiaeeeenue aeaeaiaoieneiii ii
?ic?iaeai?e iaoiaeeoe?) ? A (eiio?ieueia, o?aaeeoe?ei? iaoiaee
i?io?eaeoeee ? e?eoaaiiy ANO).

Aeai? i?i ?iciiae?e aaa?oieo, ?iae?eue ? ii?iae?eue ii a?oiao a
caeaaeiino? a?ae iaoiaeo e?eoaaeueii-i?io?eaeoe/iiai canoinoaaiiy
aeaeaiaoieneio iiaeai? a oaaeeoe? 1

Oaaeeoey 1 — ?iciiae?e ianoaaeaieo ae?iie ca ee?i?/ieie a?oiaie oa
i?aea?oiaie

?

a?oie ?

i?aea?oie

Eiioeiaaio ae?iie E?euee?noue ae?iie

n (%)

1 1(A) ?iae?ee?, yeei i?io?eaeoeea ?ioaeoe?eieo oneeaaeiaiue
i?iaiaeeeanue aeaeaiaoieneiii 107 (41%)

1(A) ?iae?ee?, o yeeo i?io?eaeoeea ?ioaeoe?eieo oneeaaeiaiue
i?iaiaeeeanue oei?aaeneaeeiii, 0,5% nie?oiaei ?ic/eiii 154 (59%)

?ACII 261

2 2 (A) Aaa?oi?, yeei naiaoe?y i?oae i?iaiaeeeanue 0,02% ?ic/eiii
aeaeaiaoieneio 74 (53,6%)

2 (A) Aaa?oi?, yeei naiaoe?y i?oae i?iaiaeeeanue 0,5% ?ic/eiii aoii?th
64 (46,4%)

?ACII 138

3 3 (A) I?io?eaeoeea ?icoiaeaeaiiy oa?a i?iiaaeeie ?ic/eiii
aeaeaiaoieneio 0,02% 115 (48,1%)

3 (A) I?io?eaeoeea ?icoiaeaeaiiy oa?a i?iiaaeeie ?ic/eiii aoii?th 1%
124 (51,9%)

?ACII 239

4 4 (A) Aioo??oiueiiaoeiaee eaaaae 0,02%

?ic/eio aeaeaiaoieneio i?e aiaeiiao?eoao 42 (52,5%)

4 (A) Aioo??oiueiiaoeiaee eaaaae 0,5% ?ic/eio aoii?th i?e aiaeiiao?eoao
38 (47,5%)

?ACII 80

Aei neeaaeo a?oie 1 aeeth/aeeny ae?iee, ye? iio?aieyee o iieiaiaa
a?aeae?eaiiy Aa?oea?anueei? Oe?E (261 ?iae?eey). ?iae?eeyi i?aea?oie
1(A) ia?iaea iieiaiaeo oeyo?a i?e iaaeoiaeaeaii? o noaoe?iia?, ia?aae
eiaeiei aioo??oi?i aeooa?nueeei aeine?aeaeaiiyi i?iaiaeeeanue 0,02%
?ic/eiii aeaeaiaoieneio. I?e iaaeoiaeaeaii? o iieiaiaee cae ia?iaea
iieiaiaeo oeyo?a i?iaiaeeeanue 0,02% ?ic/eiii aeaeaiaoieneio, aioo??oi?o
iiaa?oiiue noaaii — 2% ?ic/eiii aeaeaiaoieneio. ?iae?eeyi i?aea?oie 1(A)
ia?aae eiaeiei aioo??oi?i aeooa?nueeei aeine?aeaeaiiyi ia?iaea iieiaiaeo
oeyo?a i?iaiaeeeanue 0,02% ?ic/eiii oo?aoeee?io. I?e iaaeoiaeaeaii? o
iieiaiaee cae ia?iaea iieiaiaeo oeyo?a oa aioo??oi?o iiaa?oiiue noaaii
i?iaiaeeeanue 0,5% nie?oiaei ?ic/eiii oei?aaeneaeeio.

Aei neeaaeo a?oie 2 oa?eoee aaa?oi? c aenieei ?eceeii ?icaeoeo
ioa?ia?aeueii? ?ioaeoe??, iaoiiaeaiei ??? — IV nooiaiyie /enoioe aaa?ie,
yeei aoea i?ecia/aia aeiiieiaiaa aini?oae?caoe?y (o oa?i?i? 36 oeaei?a ?
a?eueoa).

Aaa?oiei i?aea?oie 2(A) naiaoe?y aaa?ie i?iaiaeeeanue oeyoii
aeai?aciaeo c?ioaiue c ?ioa?aaeii 12 aiaeei 0,02% ?ic/eiii
aeaeaiaoieneio o e?eueeino? 60 ie /a?ac iie?aoeeaiiaee eaoaoa?. I?e
niaoeeo?/ieo eieuei?oao oaeiae i?ecia/aeanue niaoeeo?/ia aioei?e?iaia
oa?ai?y.

O eiio?ieuei?e i?aea?oi? 2(A) aeey c?ioaiue aaa?ie aeei?enoiaoaaee 0,5%
?ic/ei aoii?th. I?e niaoeeo?/ieo eieuei?oao oaeiae i?ecia/aee ao?io?iii?
caniae.

A?oia 3 aoea noi?iiaaia c ii?iae?eue, yeei aoa c?iaeaiee ?icoei
i?iiaaeeie. Ii?iae?eeyi 3(A) i?aea?oie c iaoith i?io?eaeoeee
ioa?ia?aeueii? ?ioaeoe?? noa?eeuei? na?aaoee, cii/ai? 0,02% ?ic/eiii
aeaeaiaoieneio, i?eeeaaeaee aei ai?c?ioiiii? ?aie 3 ?ace ia aeaiue ia
i?ioyc? 4-o aei?a aei aeneoaiiy. O eiio?ieuei?e i?aea?oi? 3(A)
i?io?eaeoeea ?icoiaeaeaiiy oa?a i?iiaaeeie i?iaiaeeeanue 1% ?ic/eiii
aoii?th ii o?e aea iaoiaeeoe?.

A?oia 4 noi?ioaaeanue c ii?iae?eue, i?neyiieiaiaee ia??iae a yeeo
oneeaaeieany aiaeiiao?eoaie. I?e anoaiiaeaii? ae?aaiico “i?neyiieiaiaee
aiaeiiao?eo” i?ecia/aeanue eiiieaenia oa?ai?y: aioea?ioeeioa?ai?y aeaiia
aioea?ioeeaie (aei io?eiaiiy aioea?ioeeia?ai eiia?iaoe??th
iai?a-neioaoe/ieo iai?oeee?i?a oa ai?iiae?eiceae?a), ?iooc?eia oa?ai?y,
aeanaine-a?e?coth/? caniae, neiioiiaoe/ia oa?ai?y. I?e iayaiino?
caeeoe?a ieaoeaioe i?iaiaeeeinue iaa?aaeia aeoe?yaoaaiiy ii?iaeieie
iaoee.

Aei eiiieaeno e?eoaaeueieo caoiae?a ii?iae?eeyi i?aea?oie 4(A) ie
aeeth/eee aioo??oiueiiaoeiaee eaaaae 0,02% ?ic/eiii aeaeaiaoieneio o
e?eueeino? 1000 ie ia i?ioyc? 1,5 aiaeeie. ?ic/ei aeaeaiaoieneio
ioieiaeaeoaaee aei +50N. Eaaaae i?iaiaeeany 1 ?ac ia aeiao i?ioyaii 4-5
ae?a. I?ney eth?aoaaeo eaaaae i?ecia/aany /a?ac 24 aiaeeie. O
eiio?ieuei?e i?aea?oi? 4(A) o eiiieaen? e?eoaaeueieo caoiae?a
aeei?enoiaoaaee 0,5% ?ic/ei aoii?th ii o?e aea iaoiaeeoe?.

