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Rhodococcus spp.: Clinical Importance, Diagnosis and Antimicrobial Therapy

The clinical significance of nocardioform bacteria isolated recently in a distinct genus Rhodococcus, as pathogens of infectious diseases in human also has not been sufficiently studied and specified. In the literature there are described a slightly …

Diagnosis, Treatment Strategy, and Predictors of Septic Complications in Necrotizing Pancreatitis

Analysis of diagnosis and treatment strategies in 25 patients with necrotizing pancreatitis hospitalized to Emergency Care Clinical Hospital (Smolensk) over the period of 2008–2011 is presented in this paper. Rationale for the use of morphologic and …

Methodology Issues of Legionella Pneumonia Diagnosis in Medical Institutions

Objective. To determine significance of Legionella pneumonia for hematological patients in ICUs, and to evaluate prospects of the proposed algorithm for diagnosis of legionellosis. Materials and Methods. A total of 37 hematological ICU patients were assessed for legionellosis between December 2010 and February 2012. Bronchoalveolar lavage (BAL) fluid culture and Legionella urinary antigen test (rapid immunochromatographic assay) were used to diagnose legionellosis. Results. Diagnosis of legionellosis was confirmed in 4 (11%) patients, of which 3 had fatal outcome.

Encephalitis in Clinical Practice – Is That Simple?

In this review currently available data on the etiological diagnosis, management and treatment of encephalitis are discussed in accordance with the principles of evidence-based medicine. The article represents data in this research field, including …

Approaches to Diagnosis and Treatment of Acute Male Urethritis: Results of Multicenter Observational Study

Objective. Objectives. To determine the diagnostic and treatment patterns for acute male urethritis (AMU) in Russia. Materials and Methods. Retrospective cross-sectional study was conducted during 2009 in 4 cities of Russia: Kaluga, Pskov, Smolensk and Tula. Data on diagnostic and treatment approaches for AMU subjects ≥16 years old were collected and analyzed using specially designed case report forms. Results. 556 cases of AMU were analyzed during study period. The average age of patients was 29 years (16–68 years).

Diagnosis and Management of Bacterial Sexually Transmitted Diseases in Russia: Results of Multicenter Pharmacoepidemiological Study

Objective. Objectives: We aimed to reveal the current practice of diagnosis and management of bacterial sexually transmitted diseases (STDs) in different regions of Russia and to compare it with the current national guidelines. Materials and Methods. A multicenter retrospective study was conducted in 10 different cities of Russia. Randomly selected clinical records of 1250 adult patients (61% male, 39% female, mean age 28.8±9.2) treated for early syphilis (n=341), uncomplicated gonococcal (n=309), chlamydial (n=310), mycoplasma (n=137) and ureaplasma (n=153) infection during the period since January 2007 till December 2007 were analyzed.

Guidelines on Diagnosis and Treatment of Legionella pneumophila Serogroup 1 Infection

Legionella spp. is an uncommon but important causative pathogen of respiratory tract infections occurring both sporadically and in epidemics. An interest in it has emerged recently after outbreak of legionellosis in Sverdlovsk region. In this …

Bacterial Vaginosis During Pregnancy: Current State of the Problem and the Role of Antimicrobial Chemotherapy

Pregnancy is an important risk factor for the development of bacterial vaginosis. According to the data of epidemiological studies, the prevalence of this disorder in pregnant women varies from 10% to 40% in different countries. In USA estimated …

Legionellosis: the Role in Human Infectious Diseases

In spite of the fact that legionellosis is known as a human infectious disease for more than 25 years there is still quite a few difficulties and open problems. At the present article the following topics are described in detail: taxonomy, general …

Current Approaches to Diagnosis of Streptococcal Pharyngitis

The antimicrobial agent prescription rate in patients with pharyngitis is excessively high in Russia. Most cases of the disease are caused by viruses, thus administration of antimicrobials is often unjustified. The only common bacterial cause of …