Патогенетичні фактори розвитку аутоімунних захворювань. Сучасні підходи до їх лікування

In experimental models of pathologies of autoimmune genesis there was grounded the possibility and confirmed the efficiency of using the products of fetoplacental complex. There was tested their ability to activate T-regulatory immunity link and normalize cell indices in experimental animals. More pronounced immune correcting potential of cryopreserved material has been shown at cell and molecular levels. На экспериментальных моделях патологий аутоиммунного генеза обоснована возможность и доказана эффективность применения продуктов фетоплацентарного комплекса. Продемонстрирована их способность к  активации Т-регуляторного звена иммунитета и нормализации клинических показателей экспериментальных животных. Показан более выраженный  иммунокорригирующий потенциал криоконсервированного материала на клеточном и молекулярном уровнях.На експериментальних моделях патологій аутоімунного генезу обгрунтована можливість і доведена ефективність застосування продуктів фетоплацентарного комплексу. Продемонстровано їхню здатність до активації Т-регуляторної ланки імунітету і нормалізації клінічних показників експериментальних тварин. Показано більш виражений імунокоригуючий потенціал кріоконсервованого матеріалу на клітинному і молекулярному рівнях

Features of Etiology of Community-Acquired Pneumonia Associated with COVID-19

Objective: comparative study of the etiological structure of community-acquired pneumonia in SARSCoV-2 “+”and SARS-CoV-2 “-“ patients who sought help from medical organizations in the Rostov Region.Materials and methods. Biological material from 508 patients diagnosed with community-acquired pneumonia who were on outpatient treatment or in hospitals in Rostov-on-Don was studied. Verification of respiratory viruses, including SARS-CoV-2 RNA, as well as M. pneumoniae, C. pneumoniae, and L. pneumophila was performed by polymerase chain reaction in nasopharyngeal smears. Bacteriological analysis of sputum was carried out using differential diagnostic media, identification of isolated pathogens was carried out using time-of-flight mass spectrometry on Autoflex (Bruker Daltonics) with BioTyper 3.0 software.Results and discussion. During the spread of a new coronavirus infection in the Rostov Region, the main etiological agent of community-acquired pneumonia is the new SARS-CoV-2 coronavirus. Specific character of pneumonia in patients with laboratory-confirmed COVID-19 is a higher incidence of mixed infection of both viral and bacterial etiology. Against the background of detection of a new coronavirus infection in patients with pneumonia, cases of detection of other types of coronaviruses have been registered (HKU-1,OC43, HL-63 and 229Е). The most common etiological agent of bacterial pneumonia in patients was Streptococcus spp., both in patients with COVID-19-associated pneumonia and in patients who tested negative for SARS-CoV-2. Coronavirus patients represent a high risk group for the development of mycotic lung lesions