E?eoa??yie aoaeoeaiino? i?io?eaeoe/iiai ? oa?aiaaoe/iiai canoinoaaiiy
aeaeaiaoieneio aoee: na?aaeiy o?eaae?noue ia?aaoaaiiy ii?iae?eue ia
i?neyiieiaiaiio e?aeeo; /anoioa aeieeiaiiy ANO ioa?ia??th; oaiie
?iaiethoe?? i?neyiieiaiai? iaoee; /anoioa i?neyiieiaiai? eeoiiaiee
iac’yniaaii? ao?ieia??; na?aaeiy o?eaae?noue e?eoaaiiy ii?iae?eue c
aiaeiiao?eoii; /anoioa aaia?ae?caoe?? ?ioaeoe??; oaiie ii?iae?caoe??
oaiia?aoo?ii? ?aaeoe??; aeeiaiiea ii?iae?caoe?? iniiaieo aaiaoieia?/ieo
iieaciee?a.

Aeey ia’?eoea?caoe?? ?iaiethoe?eieo oa ?aaaia?aoi?ieo i?ioean?a o
i?neyiieiaia?e iaooe? aoee canoiniaai? iaoiaee OCAe i?neyiieiaiai? iaoee
(aia?aoii Oishiba-SAL-38 AS), oeeoineii?? iio?e ca C.E. Oo?niaith oa
i?e?ia?ieia?/iiai aeine?aeaeaiiy.

A aeeiai?oe? aeine?aeaeoaaee noaiaea?oi? eaai?aoi?i? oanoe: iieacieee
ia?eoa?e/ii? e?ia?, a?io?i?/i? iieacieee.

Iaoa??ae aeey i?e?ia?ieia?/iiai aeine?aeaeaiiy cae?aany o
a?aeiia?aeiino? c iaeacii ? 525 IIC N?N? a?ae 22 ea?oiy 1985 ?. ”Ia
oieoeeaoeee iee?iaeieiae/aneeo (aaeoa?eieiae/aneeo) iaoiaeia
enneaaeiaaiey, i?eiaiyaiuo a eeeieei-aeeaaiinoe/aneeo eaai?aoi?eyo
ea/aaii-i?ioeeaeoe/aneeo o/?aaeaeaiee”.

sse o?ainii?oia aeei?enoiaoaaee na?aaeiaeua aeey eiio?ieth
noa?eeueiino? (N.Ae. Ai?iiaaaa, E.Y. Nieieiaa, 1987), aeiaeaaaee aei
iueiai iiaeeai? aeiaaaee (oaei — 80 — 1,0 ie; 1 % ?ic/ei aaieio — 1,0
ie; 1 % ?ic/ei a?oai?io E — 0,12 ie ia 1 e na?aaeiaeua). O?ainii?ooaaiiy
ee?i?/iiai iaoa??aeo c iieiaiaeo oeyo?a aaa?oieo, ?iae?eue oa ii?iae?eue
a eaai?aoi??th ia ia?aaeuoaaei 1 aiaeeie.

Aeey oa?aeoa?enoeee /ooeeaino? aaeoa??e aei aeaeaiaoieneio
aeei?enoiaoaaee iieacieee I?E (i?i?iaeueia ?ia?aoth/a eiioeaio?aoe?y) oa
?AA (?iaeaen aeoeaiino? aioenaioee?a).

?acoeueoaoe aeine?aeaeaiue ia?iaeyee c aeei?enoaiiyi noaoenoe/ieo
iaoiae?a aa??aoe?eiiai iaia?aiao?e/iiai aiae?co; ia/eneaiiy
i?iaiaeeeenue ia i?e?ieaeueeoeyoi?? i?ia?aiiiai caaacia/aiiy,
ia?niiaeueiiio eiii’thoa??.

?acoeueoaoe aeanieo aeine?aeaeaiue.

Ee?i?ei-ai?aeai?ieia?/iee ?ao?iniaeoeaiee aiae?c aeeiai?ee ? no?oeoo?e
i?neyiieiaiai? naioe/ii? caoai?thaaiino? a *a?i?aaoeuee?e iaeano?
i?ioyaii 1992-1996 ??. iieacaa, ui caoai?thaai?noue ii?iae?eue nainenii
eieeaaeanue a iaaeao 0,02%-0,099%. O 1995 ?. aoa a?aei?/aiee niaeao
i?neyiieiaiaiai naineno, yeee aeiee o 12 (0,099%) ii?iae?eue ?
caoai?thaai?noue ia yeee c?inea o 5 ?ac?a o ii??aiyii? c 1994 ?ieii. C
12 aeiaaee?a i?neyiieiaiaiai naineno 10 aeieeei i?ney aaaeii?iaeueiiai
?iaei?ica’ycaiiy.

Aa?oi oaaae, ui ia?aeaeueii a 1994-1995 ??. aoa a?aei?/aiee cia/iee
niaeao aaia?e/ii? caoai?thaaiino? ii iaeano?, yeee aea?a *a?i?aaoeueeo
iaeanoue ia I i?noea a Oe?a?i? ca iioe?ai?noth aaia?e/ieo oai?ia.

Ia iao iiaeyae, oe?eeii caeiiii??ii, ui i?ae i?ioaeai caoai?thaaiino?
aaia?ae?ciaaieie oi?iaie ANO ioa?ia??th ? caoai?thaaiino? ia neo?e?n,
yea ? nai???aeiei ?iaeeeaoi?ii i?e?iaii? caa?oaeiaiino? oeyo?a
?ai?iaeoeoe?? ethaeeie, ? /?oeee ia?aeae?ci.

?iaaiue ioa?ia?aeueii? iioaeoe?? ii iaeanoi a cia/iie ii?i caeaaeaa
aiae ieoiii? aaae aaaeiiiiaeueiiai ?iaei?ica’ycaiiy, ??aiy
nai?oa?ii-i?ioeai?aeai?/ieo caoiae?a. O neeaaei iineyiieiaiai? naioe/ii?
caoai?thaaiinoi iineyiia?aoeieii oneeaaeiaiiy ca oeae /an noaiiaeyoue
48,77±2,41%, oiaei ye ieoiia aaaa iia?aoeaiiai ?iaei?ica’ycaiiy oieueee
13,6±0,94%.

Iiaeaeuaiiy /anoioe eana?nueeeo ?icoeiia c 12,28% o 1993 ?. aei 15,3% o
1994 ?. i?ecaaei aei cieaeaiiy ia?eiaoaeueii? nia?oiinoi c 11,3‰ aei
6,67‰ Ne?ae cacia/eoe, ye aaaeeeao caeiiii??i?noue, ui i?eaeecii
iaeiaeiaa /anoioa eana?nueeeo ?icoeiia o 1994-95 ??. (15,3% i 14%
aiaeiiaiaeii) i?eieieea naie iiceoeaiee aieea ia noai ia?eiaoaeueii?
nia?oiinoi (6,67‰ o 1994 ?. i 9,8‰ o 1995 ?.). Aiaeii/an eieueeinoue
naioe/ieo iineyiia?aoeieieo oneeaaeiaiue c?inea c 8,3% o 1994 ?. aei
10% o 1995 ?.

Iaeieae/ee ia i?ioyc? 5 ?ie?a iieaciee iioe?aiino? naioe/ieo
i?neyiieiaiaeo noai?a o 1996 ?. (2,4%) ne?ae a ia?oo /a?ao aaaaeaoe
caeiiii??iei iane?aeeii ia?aoiaeo caeeaae?a ?iaeiiiii/? iaeano? c
V??.1996 ia ?iaioo ca?aeii iaeaco IIC Oe?a?ie ?4 a?ae 05.01.1996.

Aiae?c 69 ?noi??e iieia?a ? iai?iieo ea?o ii?iae?eue, o yeeo ia i?ioyc?

1996 ?. aeieeee eieae?ciaai? oi?ie ANO ioa?ia??th, iieacaa, ui o 60
(86,9%) c ieo ua aei ii/aoeo aaa?oiino? noi?ioaaany aenieee ?ioaeoe?eiee
?iaeaen. Ia?aa?a aaa?oiino? oa?aeoa?ecoaaany cia/iith e?euee?noth
oneeaaeiaiue: ia iaeio aaa?oio i?eiaaeaei 1,5 oneeaaeiaiiy, ye? ia aoee
?aoaeueii aiae?ciaai? ? ioe?iai?. I?e iaaeoiaeaeaii? a iieiaiaee
aoaeeiie eeoa 48 (69,6%) aaa?oieo ? ?iae?eue aoee a?aeianai? aei a?oie
?eceeo ii aeieeiaiith naioe/ieo oneeaaeiaiue.

