Impact of war-associated factors on spread of sexually transmitted infections: a systemic review.

Introduction: Statistical data indicate a link between war and the spread of sexually transmitted infections (STIs), then it is necessary to carefully analyze the factors that directly affect the identified pattern in order to overcome this problem. Therefore, the purpose of the study was to systematically analyze the factors that influence the spread of STIs during war. Methods: The study included all original research articles and meta-analyses on the impact of war on the spread of sexually transmitted infections that met the following eligibility criteria: (1) articles published exclusively in English; (2) articles published in the period 2013-2023; (3) studies with quantitative, qualitative or mixed design. The search for relevant literature was conducted using four databases: PubMed, Embase, Web of Science, and Ebsco. Results: The articles selected for our systematic review had different research designs and were mainly published as original studies (n = 8) and literature reviews (n = 6). As a result of the evaluation of the selected articles for the systematic review, the authors identified migration, a decrease in access to health care, difficult access to contraception, sexual violence as the most frequent factors directly affecting the spread of STIs during the war. Conclusion: This systematic review systematizes data on the impact of hostilities on the spread of STIs and outlines the main factors that contribute to the dissemination of pathogens far beyond the territory at the epicenter of the conflict.Systematic review registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023479808, CRD42023479808.

Decamethoxin and chlorhexidine bigluconate effect on the adhesive and biofilm-forming properties of Streptococcus mitis.

The aim of the study: Was to investigate the effect of antiseptics on the adhesive and biofilm-forming properties of clinical S.mitis isolates isolated from the oral cavity of patients with an infectious and inflammatory post-extraction complication. Materials and methods: Twenty four clinical isolates of S.mitis isolated from patients were studied. The studied antiseptics included 0.02% aqueous solution of decamethoxin and 0.05% solution of chlorhexidine bigluconate. Adhesion of clinical isolates under the action of decamethoxin and chlorhexidine bigluconate was determined by the method of V.I. Brillis. The biofilm-forming properties of clinical isolates were studied using the "microtiter plate test" according to G.D. Christensen. Results: The studied clinical isolates of S.mitis are classified as highly adherent microorganisms. Action of decamethoxin on clinical isolates decreases the adhesion index of the studied isolates in comparison with the adhesion index of the control culture. Action of chlorhexidine bigluconate on S.mitis isolates increases of adhession of the studied clinical isolates in comparison with the control. After the effect of decamethoxin, the optical density of clinical isolates decreased considering the optical density results of the control. The clinical isolates left an average film-forming capacity even after chlorhexidine bigluconate action. Conclusions: Clinical isolates of S.mitis are highly adherent microorganisms. The antiseptic decamethoxin decreases the adhesion index of these bacteria, while chlorhexidine bigluconate increases the adhesion index of clinical S.mitis isolates. Clinical S. mitis isolates have an average biofilm formation capacity index. The antiseptic decamethoxin inhibits the biofilm formation capacity of S.mitis from medium to low.

The effect of local anesthetics against planktonic forms and film formation of S. aureus strains and its dependence on antiseptics activity.

Today surgical site infections (SSIs) remain the second among hospital acquired infections in Europe and the USA. Staphylococcus aureus as a pathogen of nosocomial infections occur more frequently in surgical hospitals. The work was aimed to establish the effect of local anesthetics against planktonic forms and biofilm-formation of S. aureus clinical strains and the relationship between the sensitivity of S. aureus strains to local anesthetics and antiseptics in vitro. The antimicrobial activity of local anesthetics (0.5%, bupivacaine, 2.0% lidocaine, 0.375% ropivacaine) and antiseptics (decamethoxine 0.02%, chlorhexidine 0.05%) against clinical strains of S. aureus was observed and studied their ability to produce biofilms. The antimicrobial effect of local anesthetics was lower compared to antiseptics, but we observed inhibition of growth and reproduction of S. aureus in their presence. The ropivacaine solution and the lidocaine solution demonstrated almost the same activity against the studied microorganism isolates. Along with this, bupivacaine solution had the highest activity against the studied microorganisms. The minimal inhibitory concentration of bupivacaine for S. aureus was 2.2 times lower than the minimal inhibitory concentration of lidocaine and 2.1 times lower than the minimal inhibitory concentration of ropivacaine significantly (p < 0.05). Scientific research on various aspects of the formation of bacterial biofilms is a relevant area that will change approaches to the prophylaxis and treatment of a number of infections, including SSIs.

The level of dysbiosis of the oral cavity depends on the type of dental prosthesis of the patient.

