Vaginal microbiocenosis and factors affecting its status

The study of vaginal biocenosis and factors affecting its status has for many years been in the spotlight of not only clinical microbiologists, but a wide range of clinical specialists. The search for new methods of correction of dysbiotic states remains relevant; the application of ecoantibiotics is going to occupy a niche in the clinical practice

Pelvic inflammatory disease: basic principles of therapy

Inflammatory diseases of the female genitals are an actual problem of obstetrics and gynaecology, as there is no tendency towards decline in the prevalence of these diseases despite improvements in treatment methods. An inadequate assessment of the severity of the infection process and an incorrectly chosen therapy scheme leads to the recurring chronic course

Immunomodulatory drugs in the treatment of postpartum endometritis

Puerperium pyoinflammatory diseases (PID) represent the most crucial problem in obstetrics. Among the PID pathologies, the leading place belongs to postpartum endometritis, most commonly occurring after surgical and pathological childbirth. Given the fact that in the pathogenesis of postpartum PID the significant role belongs to changes in the immunological status characterized either by the combined inhibition of T- and B-systems of immunity or, primarily, by damage to T-lymphocytes, the inclusion of immunomodulatory drugs in the complex therapy of postpartum endometritis contributes to a more rapid achievement of clinical effect and allows to obtain favorable outcomes

Prevention of postoperative complications in abdominal delivery

Antibacterial drug is the common method of specific prophylaxis of postoperative complications. Inhibitor-protected aminopenicillins are the main group of antibiotics used in obstetric practice for the prevention of postpartum infectious and inflammatory diseases. Single preoperative administration of amoxicillin/clavulanate has high clinical efficacy and reduces antibiotic treatment in the postpartum period