Iaie aecia/ai? eiie?aoi? aniaeoe aaaeaiiy ii?iae?eue, caeo/aiiy yeeo ?
ae?eniei ?aca?aii cieaeaiiy /anoioe ? aaaeeino? ia?aa?ao ANO,
i?aeaeuaiiy yeino? e?eoaaiiy eieae?ciaaieo oi?i ioa?ia?aeueii?
?ioaeoe??. Oae, oie oaeo, ui o a?eueoa, i?ae o iieiaeie ii?iae?eue (11
ae?iie) c i?neyiieiaiaeie aiaeiiao?eoaie caoai?aiiy noaei iane?aeeii
caeeoe?a ieaoeaioa?ii? oeaieie a iaooe?, aeicaiey? ii?ooeoe ieoaiiy i?i
iaiao?aei?noue ia’?eoea?caoe?? noaio i?ney?iaeiai? iaoee, cie?aia
aeioe?euei?noue i?ecia/aiiy an?i ii?iae?eeyi OCAe a i?ney?iaeiaiio
ia??iae? c iaoith ?aiiuei? ae?aaiinoeee aeaii? iaoaeia??.

Ia iao iiaeyae, ai?iaaaeaeaiiy a iianyeaeaiio ?iaioo iaoiaeo
oeeoineii?? eio?e ii?iae?eeyi a?oie ?eceeo naioe/ieo oneeaaeiaiue oaeiae
aeicaieeei a ia ?aii?o aoaiao ia’?eoea?coaaoe caiaeueiee i?ioean o
iaooe? ? coiiaeei a nai?/ania e?eoaaiiy.

Iaaeinoaoiuei aoee aeei?enoai? iiaeeeaino? aioo??oiueiiaoeiaiai
i?ecia/aiiy aioea?ioee?a aai aioenaioee?a ii?iae?eeyi c aiaeiiao?eoaie,
a ai?ciaee/ia aeei?enoaiiy oeueiai iaoiaeo ia aeicaiey? aeaoe
iaa?oioiaaio ioe?ieo eiai oa?aiaaoe/i?e aoaeoeaiino?.

Aiae?c ia?aa?ao i?neyiieiaiaiai ia??iaeo a ii?iae?eue i?aea?oi 1(A) ?
1(A) aeicaieea anoaiiaeoe, ui i?io?eaeoe/ia canoinoaaiiy i?ae /an
iieia?a aeaeaiaoieneio ia? iaai? iiceoeai? iane?aeee.

Na?aaeiy o?eaae?noue ia?aaoaaiiy ia e?aeeo ii?iae?eue i?aea?oie 1(A),
yeei i?io?eaeoeea ioa?ia?aeueii? ?ioaeoe?? i?iaiaeeeanue
aeaeaiaoieneiii, neeaea

4,5±0,2 aeiae ? aoea aeinoia??ii ieae/ith, i?ae a i?aea?oi? 1(A)
(5,3±0,19 aeiae, p<0,05) c o?aaeeoe?eieie iaoiaeaie i?io?eaeoeee. O 1(A) i?aea?oi? caaaeueia e?euee?noue ANO (6 – 5,6%) aoea iaeaea ao?e/? iaioith, i?ae o 1(A) i?aea?oi? (16–10,4%) ? i?aaenoaaeaia o?eueee caoai?thaaiiyie ? aoaio, oiae? ye o 1(A) i?aea?oi? niinoa??aaeenue 2 (1,3%) aeiaaeee ia?aiao?eoo oa 2 (1,3%)–iao?io?iiaioeaa?oo. Aeiaaee?a ia?eoii?oo oa naineno a iaeaeaio i?aea?oiao ia aoei. O ii?iae?eue i?aea?oie eiio?ieth oaiie nei?i/aiiy iaoee aoee a?eueo oiia?eueiaieie: a aeeiai?oe? ? ia 4-5 aeiao a?aecia/aeinue ciaioaiiy aeiaaeeie ia 2.6% (i?ioe 9.2% o ii?iae?eue 1(A) i?aea?oie); oe?eie ia 5.4% (i?ioe 13% o ii?iae?eue 1(A) i?aea?oie). I?e oeeoieia?/iiio aeine?aeaeaii? eio?e o ii?iae?eue 1(A) i?aea?oie aoee io?eiai? oae? ?acoeueoaoe: ia 3-4 aeiao aecia/aany caiaeueiee oei oeeoia?aie o 22 (78,6%) ae?iie, caiaeueii-?aaaia?aoeaiee oei - o 5 (17,8%), ui na?ae/eei i?i i?enei?aiiy ?aaaia?aoi?ieo i?ioean?a o iaooe?. Ia 5 aeiao i?ney iieia?a o 21 (75%) ii?iae?eue 1(A) i?aea?oie aoa a?aei?/aiee caiaeueii-?aaaia?aoeaiee oei oeeoia?ai, yeee i?eoaiaiiee aeey oeueiai ia??iaeo o?c?ieia?/iiai ioa?ia??th. A 6 (21,45%) aeiaaeeao aoa iayaiee ?aaaia?aoeaiee oei oeeoia?ai, ui a?aeaeca?eaethaaei i?enei?aiiy ?aaaia?aoi?ieo i?ioean?a o iaooe?. Oeeoieia?/ia aeine?aeaeaiiy o ae?iie 1(A) i?aea?oie a 24 (75%) aeiaaeeao a?aeiia?aeaei aeeiai?oe? o?c?ieia?/iiai i?neyiieiaiaiai ia??iaeo: ia 3-4 aeiao aecia/aany caiaeueiee oei, ia 5 aeiao caiaeueii-?aaaia?aoeaiee. O 4 (12,5%) ii?iae?eue ia 5 aeiao aeyaeyeanue caiaeueia ?aaeoe?y. Ee?i?/ieie aeaieie ? i?e OCAe a oeeo aeiaaeeao aoea i?aeoaa?aeaeaia noa?iaiethoe?y iaoee. ?icaeyae ia?aa?ao ioa?ia??th o ae?iie a?oie 2, ye? io?eioaaee naiaoe?th aaa?ie aeaeaiaoieneiii (2(A) i?aea?oia) aai aoii??i (2(A) i?aea?oia), iieacaa, ui na?aaeiy o?eaae?noue ia?aaoaaiiy ia e?aeeo a iniiai?e i?aea?oi? (5,35±0,2 aeiae) aoea aeinoia??ii ieae/a oeueiai iieacieea a i?aea?oi? eiio?ieth (6,05±0,19, ?<0,05). ANO a 2 a?oi? iaee i?noea o 15 aeiaaeeao (10,9%), a oiio /ene? a i?aea?oi? 2(A) – 6 (8,1%); a i?aea?oi? 2(A) – 9 (14,1%). Ia oii? aeei?enoaiiy aeaeaiaoieneio a?aecia/aeinue i?enei?aiiy oaii?a ?iaiethoe?? iaoee, iniaeeai a oe?eio, a 2(A) i?aea?oie ia 13,9%, oiae? ye a i?aea?oi? 2(A) ia 6,2%. Aea/ath/e i?io?eaeoe/io ae?th aeaeaiaoieneio uiaei caai?iiy ia?eiai- oa ai?c?ioiiieo ?ai o ii??aiyii? c o?aaeeoe?eieie caniaaie, oaeiae aiae?coaaee na?aaeith o?eaae?noue ia?aaoaaiiy ia i?neyiieiaiaiio e?aeeo. O ii?iae?eue i?aea?oie 3(A) oeae iieaciee (4,9±0,2 aeiae) aoa aeinoia??ii iaioei, i?ae a i?aea?oi? 3(A) (5,8±0,23 aeiae, ?<0,05), ui iia’ycaii ?c e?euee?noth ?icoiaeaeaiiy oa?a i?iiaaeeie. Cacia/aia oneeaaeiaiiy a 3 a?oi? ae?iie niinoa??aaeinue a 19 (7,1%) aeiaaee?a. A i?aea?oi? 3(A) ?icoiaeaeaiiy oa?a a?aeaoeiny a 5 (4,35%) ii?iae?eue, i?e/iio o?eueee o 2 iiaia. A 3(A) i?aea?oi? ?icoiaeaeaiiy ai?c?ioiiii? ?aie a?aei?/aeinue aaea?/? /ano?oa, o 14 ii?iae?eue (11,3%), i?e/iio iiaia ?icoiaeaeaiiy - a 5 ii?iae?eue (41,7%). Oa?i?ie ?icoiaeaeaiiy oa?a a i?aea?oiao ia a?ae??ciyeenue aeinoia??ii (?>0,05) – a na?aaeiueiio ia 3 – 4 aeiao.