The work was aimed to determine the level of oral dysbiosis of patients depending on the type of prosthetics constructures. MATERIALS AND METHODS: The study involved 48 patients with the presence in the oral cavity of fixed dentures from 4 to 6 units with a service life of no more than 3 years. The samples of plaque from the vestibular surface of dentures were collected to determine the microorganisms in the gingival plaque. Bacteriological research was carried out by the multiplex polymerase chain reaction in real time using the Phemoflor 8 reagent kit. The degree of dysbiosis of the oral cavity was determined according to the classification of V. Khazanova. RESULTS: The results of the study of patients' samples did not reveal significant changes in the microbial landscape of the cervical areas. The total bacterial mass in the group of healthy individuals was lower than the total bacterial mass of patients in the investigated group significantly. IV degree of oral dysbiosis with a decrease in the number of lactobacilli, streptococci was characteristic of patients of denture wearers. The II degree of dysbiosis in patients with metal-ceramic structures was established. Patients who used solid cast and metal-plastic structures were diagnosed with II-III degree of dysbiosis of the oral cavity. The worst indicators were characteristic of prosthesis wearers of stamped-brazed structures. CONCLUSIONS: Quantitative indicators of the composition of the microbiota of the cervical areas of denture wearers have significant differences and different levels of dysbiosis of the oral cavity, depending on the type of dentures in the patients' mouth (Tab. 2, Fig. 1, Ref. 21). Text in PDF www.elis.sk Keywords.

Research of the activity of local anesthetics and antiseptics regarding clinical isolates of Acinetobacter baumannii as pathogens of postoperative infectious complications.

BACKGROUND: About 60% of all nosocomial infections are caused by microorganisms found in biofilms. Acinetobacter baumannii, as a pathogen of nosocomial infections, occur more frequently in surgical hospitals. The aim of the study was to study the in vitro formation of A. baumannii monotype biofilms under the influence of local anesthetics and antiseptics Materials and methods. The antimicrobial activity of local anesthetics (0.25-0.5%, bupivacaine, 2.0% lidocaine, 0.75% ropivacaine) and antiseptics (decamethoxine 0.1%, octenidine 0.1%, chlorhexidine 0.05%) ) against clinical strains of A. baumannii and studied their ability to produce biofilms. RESULTS: The bacteriostatic effect of local anesthetics on A. baumannii within the current concentrations of these drugs, which provide analgesic effect, has been proven. The given results indicate that A.baumanni cultures have a pronounced ability to form biofilms. Clinical strains of opportunistic microorganisms A. baumannii circulating in the hospital environment are highly sensitive to antiseptics decamethoxine and octenidine, chlorhexidine has a weak bactericidal effect against acinetobacteria. The results of studying the effect of local anesthetics on the process of formation of the strain "young" biofilms showed the presence of a dose-dependent effect. The greatest inhibitory activity against "young" biofilms was detected under the combined action of the antiseptic decamethoxine (in concentrations, not exceeding 3.9 µg / ml) and anesthetics (OD-0,199-0,223) (p <0,05). CONCLUSIONS: Scientific research on various aspects of the formation (or destruction) of bacterial biofilms is a relevant and promising area that will change approaches to the prophylaxis and treatment of a number of infections, including postoperative infectious complications.

EPIDEMIOLOGICAL DATA ON THE DETECTION OF IMMUNOGLOBULINS OF CLASS IGM, IGG TO SARS-COV-2 AMONG POPULATION OF POLTAVA REGION.

OBJECTIVE: The aim: Of this study was to analyze epidemiological data on the detection of immunoglobulins of class M and G (IgM, IgG) to SARS-CoV-2 among urban and rural population of Poltava region. PATIENTS AND METHODS: Materials and methods: We have analyzed the research results of 2841 patients to determine IgM and IgG levels to SARS-CoV-2. The study included the results of patients in Poltava and nearby villages of Poltava region, obtained during July - December 2020. RESULTS: Results: Thus, 84% of patients applied for detection of IgM in the serum of patients with the pathogen COVID-2019. We have found only 135 positive results for the detection of IgM to SARS-CoV-2, which was 5.7% of the total number of people who underwent this study from July to December 2020. Moreover, women received a positive result more often than men. The IP samples for the detection of IgM to SARS-CoV-2 in the serum of patients averaged 2.5 ± 1.04. It was found that patients went to the laboratory to detect IgG to SARS-CoV-2 with the vast majority among them were residents of Poltava. However, in this case the share of positive results was 47.7%, among which the female population outnumbered the male. CONCLUSION: Conclusions: The frequency of detection of positive results on IgM to SARS-CoV-2 is about 6%. The share of positive results on IgG to SARS-CoV-2 was 47.7%, among them 76.2% were women. The frequency of detection of IgM and IgG to SARS-CoV-2 during October-December 2020 significantly exceeds the indices in July-September of the same year.

Metalloporphyrins in Medicine: From History to Recent Trends.

