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Инфекционные болезни  / №1 2017

ANTI-PHAGE АNTIBODY RESPONSE IN PHAGE THERAPY AGAINST HEALTHCARE-ASSOCIATED INFECTIONS (HAIS) (176,00 руб.)

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Первый авторBochkareva
АвторыAleshkin A.V., Ershova O.N., Novikova L.I., Karaulov A.V., Kiseleva I.A., Zul’karneev E.R., Rubal’skiy E.O., Zeigarnik M.V.
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ID588584
АннотацияThe objective. To evaluate anti-phage аntibody response in phage therapy against HAIs Patients and methods. Forty-two patients on prolonged mechanical ventilation in a neurological ICU were administered bacteriophage cocktail per os, including six patients repeatedly – from 3 to 5 courses. Anti-phage immunity was evaluated by ELISA before and after the treatment. Results. Initially, from 87.5% of the patients’ samples A. baumannii, K. pneumoniae, P. aeruginosa were isolated. In the first courses of phage therapy, effective sanitation was proved in 54–62.5% of cases. Pharmacokinetic research assumed a systemic action of enteral forms of bacteriophages. Repeated courses of phage therapy with the same strains did not lead to a substantial eradication of pathogens. Anti-phage immunity after a single application of bacteriophage cocktail with a certain composition of strains was detected with ELISA by the presence of titer of specific IgG antibodies in the range of 1/16-1/4096 (no antibodies were present in patients who did not take the cocktail). Conclusion. The effectiveness of a bacteriophage may be reduced if a patient is given a repeated treatment due to the formation of anti-phage antibodies. In order to retain performance of phage therapy, a change in the composition of strains in the phage cocktail is necessary.
ANTI-PHAGE АNTIBODY RESPONSE IN PHAGE THERAPY AGAINST HEALTHCARE-ASSOCIATED INFECTIONS (HAIS) / S.S. Bochkareva [и др.] // Инфекционные болезни .— 2017 .— №1 .— С. 36-41 .— URL: https://rucont.ru/efd/588584 (дата обращения: 06.05.2024)

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О р и г и н а л ь н а я с т а т ь я DOI: 10.20953/1729-9225-2017-1-35-40 Инфекционные болезни, 2017, т. 15, №1, с. 35–40 Infectious diseases, 2017, volume 15, No 1, p. 35–40 Anti-phage аntibody response in phage therapy against healthcare-associated infections (HAIs) S.S.Bochkareva1 , A.V.Aleshkin1 I.A.Kiseleva1 , E.R.Zul’karneev1 , O.N.Ershova2 , E.O.Rubal’skiy1 , L.I.Novikova1 , M.V.Zeigarnik4 , A.V.Karaulov3 , 1G.N.Gabrichevsky Moscow Research Institute for Epidemiology and Microbiology, Moscow, Russian Federation; 2N.N.Burdenko Neurosurgery Research Institute, Moscow, Russian Federation; 3Sechenov State Medical University, Moscow, Russian Federation; 4N.I.Pirogov Russian National Research Medical University, Moscow, Russian Federation The objective. <...> Forty-two patients on prolonged mechanical ventilation in a neurological ICU were administered bacteriophage cocktail per os, including six patients repeatedly – from 3 to 5 courses. <...> Repeated courses of phage therapy with the same strains did not lead to a substantial eradication of pathogens. <...> Anti-phage immunity after a single application of bacteriophage cocktail with a certain composition of strains was detected with ELISA by the presence of titer of specific IgG antibodies in the range of 1/16-1/4096 (no antibodies were present in patients who did not take the cocktail). <...> The effectiveness of a bacteriophage may be reduced if a patient is given a repeated treatment due to the formation of anti-phage antibodies. <...> Key words: bacteriophages, HAIs, antibiotic resistance, humoral immune response, anti-phage antibodies For citation: Bochkareva S.S., Aleshkin A.V., Ershova O.N., Novikova L.I., Karaulov A.V., Kiseleva I.A., Zul’karneev E.R., Rubal’skiy E.O., Zeigarnik M.V. Anti-phage аntibody response in phage therapy against healthcare-associated infections (HAIs). <...> Бурденко, Москва, Российская Федерация; 3Первый Московский государственный медицинский университет им. <...> Сеченова, Москва, Российская Федерация; 4 Российский национальный исследовательский медицинский университет им. <...> Антифаговый иммунитет после однократного применения коктейля бактериофагов конкретного штаммового состава детектировали с помощью Для корреспонденции: Svetlana S.Bochkareva, PhD <...>