?acoeueoaoe eoeueoo?aeueieo aeine?aeaeaiue iie?iaii? oei?e ieaeiueiai
a?aeae?eo aai?oae?e o ?iae?eue a?oie 1 i?e iaaeoiaeaeaii? a iieiaiaa
a?aeae?eaiiy iiaeai? a oaaeeoe? 2.

Oaaeeoey 2 — I?e?ioei?a i?oae a ae?iie a?oie 1 i?e iaaeoiaeaeaii? a
iieiaiaa a?aeae?eaiiy

I?e?ii?aai?cie *anoioa aeae?eaiiy o i?aea?oiao

1(A), n (%) 1(A), n (%)

Iiiieoeueoo?a:

Staphylococcus ep?derm?d?s 18 (23,1%) 24 (20,9%)

Proteus 2 (2,6%) 4 (3,5%)

Lactobac?llus 15 (19,2%) 23 (20%)

Echer?ch?a col? 8 (10,3%) 10 (8,7%)

Cand?da alb?cans 7 (9%) 7 (6,1%)

Anioe?aoe??:

E.col? + S.ep?derm?d?s 10 (12,8%) 15 (13%)

S.ep?derm?d?s + Lactobac?llus 5 (6,4%) 9 (7,8%)

Cand?da alb?cans + S.aureus 4 (5,1%) 8 (6,9%)

Lactobac?llus+Streptococcus pyogenes 2 (2,6%) –

Gardnerella vaginalis + E.col? 5 (6,4%) 11 (9,6%)

Cand?da alb?cans+ E.col? 2 (2,6%) 4 (3,5%)

sse aeaeii c aeaieo oaaeeoe?, iae/ano?oa c aaa?ie ?iae?eue aeae?eyeenue
a?aiiiceoeai? iaee/ee (Lactoban?llus) a iiiieoeueoo?? ? anioe?aoe?yo,
a?aiiiceoeai? eiee (S.ep?derm?d?s), iaaaoeai? iaee/ee (E.col?).

Aea/aiiy neeaaeo i?e?ioei?e aaa?ie ae?iie 1 a?oie ia 3 aeiao i?ney
iieia?a iieacaei, ui, ye a 1(A) oae ? a 1(A) i?aea?oiao, cia/ii
ciaioeeanue e?euee?noue eaeoiaaoeee, ui a?aeiia?aea? no/aniei iiaeyaeai
uiaei aeeiai?ee i?e?ia?ioeaiic?a noaoaaeo oeyo?a a i?neyiieiaiaiio
ia??iae?. Lactobac?llus aen?aaany a iiiieoeueoo?? o 10 (12,0%)
ii?iae?eue 1(A) i?aea?oie ? o?eueee o 5 (4,3%) ii?iae?eue 1(A)
i?aea?oie, ui a?aeaeca?eaeth? iiceoeaio i?io?eaeoe/io ae?th
aeaeaiaoieneio.

A iaio i?aea?oiao ae?iie aen?aaeenue a iniiaiiio ??ci? aeaee
noao?eieie?a, E.col?, aa?i-aiaa?iai? anioe?aoe?? i?e?ii?aai?ci?a.

Ia 3 aeiao i?neyiieiaiaiai ia??iaeo aeae?eai? a?ae ii?iae?eue i?aea?oie
1(A) ooaie S.ep?derm?d?s ? E.col? oa?aeoa?ecoaaeenue iaci?iaieie
a?ieia?/ieie ? a?io?i?/ieie aeanoeainoyie. C aeae?eaieo a oie aea oa?i?i
o ii?iae?eue i?aea?oie 1(A) 29 ooai?a S.ep?derm?d?s ? 33 ooai?a E.col?
iaee caeaoi?noue aeeeeeaoe aaiie?c 5 (17,3%) ooai?a S.ep?derm?d?s ? 6
(18,1%) ooai?a E.col?. Caaaeueiia?aeiiei ? oie oaeo, ui caeaoi?noue
aeeeeeaoe aaiie?c ? iaei??th c iciae iineeaiiy iaoiaaiiino?.

Io?eiai? aeai? a oe?eiio ni?aiaaeathoue ?c caaaeueiiaeciaieie oaeoaie,
ui ia 3 aeiao ioa?ia??th ciaioo?oueny iieaciee ianai?iaiino? i?oae
Lactobac?llus ? aiaeii/an ca?eueoo?oueny oeae iieaciee uiaei
oiiaii-iaoiaaiii? oei?e. Caa?oa? ia naaa oaaao oie oaeo, ui a i?aea?oi?
1(A) iieaciee ianai?iaiino? eaeoiaaoeeeaie ia 5 aeiao aeinyaioa
ii/aoeiaiai ??aiy, oiae? ye a i?aea?oi? eiio?ieth aoa iaioee ia 2
ii?yaeee. ?oaeoeai?noue i?io?eaeoe/ii? ae?? aeaeaiaoieneio aeiaiaeeoueny
e oei oaeoii, ui iieacieee ianai?iaiino? S.ep?derm?d?s ? E.col? ia 5
aeiao i?ney iieia?a aoee cia/ii aeu? a i?aea?oi? eiio?ieth.

I?i?iaeueia ?ia?aoth/a eiioeaio?aoe?y (I?E) aeey i?e?ii?aai?ci?a, ye?
aoee aeae?eai? c iieiaiaeo oeyo?a ?iae?eue, eieeaaeanue a oaeeo iaaeao:
aeey S.aureus — 0,001-0,0056 ia/ie, S.ep?derm?d?s-0,00032-0,018 ia/ie,
S.saproph?t?cus-0,00056-0,018 ia/ie; E.col? — 0,0032-0,056ia/ie;
P.vulgar?s-0,018-0,056 ia/ie; B.Frag?l?s-0,00056-0,032 ia/ie; B.
melan?nogen?cus-0,00032-0,018 ia/ie; Peptococcus
asacharol?t?cus-0,001-0,032 ia/ie, Peptostreptococcus-0,001-0,032 ia/ie,
Peptostreptococcus productus et anaerob?cus-0,0018-0,0032 ia/ie,
C.alb?cans-0,00032-0,01 ia/ie.

Ia oii? naiaoe?? aaa?ie aeaeaiaoieneiii ia 3-5 aeiao o 22 (29,7%)
ae?iie i?aea?oie 2(A) cieaeoaaany iieaciee EOI/ie aac ci?ie i?e?iaiiai
iaecaaeo. O 26 (35,1%) aaa?oieo a o? ae oa?i?ie a?aei?/aeanue ii?yae c?
cieaeaiiyi iieacieea i?e?iaii? ianai?iaiino?, ci?ia aeaeiaiai neeaaeo,
eieiaa oei?a ci?ithaaeanue ia iaee/eiao (E.col?, B.frag?l?s). O ?aooe
ae?iie a oeae oa?i?i ??no i?e?ii?aai?ci?a ia aeei?enoaieo iaie
na?aaeiaeuao aoa a?aenooi?e. A ae?iie eiio?ieueii? i?aea?oie 2(A) ia 3-5
aeiao iieaciee EOI/ie cieceany o?eueee a 8 (12,5%) aeiaaeeao. Iiceoeai?
ci?ie aeaeiaiai neeaaeo i?e?ioei?e a?aeaoeeny o 11 (17,2%) aaa?oieo.

Ia 7 aeiao a?ae ii/aoeo naiaoe?? o 61 (82,4%) ae?iee i?aea?oie 2(A)
??no ia iiaeeaieo na?aaeiaeuao aoa a?aenooi?e. A 11 (17,6%) aaa?oieo
aen?aaeenue: E.col? (o 5); B.frag?l?s (o 3); S.ep?derm?d?s a e?eueeino?
iaioa 104 EOI/ie. O a?aeiia?aei? oa?i?ie o?eueee o 26 aaa?oieo i?aea?oie
2(A) (40,6%) can?ae aoee noa?eeuei?.