The history of metalloporphyrins dates back more than 200 years ago. Metalloporphyrins are excellent catalysts, capable of forming supramolecular systems, participate in oxygen photosynthesis, transport, and used as contrast agents or superoxide dismutase mimetics. Today, metalloporphyrins represent complexes of conjugated π-electron system and metals from the entire periodic system. However, the effect of these compounds on living systems has not been fully understood, and researchers are exploring the properties of metalloporphyrins thereby extending their further application. This review provides an overview of the variety of metalloporphyrins that are currently used in different medicine fields and how metalloporphyrins became the subject of scientists' interest. Currently, metalloporphyrins utilization has expanded significantly, which gave us an opprotunuty to summarize recent progress in metalloporphyrins derivatives and prospects of their application in the treatment and diagnosis of different diseases.

Bacterial factors of cariogenicity (literature review).

OBJECTIVE: Introduction: According to the 2003 WHO report, dental caries affects from 60% to 90% of school-age children and adults that makes it one of the most common diseases worldwide. The aim was to systematize data about the modern conception of plaque formation and role of microorganisms in its development. PATIENTS AND METHODS: Materials and methods: Biblosemantic, 50 medical literature sources were systematically reviewed as the material for the research. RESULTS: Review: According to Miller's theory, oral microorganisms can decompose dietary carbohydrates into acids, which in turn dissolve the calcium phosphates found in the enamel, causing it demineralisation Along with Streptococcus mutans, nowadays some other bacteria as Streptococcus sorbinus, Lactobacillus spp. and Actinomyces spp. have been well studied as caries contributors. However, the disease is related to plaque-mediated, because a much larger number of normal oral microflora representatives are involved in creating favourable preconditions for its development. There are a lot of original research papers about a role of bacteria in caries decay but compositions and characters of oral microflora are changing nowadays. Therefore, authors show the main cariogenic bacteria and their factors of pathogenicity which create special conditions for caries lesions. Modern concepts of dental plaque formation and pathogenesis of plaque-assosiative diseases are presented according to the new actual dental research. A lot of attention is paid to the biochemical properties of cariogenic bacteria and chemical process in biofilm. Role of acid and alkali production by oral bacteria in caries decay are shown in this article. Moreover, mechanisms of bacterial acid-fast and acid-tolerance are presented. CONCLUSION: Conclusions: Analysis of literature demonstrates a lot of bacterial pathogenicity factors which play key role in caries development.

Neutrophil bactericidal activity through the stages of placement of different dental implants depending on their chemical composition.

INTRODUCTION: The analysis of data provided by implant system manufacturers has demonstrated that implants, i.e. parts screwed into the bone, are of different chemical composition of the implant. Sometimes they have little amount of metal contaminants,which are not biologically passive. THE AIM: To explore the effects produced by dental titanium implants containing metal contaminants on the stimulation of antimicrobial properties of neutrophils. MATERIAL AND METHODS: A total of 24 patients who had from 1 to 4 titanium implants with different chemical compositions were subjected to the comprehensive check-up to this end. The functional activity of neutrophils was evaluated by nitroblue tetrazolium (NBT) reduction test. It was dynamically in 5-7 days after the implant fitting into the bone, and in 3 months after the procedure of implant placement. RESULTS: On the 5-7th day following the placement of implants with weight percentage of titanium (Ti) in the composition from 25 to 50%, the share of active neutrophils significantly increased compared with share of active neutrophils prior the surgical procedure. However, after 3 months, this parameter in patients with implants, whose titanium content was low, remained significantly high. CONCLUSIONS: The placement of dental implants systems led to an increase in the share of active neutrophils in the peripheral blood of the patients in 5-7 days following the procedure of implant insertion. However, this indicator for implant systems with a higher content of Ti in the remote period returned to its original value, which indicates their higher biocompatibility with the tissues of the human body.

Kocuria rosea, kocuria kristinae, leuconostoc mesenteroides as caries-causing representatives of oral microflora.

INTRODUCTION: Recently, opportunistic microflora are increasingly known to be involved in the development of pathological processes in various systems and organs. This situation promotes interest in their detailed study as causative agents of bacterial infections. THE AIM: To study the microbial species residing in carious cavities in acute profound caries. MATERIALS AND METHODS: The study involved 14 people with a diagnosis of acute profound caries. Microbiological methods included determining species of microorganisms' cultures from carious cavities in acute profound caries. Final identification was carried out by automatic bacteriological analyzer Vitec-2compact bioMérieux. CONCLUSION: Among the bacteria isolated, Kocuria rosae, Kocuria kristinae, and Leuconostoc mesenteroides are the focus of the authors' attention due to their identification rate in the patients. These microbial species are little studied due to the lack of data on their cariogenic associations.The meticulous study of the microorganisms, isolated from carious cavities in patients with acute profound caries by automatic bacteriological analyzer Vitec-2 Systems bioMérieux, and findings on their biochemical properties allow us to conclude that Kocuria rosae, Kocuria kristinae, and Leuconostoc mesenteroides are among the microorganisms making up the microflora of carious cavities under acute profound caries and are involved in the development of the caries process.