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Chlamydial infection in obstetrics and gynecology

Table of contents
Chlamydial infection in obstetrics and gynecology
Chlamydias and clamidioses
Materials for research
Methods of laboratory diagnosis
Immunomorphological methods
Allocation of chlamydias
Molecular and biological methods
Serological methods
Diseases of a Chlamidia etiology
Cervicitis, urethritis, paraurethritis, proctitis
Endometritis
Hlamidinny salpingitis
Perihepatitis, episplenitis, perisigmoiditis, periappendicitis
Syndrome of Reuters
Effects
At pregnant women
Influence of genital clamidiosis
Postabortive and puerperal complications
Treatment
S.'s sensitivity of trachomatis to antibacterial drugs
Treatment of uncomplicated forms
S.'s treatment trachomatis
Treatment of the complicated forms
Treatment of clamidiosis at women in childbirth
Prevention

Clamidiosis of genitalias is the most widespread among diseases, sexually transmitted. Growth of diseases of clamidiosis among the young women who just entered the period of sexual activity is around the world observed.

The early introduction in sex life, frequent change of sexual partners, the use of oral contraceptives reducing fear for pregnancy emergence, and also greater mobility of the population explain the high frequency of diseases of genital clamidiosis.

Slow development of symptoms of a disease, and often and total absence of the expressed symptoms of infection explain the overdue request for medical care. Sometimes the diagnosis is established during accidental surveys including at survey of pregnant women.

Despite the oligosymptomatic beginning of clamidiosis of genitalias, effects of this disease can be very heavy in the form of acute and chronic inflammatory diseases of the bodies of a small pelvis following them commissural processes which lead to ectopic pregnancies and forming of infertility.

Genital clamidiosis at pregnant women complicates the course of pregnancy and can lead to the termination of its development to an abortion, premature births. Besides, clamidiosis of genitalias at mother in 40-70% of cases is transmitted her to the child as during passing of a fruit through the infected ways, and till the child's birth during his pre-natal development.

Early diagnosis of clamidiosis at women and newborn children is possible only on the basis of use of special methods of identification of chlamydias, their antigens or their genetic material. Crucial importance has the correct capture of material at patients taking into account process localization, its fast delivery in laboratory and use of adequate diagnostic methods by qualified specialists.

From the moment of establishment of the etiological diagnosis early purpose of etiotropic treatment taking into account features of pharmacokinetics of germicides in an organism of pregnant women and newborn children is shown. Existence in an arsenal of remedies of a large number of the antibiotics operating on chlamydias allows to consider features of each of them not only concerning the activator, but also concerning their influence on a human body (side effect) that is provided with systematic supervision over patients. Efficiency of etiotropic treatment is considered on the termination of detection of the activator. At the same time the due attention needs to be paid to a method of identification of a microorganism as impractical elements of chlamydias can be found during rather long period if molecular and biological methods are applied to diagnosis (polimerazny chain reaction, ligazny chain reaction, etc.).


 
"Surgical diseases   Clamidioses, their diagnosis and treatment at children"