C iaoith aecia/aiiy /ooeeaino? i?e?ii?aai?ci?a aei aeaeaiaoieneio,
aioea?ioee?a oa aioenaioee?a ie i?iaaee ?yae aeine?aeaeaiue ia 122
eoeueoo?ao, aeae?eaieo iaie c iieiaiaeo oeyo?a noao?eieie?a.
Iaeneiaeueiee a?aenioie aeae?eaieo ooai?a noao?eieieo (96,7%) i?iyaey?
/ooeea?noue aei aeaeaiaoieneio, oiae? ye aei ?ioeo i?aia?ao?a
(iai?oeee?io, aii?oeee?io, oei?aaeneaeeio, ia?aiio?o, aoii?th)
/ooeea?noue eieeaaeanue o iaaeao 21,3% — 88,5%.

Iaea?eueoith /ooeea?noth aei aeaeaiaoieneio a?ae??ciyeenue S.aureus oa

Str.faecal?s (?AA-184,75 ? 142,86), a?aeiinii iaioith /ooeea?noth
oa?aeoa?ecoaaeenue aioa?iaaeoa???, E.col? (?AA — 9,15) oa P.vulgar?s
(?AA=9,51).

Iao? aeine?aeaeaiiy iieacaee, ui iniiaieie caoaeieeaie ?aiueiai?
?ioaeoe?? i?e ?icoiaeaeaii? oa?a i?iiaaeeie aoee a?aiiiceoeai?
aaeoa???,a naia Staphylococcus aureus, oa ??ci? aeaee no?aioieie?a.
Aea/ath/e i?e?iaiee iaecaae ?aie ia 3 aeiao e?eoaaiiy, ie aeyaeee, ui a
3(A) i?aea?oi? /anoioa aeae?eaiiy S.aureus ? no?aioieie?a cieceeanue (1
aeiaaeie), oiae? ye Pseudomonas aerug?nosa ia aen?aaeanue. I?e aea/aii?
i?e?ioei?e ?aie a 3(A) i?aea?oi? ia 3 aeiao e?eoaaiiy S.aureus aen?aaany
o 5 oai?eo (35,7%). A 6 (42,8%) aeiaaeeao aen?aaany Ps.aerug?n?sa, ui c
aenieith a??ia?aei?noth na?ae/eei i?i ?io?eoaaiiy ?aie aini?oaeueiith
i?e?ioei?ith.

Aiae?coth/e ee?i?/i? aeai? ia?aa?ao aiaeiiao?eo?a o ii?iae?eue 4 a?oie,
ie aeyaeee, ui iai?oanoaoe?y ee?i?/ii? ea?oeie a i?aea?oiao 4(A) ? 4(A)
a?aeaoeany ia 4,1±0,15 ? 4,1±0,17 aeiao i?ney iieia?a a?aeiia?aeii,
(p>0,05).

Na?aaeiy o?eaae?noue ia?aaoaaiiy ia i?neyiieiaiaiio e?aeeo ii?iae?eue
i?aea?oie 4(A) aoea aeinoia??ii iaioith (13,2±0,21 aeiae); i?ae a
i?aea?oi? 4(A) (15,6±0,31 aeiae, p<0,05). Aiae?c iniiaieo aaiaoieia?/ieo iieaciee?a o ae?iie 4 a?oie iieacaa, ui ?o aeeiai?ea aoea a?eueo iiceoeaiith a 4(A) i?aea?oi?. Oea a?aeaeca?eaethaaeinue a a?eueo oaeaee?e ii?iae?caoe?? iieaciee?a aaiiaeia?io, ciaioaii? a?aeiinii? e?eueeino? iaee/eiyaea?ieo oi?i eaeeioeeo?a. O 5 ii?iae?eue i?aea?oie 4(A) (11,9%) i?ioean aaiethoe?iioaaa: o 2 aeiaaeeao (4,8%) ?icaeioany ia?aiao?eo, o 3 (7,1%) iao?io?iiaioeaa?o. O 4(A) i?aea?oi? ii?iae?eue aaiethoe?y ?ioaeoe?eiiai i?ioeano a?aeaoeanue o 9 (23,7%) aeiaaeeao: ia?aiao?eoe – 3 (7,9%); iao?io?iiaioeaa?oe – 5 (13,1%); nainen – 1 (2,6%). Ia?aa?a i?neyiieiaiaiai aiaeiiao?eoo a iaeaeaio i?aea?oiao nooo?ai a?ae??ciyany. O ii?iae?eue 4(A) i?aea?oie ee?i?/i? iciaee aoee iaio ae?aaeai?, ui ciaoiaeeoue nai? a?aeia?aaeaiiy a ii??aiyii? na?aaei?o oa?i?i?a ii?iae?caoe?? oaiia?aoo?ii? ?aaeoe?? a i?aea?oiao: a 4(A) – ia 3,2±0,26 aeiao, a 4(A) – ia 4,1±0,24 aeiao (?<0,05). A 4(A) i?aea?oi? oaiie ?iaiethoe?? iaoee (a aeiaaeeio, oe?eio ? ia?aaeiuei-caaeiueiio ?ici???) aoee a?eueo cia/oueie a ii??aiyii? c i?aea?oiith 4(A). Ia 6-7 aeiao a 4(A) i?aea?oi? aeiaaeeia iaoee ciaioeeanue ia 8.7%, oe?eia ia 18.4%, ia?aaeiuei-caaei?e ?ici?? ia 12.9%. A i?aea?oi? ae?iie 4(A) oe? iieacieee ?iaiethoe?? aoee a?eueo oiia?eueiaieie ? neeaee a?aeiia?aeii 8.0%; 13.1%; 8.5%. Ia 3-4 aeiao a?ae ii/aoeo e?eoaaiiy o 18 ii?iae?eue i?aea?oie 4(A) (90%) aecia/eany caiaeueiee oei oeeoia?aie, o 2 (10%) ae?iie caeeoaany caiaeueii-aeaaaia?aoeaiee oei. O oie aea oa?i?i o?eueee a 13 ii?iae?eue i?aea?oie 4(A) (68,4%) oeeoia?aia iaea caiaeueiee oa?aeoa?, a 6 (27,6%) aeine?aeaeaiiy eio?e aeyaeei caiaeueii-aeaaaia?aoeaiee oei. I?e aaeoa??ieia?/iiio aeine?aeaeaii? ai?noo ii?iaeieie iaoee a ii?iae?eue c aiaeiiao?eoaie aei ii/aoeo e?eoaaiiy anoaiiaeaia iie?i?e?iaia ao?ieia?y i?neyiieiaiaiai aiaeiiao?eoo. C aiaieua ?ioaeoe?? aoei aeae?eaii 22 aeaee i?e?ii?aai?ci?a. I?e oeueiio iaeeaaoi? aiaa?iae aeyaeyeenue a 1,7 /ano?oa, i?ae aa?iaiee eiiiiiaio: i?aaenoaaieee aeaeo Peptostrcptococcus aen?aaeenue a 58,3% aeiaaee?a, Peptococcus a 28,2%, Clostridium a 10,2%, S. aureus aoa aeyaeaiee a 25,2% aeiaaee?a; S.ep?derm?d?s a 9,2%; Ps.aerug?nosa a 25%; Proteus a 16,2%. E?eoaaiiy i?neyiieiaiaiai aiaeiiao?eoo aeaeaiaoieneiii aeicaieeei cieceoe i?e?iaio ianai?iai?noue iaoee ia 3 aeiao ia 4-5 ii?yaee?a, a ia 5 aeiao ii?iaeieia iaoee aoea noa?eeueia. A i?aea?oi? eiio?ieth i?e?iaia ianai?iai?noue cieceeanue ia 1-2 ii?yaeee, a ia 5 aeiao o ae?iie c ii/aoeiai aaeeeei nooiaiai i?e?iaii? ianai?iaiino? (>107), iieaciee ?? neeaa 4,5o102 EOI/ie.

?acoeueoaoe aea/aiiy /ooeeaino? aaeoa??e, aeae?eaieo c iaoieia?/iiai
aiaieua, aei aeaeaiaoieneio oa aoii?th iieacaee, ui ?acenoaioi? aei
aeaeaiaoieneio ooaie na?aae aeae?eaieo ?c iieiaiaeo oeyo?a
i?e?ii?aai?ci?a cono??/athoueny ai?ciaee/ii, oiae? ye aei aoii?th
a?eueo?noue ooai?a aoee ?acenoaioieie.

Aea/aiiy naoa?ie?oe/ii? aeoeaiino? ooai?a E.col?, ye? aoee aeae?eai? a
ae?iie 4(A) ? 4(A) i?aea?oi ia 3 aeiao e?eoaaiiy, aeicaieeee anoaiiaeoe,
ui a?ae ii?iae?eue 4(A) a?oie ooaie ?c ci?iaiith naoa?ie?oe/iith
aeoeai?noth ia aoee aeae?eai?. O a?aeiia?aei? oa?i?ie o ae?iie i?aea?oie
eiio?ieth ?c iaoeiaiai ai?noo aoee aeae?eai? E.col? ?c oaeeie ci?iaie
naoa?ie?oe/ii? aeoeaiino?: 7,7% — eaeoiciiaaaoeai?, 9,2% ooai?a, ye?
?icueieththoue eaeoico i?e o?eaaeiio niinoa?aaeaii? aac ooai?aiiy aaco ?
14,0% ooai?a ?icu?iethaaee aetheico aac ooai?aiiy aaco.

Ocaaaeueithth/e iaaaaeai? aeai?, aaaaea?ii iiaeeeaei eiinoaooaaoe
aoaeoeai?noue canoinoaaiiy aeaeaiaoieneio c iaoith i?io?eaeoeee ?
iioei?caoe?? oa?ai?? ioa?ia?aeueieo ANO.

AENIIAEE

1. ??aaiue, no?oeoo?a oa aeeiai?ea ioa?ia?aeueii? ?ioaeoe?? a
*a?i?aaoeuee?e iaeano? i?ioyaii 1992-1996 ??. nooo?ai caeaaeaee aiae
/anoioe aaaeii?iaeueiiai ?iaei?ica’ycaiiy, iaaeieiinoi iiiioi?eiao ca
ii?iaeieeyie oa i?ioeai?aeai?/iiai ?aaeeio caeeaaeia ?iaeiiiii/i. I?ae
i?io?eyie caoai?thaaiino? ia aaia?ae?ciaai? oi?ie ANO i?neyiieiaiaiai
ia??iaeo ? aaia?e/i? oai?iae, iioe?ai?noue yeeo ? ?iaeeeaoi?ii i?e?iaii?
caa?oaeiaiino? oeyo?a ?ai?iaeoeoe?? ethaeeie, i?inoaaeo?oueny /?oeee
ia?aeae?ci.

2. I?io?eaeoe/ia aeei?enoaiiy aeaeaiaoieneio o aaa?oieo ? ii?iae?eue
a?oi ?eceeo ANO aaea?/? ciaioo? /anoioo ioa?ia?aeueii? ?ioaeoe?? o
ii??aiyii? c o?aaeeoe?eieie iaoiaeaie i?io?eaeoeee, ni?ey? i?enei?aiith
?iaiethoe?eii-?aaaia?aoi?ieo i?ioean?a o iaooe?, ia 15% nei?i/o? oa?i?ie
ia?aaoaaiiy ii?iae?eue o noaoe?iia??.

3. I?io?eaeoe/ia i?ecia/aiiy aeaeaiaoieneio aaa?oiei, ?iae?eeyi oa
ii?iae?eeyi ni?ey? i/euaiith oeyo?a ?ai?iaeoeoe?? a i?neyiieiaiaiio
ia??iae?, caiia?aa? eieiiicaoei? oa ?icaeoeo aiieii? i?e?ioei?e,
naeaeoei? i?e?ii?aai?ci?a c? ci?iaieie a?ieia?/ieie aeanoeainoyie.
Aeae?eai? c iieiaiaeo oeyo?a oiiaii-iaoiaaii? oa iaoiaaii? aaeoa???
oa?aeoa?ecothoueony aenieith /ooeea?noth aei aeaeaiaoieneio, ui
ia’?eoea?co?oueny iieacieeaie I?E oa ?AA.

4. Aioo??oiueiiaoeiaa canoinoaaiiy aeaeaiaoieneio a eiiieaen?
e?eoaaeueieo caoiae?a i?e aiaeiiao?eoao ia?aoeiaeaea? iiaeaeueoiio
?icaeoeo ?ioaeoe?eiiai i?ioeano oa aaea?/? cieaeo? ?ecee eiai
aaia?ae?caoe?? o ii??aiyii? c o?aaeeoe?eieie iaoiaeaie e?eoaaiiy.
Iiceoeaiee aieea i?noeaaiai i?ecia/aiiy aeaeaiaoieneio i?iyaey?oueny a
i?enei?aii? ?iaiethoe?eii-?aaaia?aoi?ieo i?ioean?a a iaooe?,
ii?iae?caoe?? iniiaieo aaiaoieia?/ieo iieaciee?a.

5. A iniia? ee?i?/ii? aoaeoeaiino? aeaeaiaoieneio i?e i?neyiieiaiaeo
aiaeiiao?eoao ? i?enei?aia i/euaiiy ii?iaeieie iaoee a?ae iaoiaaiieo
i?e?ii?aai?ci?a, ae?i?iaoe?y c aiaieua ?ioaeoe?? aaeoa??e c? ci?iaieie
o?i?/ieie aeanoeainoyie.

I?AEOE*I? ?AEIIAIAeAOe??

C iaoith i?ioieaeoeee aiieii-naioe/ieo oneeaaeiaiue iiney i?e?iaeieo
iieiaia ?aeiiaiaeo?oueny ia?iaea iieiaiaeo oeyoia 0,02% ?ic/eiii
aeaeaiaoieneio.

?aeiiaiaeo?oueny naioaaoe aaa?io aaaioiei ic III-IV nooiaiai ?? /enoioe
oeyoii aeai?aciaeo c?ioaiue 0,02% ?ic/eiii aeaeaiaoieneio ia i?ioyci 5-6
aeia.

C iaoith i?enei?aiiy caai?iiy ia?eiai- oa aiicioiiieo ?ai
?aeiiaiaeo?oueny noa?eeueii na?aaoee, cii/aii 0,02% ?ic/eiii
aeaeaiaoieneio, i?eeeaaeaoe aei ?aie o?e/i ia aeiao ia i?ioyci 4-o
aeiia.

Aei eiiieaeno eieoaaeueieo caoiaeia i?e iineyiieiaiaeo aiaeiiao?eoao
aeioeieueii aeeth/aoe aioo?ioiueiiaoeiaee eaaaae ioieiaeaeaiei aei 50N
0,02% ?ic/eiii aeaeaiaoieneio iaeei ?ac ia aeiao (4-5 i?ioeaaeo?).

Aeuaiaaaaeaii aeaii, a oaeiae aeinooiiinoue aeey caeeaaeia ?iaeiiiii/i
e aiaeiinia aeaoaainoue aio/eciyiiai aioenaioeea aeaeaiaoieneio
coiiaeththoue cia/iee aeiiiii/iee aoaeo eiai canoinoaaiiy a aeooa?noai.

NIENIE IIOAE?EIAAIEO I?AOeUe

1. Aioo??oiueiiaoeiaee eaaaae aeaeaiaoieneiii a eiiieaeniiio e?eoaaii?
i?neyiieiaiaeo aiaeiiao?eo?a. // A?niee i?iaeai a?ieia?? ? iaaeeoeeie. —
1998. — ? 9. — N. 130-138.

2. Ee?i?ei-ai?aeai?ieia?/iee ?ao?iniaeoeaiee aiae?c aeeiai?ee ?
no?oeoo?e i?neyiieiaiai? naioe/ii? caoai?thaaiino? ii *a?i?aaoeuee?e
iaeano? ia i?ioyc? 1992-1996 ??. // A?niee i?iaeai a?ieia?? ?
iaaeeoeeie. — 1998. — ?9. — N. 120-129.

3. I?io?eaeoeea i?neyiieiaiaeo naioe/ieo oneeaaeiaiue aeaeaiaoieneiii.
// A?niee i?iaeai a?ieia?? ? iaaeeoeeie. — 1998. — ? 15. — N. 176-180.

4. Iee?iaeioeaiicu ?iaeiauo iooae e ia?niaeoeaa eniieueciaaiey
niaaeeiaiee /aoaa?oe/iiai aiiiiey aeey ea/aiey aiieii-ainiaeeoaeueiuo
caaieaaaiee a aeooa?noaa e aeiaeieiaee / A niaao. Aiaaeaoeei I.A.,

Noaoie/ I.I., Eeuna O.E., Aieyineee A.TH. // Oacenu iaaeaeoia?iaeiie
iao/iie eiioa?aioeee “Eaeae E.E. Ia/ieeiaa e ?acaeoea nia?aiaiiiai
anoanoaiciaiey”. – Oa?ueeia, 1995. — N. 29-30.

5. Aaeoa?eieiae/aneea enneaaeiaaiey eaea?noaaiiie oi?iu, niaea?aeauae
yoe?iua ianea /A niaao. Eaeeie/aiei I.O., Aeuey/aiei A.O., Noa?iaeiaoe
C.A., Ia?thuaiei A.I., Aeaauaeiaa N.I., Ie?iiaiei E.A., AEaeaia?iaa
E.A., Iaieia AE.I. // Oacenu iaaeaeoia?iaeiie iao/iie eiioa?aioeee“Eaeae
E.E. Ia/i?eiaa e ?acaeoea nia?aiaiiiai anoanoaiciaiey”. — Oa?ueeia,
1995. — N. 136-137.

I?e?oi? E.A. I?io?eaeoeea ? iioei?caoe?y e?eoaaiiy ai?eii-naioe/ieo
oneeaaeiaiue ioa?ia??th. — ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.01 — Aeooa?noai ? a?iaeieia?y. — Oa?e?anueeee
aea?aeaaiee iaaee/iee oi?aa?neoao, Oa?e?a, 1999.

Aeena?oaoe?y i?enay/aia ieoaiiyi i?io?eaeoeee ? iioei?caoe?? e?eoaaiiy
ANO a aeooa?noa?. Ia ia?oiio aoai? aeine?aeaiiy iaoiaeii
?ao?iniaeoeaiiai ai?aeai?ieia?/iiai aiae?co aecia/aia iioe?ai?noue ANO
ioa?ia??th a *a?i?aaoeuee?e iaeano? ia i?ioyc? 1992-1996 ??., ?o
no?oeoo?a ? aeeiai?ea, iiioeyoe?ei? oaeoi?e ?eceeo ANO. Iieacaia
caeaaei?noue ??aiy naioe/ieo i?neyiieiaiaeo noai?a a?ae /anoioe
iia?aoeaiiai ?iaei?ica’ycaiiy, ei?aeyoe?y caoai?thaaiino? ia
aeooa?nueeee nainen ? aaia?e/i? caoai?thaaiiy. Aeyaeai? iiaeeea? ?aca?ae
cieaeaiiy ??aiy ANO i?ney iieia?a: i?ecia/aiiy OCAe iaoee, oeeoineii??
iaoeiaeo eio?e, i?noeaaa aeei?enoaiiy aioeaaeoa??aeueieo cania?a.

Ia ae?oaiio aoai? aeine?aeaeaiiy ia iniia? aea??eiaiai iaoiaeo iieacaia
aoaeoeai?noue ?ic?iaeaieo aaoi?ii iaoiaeee i?io?eaeoe/iiai aeei?enoaiiy
aeaeaiaoieneio ye iniiaiiai aioenaioeea a iieiaao, c iaoith naiaoe??
aaa?ie aaa?oiei a?oie ?eceeo ANO. Aia?oa aeiaaaeaia aoaeoeai?noue
aeeth/aiiy aioo??oiueiiaoeiaiai eaaaaeo aeaeaiaoieneio a eiiieaen
e?eoaaeueieo caoiae?a i?e i?neyiieiaiaeo aiaeiiao?eoao.

Eeth/ia? neiaa: ai?eii-naioe/i? oneeaaeiaiiy ioa?ia??th (ANO),
aeaeaiaoienei, ?iaiethoe?y iaoee, /ooeea?noue i?e?ii?aai?ci?a aei
aioenaioee?a, aioo??oiueiiaoeiaee eaaaae aioenaioee?a.

Ieeeoi? E.A. I?ioeeaeoeea e iioeiecaoeey ea/aiey aiieii-naioe/aneeo
ineiaeiaiee ioy?ia?ey. — ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo
iaoe ii niaoeeaeueiinoe 14.01.01 – Aeooa?noai e aeiaeieiaey. —
Oa?ueeianeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao, Oa?ueeia, 1999.

Aeenna?oaoeey iinayuaia aii?inai i?ioeeaeoeee e iioeiecaoeee ea/aiey
ANI a aeooa?noaa. Iaoiaeii ?ao?iniaeoeaiiai yieaeaieieiae/aneiai aiaeeca
ii?aaeaeaia ?ani?ino?ai?iiinoue ANI ioy?ia?ey a *a?iiaeoeeie iaeanoe ia
i?ioyaeaiee 1992 — 1996 aa., a? no?oeoo?a e aeeiaieea, iiioeyoeeiiiua
oaeoi?u ?enea ANI.

I?e eco/aiee /anoiou aaia?aeeciaaiiuo oi?i naioe/aneie eioaeoeee,
eioi?oth iiaeii n/eoaoue iaeaieaa eioi?iaoeaiui i?eciaeii naioe/aneie
caaieaaaaiinoe aiiaua, auea auyaeaia ei??aeyoeey i?ioeeae caaieaaaaiinoe
iinea?iaeiaui nainenii e aaia?e/aneeie caaieaaaieyie. Yoio oaeo
caeiiiia?ai iioiio, /oi aaia?e/aneay caaieaaaaiinoue yaeyaony
eiaeeeaoi?ii iee?iaiie caa?yci?iiinoe iooae ?ai?iaeoeoeee /aeiaaea.

O?iaaiue ioy?ia?aeueiie eioaeoeee ii iaeanoe a cia/eoaeueiie noaiaie
caaenae io oaeaeueiiai aana aaaeiieiaeueiiai ?iaei?ac?aoaiey, o?iaiy
naieoa?ii-i?ioeaiyieaeaie/aneeo ia?ii?eyoee. A no?oeoo?a iinea?iaeiaie
naioe/aneie caaieaaaaiinoe iineaiia?aoeeiiiua ineiaeiaiey ca yoi a?aiy
ninoaaeee 48,77% ± 2,41, oiaaea eae oaeaeueiue aan iia?aoeaiiai
?iaei?ac?aoaiey oieueei 13,6% ( 0,94.

Iaeaieaa ieceee ia i?ioyaeaiee 5 eao iieacaoaeue ?ani?ino?ai?iiinoe ANI
a 1996 a. (2,4%) iaoneiaeai ia?aoiaeii ?iaeianiiiaaaoaeueiuo
o/a?aaeaeaiee ia ?aaioo niaeanii i?eeaca ?4 IIC Oe?aeiu io 5.01.1996a.

Ia aoi?ii yoaia enneaaeiaaiey, niaeanii eiee/anoaa ?ac?aaioaiiuo
ea/aaii-i?ioeeaeoe/aneeo iaoiaeee eniieueciaaiey aeaeaiaoieneia auee
noi?ie?iaaiu /aou?a eeeie/aneea a?oiiu, eaaeaeay ec eioi?uo ii i?eioeeio
?aiaeiiecaoeee auea ?acaeaeaia ia iiaea?oiiu: A — iniiaiay, A —
eiio?ieueiay.

Aiaeec oa/aiey ioy?ia?ey o aeaiuei 1(A) iiaea?oiiu, eioi?ui i?ioeeaeoeea
ANI i?iaiaeeeanue aeaeaiaoieneiii, iieacae, /oi n?aaeiyy
i?iaeieaeeoaeueiinoue i?aauaaiey ia iinea?iaeiaie eieea nie?aoeeanue ia
15,1% ii n?aaiaieth n iiaea?oiiie eiio?iey, eiee/anoai ANI nieceeinue
aaeaia, i?e/?i a iniiaiie iiaea?oiia iie auee i?aaenoaaeaiu oieueei
eieaeeciaaiiuie oi?iaie eioaeoeee.

Oa/aiea ioy?ia?ey o aeaiuei, o eioi?uo ai a?aiy aei?iaeiaie
ainieoaeecaoeee auee aeeaaiinoe?iaaiu III — IV noaiaie /enoiou
aeaaaeeua, auei aieaa aeaaii?eyoiui o ?iaeeeueieoe, eioi?ui naiaoeey
aeaaaeeua aei ?iaeia i?iaiaeeeanue aeaeaiaoieneiii.

N?aaeiyy i?iaeieaeeoaeueiinoue i?aauaaiey ia eieea ai 2(A) iiaea?oiia
auea ia 11% iaiueoa, eiee/anoai iinea?iaeiauo naioe/aneeo ineiaeiaiee ai
2(A) iiaea?oiia ninoaaeei 8,1%, oiaaea eae ai 2(A) — 14%.

Iieacaii, /oi i?ioeeaeoe/aneia i?eiaiaiea aeaeaiaoieneia aeaiueiai n
ia?eiai- e yieceioiieyie niinianoaiaaei caaeeaeaieth ?ai i?iiaaeiinoe,
i?aaeoi?aaeaeaei ?anoiaeaeaiea oaia, eioi?ia a iniiaiie 3(A) iiaea?oiia
ioia/aeinue aaeaia ?aaea, /ai a eiio?ieueiie iiaea?oiia 3(A). Ianoiia
aeeyiea ia yieceioiiioth ?aio i?aaeoi?aaeaeaei ?ani?ino?aiaiea
eioaeoeee.

I?eiaiaiea aioo?eiaoi/iiai eaaaaea aeaeaiaoieneia o ?iaeeeueieoe n
yiaeiiao?eoaie iicaieeei nieceoue aeeeoaeueiinoue i?aauaaiey ia
iinea?iaeiaie eieea ia 15% ii n?aaiaieth n eiio?ieueiie iiaea?oiiie.
Yaiethoeey eioaeoeeiiiiai i?ioeanna a 4(A) iiaea?oiia ioia/aeanue aaeaia
?aaea.

O aeaiuei, eioi?ui n ea/aaii-i?ioeeaeoe/aneie oeaeueth iacia/aeny
aeaeaiaoienei, ioia/aeanue aieaa au?aaeaiiiay iieiaeeoaeueiay aeeiaieea
aaiaoieiae/aneeo iieacaoaeae, eiaiethoeeiiii-?aaaia?aoi?iuo i?ioeannia a
iaoea, /oi iauaeoeaece?iaaeinue OCE e oeeoineiie/aneei iaoiaeii.

Eco/aiea iaoaieciia i?ioeeaeoe/aneie yooaeoeaiinoe aeaeaiaoieneia
iaoiaeii iee?iaeieiae/aneeo enneaaeiaaiee iieacaei, /oi eniieueciaaiea
yoiai i?aia?aoa niinianoaoao i/euaieth ?iaeiauo iooae a iinea?iaeiaii
ia?eiaea, auaeaeaiiua ooaiiu iee?ii?aaieciia oa?aeoa?eciaaeenue aunieie
/oanoaeoaeueiinoueth e aeaeaiaoieneio, /oi ioia?aaeaeinue iieacaoaeyie
eiaeaena aeoeaiinoe aioenaioeea (EAA) e ieieiaeueiie eiaeae?othuae
eiioeaio?aoeee (IEE).

Iieiaeeoaeueiia aicaeaenoaea aeaeaiaoieneia iiaeoaa?aeaeaeinue oai
oaeoii, /oi ia 3 nooee iinea ?iaeia, eiaaea o ?iaeeeueieoe oaaee/eaaaony
eiee/anoai oneiaii-iaoiaaiiie iee?ioei?u, o aeaiuei eiio?ieueiie a?oiiu
1(A) iiae aeeyieai i?ioeeaeoe/aneiai aeaenoaey aioenaioeea aunaaaeenue
iee?ii?aaieciu n ii?iaeueiuie aeieiae/aneeie naienoaaie, oiaaea eae o
aeaiuei eiio?ieueiie iiaea?oiiu 1(A) n o?aaeeoeeiiiuie iaoiaeaie
i?ioeeaeoeee ANI aunaaaeenue aaiieeoe/aneea ooaiiu E. coli e
S.epidermidis.

Iieacaii, /oi iniiaiuie aicaoaeeoaeyie ?aiaaie eioaeoeee i?e
?anoiaeaeaiee oaia i?iiaaeiinoe auee a?aiiieiaeeoaeueiua aaeoa?ee, a
eiaiii S. aureus e ?acee/iua aeaeu no?aioieieeia.

I?ioeeaeoe/aneia eniieueciaaiea aeaeaiaoieneia oiaiueoaei ?ene
aioo?eainieoaeueiiai eioeoee?iaaiey ?ai i?iiaaeiinoe.

Aioo?eiaoi/iia eniieueciaaiea aeaeaiaoieneia nieaeaei iee?iaioth
ianaiai?iiinoue iieinoe iaoee ia 4-5 ii?yaeeia ia 3 nooee ea/aiey, a ia
5 nooee iieinoue iaoee auea noa?eeueiie, oiaaea eae o ?iaeeeueieoe
iiaea?oiiu eiio?iey n ecia/aeueii aunieei iieacaoaeai EIA/ie (>107)
nio?aiyeanue iee?iaiay ianaiaiaiiinoue 4,5 o 102 EIA/ie.

Auaeaeaiiua ec i/aaa eioaeoeee iee?ii?aaieciu oa?aeoa?eciaaeenue aunieie
/oanoaeoaeueiinoueth e aeaeaiaoieneio.

Iaiauaiea i?eaaaeaiiuo a ?aaioa aeaiiuo iicaieeei caeeth/eoue, /oi
?ac?aaioaiiua iaoiaeeee ea/aaii-i?ioeeaeoe/aneiai eniieueciaaiey
aeaeaiaoieneia n oeaeueth nieaeaiey /anoiou ANI ioy?ia?ey aeinoaoi/ii
yooaeoeaiu e iaoiaaiaoe/anee iainiiaaiu.

Eeth/aaua neiaa: aiieii-naioe/aneea ineiaeiaiey ioy?ia?ey (ANI),
aeaeaiaoienei, eiaiethoeey iaoee, /oanoaeoaeueiinoue iee?ii?aaieciia e
aioenaioeeai, aioo?eiaoi/iue eaaaae aioenaioeeia.

Nikifor L.V. Prophylaxis and Optimization of Treating Pyo-septic
complications of Puerperium. — Manuscript.

Dissertation for a candidate’s degree of medical science in speciality
14.01.01 — Obstetrics and Gynecology — Kharkiv Medical State University,
Kharkiv, 1999.

Ohe dissertation deals with the problem of prophylaxis and optimization
of PSC treatment in Obstetrics. By using the method of epidemiologic
retrospective analysis during the first stage of reseach it became
possible to determine PSC incidence of puerperium, its structure and
dynamics population risk factors of PSC in the Chernivtsi region from
1992 to 1996 years. The dependence of the level of septic postpartum
stages on the frequency of operative delivery, correlation of the
incidence of obstetric sepsis and venereal diseases is shown. Possible
reserves of decreasing the level of PSG after delivery are revealed, as
such the inclusion of USE of the uterus, cytoscopy of uterine lochia,
local application of antibacterial remedies.

During the second stage of reseach it was possible by means of
selective method to show the efficiency of the author’s elaborated
techniques of prophylactic use of decamethoxin as the chief antiseptic
during delivery with the aim of vaginal sanitation of PSC pregnant risk
groups. It was also possible to demonstrate for the first time the
efficiency of intrauterine lavage by means of decamethoxin in a complex
remedial measures in cases of pueperal endometritis.

Key words: Pyo-septic complications of puerperium (PSC), decamethoxin,
involution of the uterus, susceptibility of microorganisms to
antiseptics, antiseptic intrauterine lavage.

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