Circulation of Antibiotic-Resistant Escherichia coli in Wild and Domestic Waterfowl in Ukraine.

Background: Antibiotic resistance is becoming an increasingly urgent problem for human and animal health due to the widespread use of antibiotics in medicine, veterinary medicine, and agriculture. At the same time, the natural reservoirs of antibiotic-resistant pathogens remain unclear. Wild birds may play a role in this due to their biology. Escherichia coli is a representative indicator pathogen for antibiotic resistance studies. Materials and Methods: In 2020-2021, sampling of feces and cloacal swabs from six species of wild waterfowl (Eurasian wigeon Anas penelope, Eurasian teal Anas crecca, white-fronted goose Anser albifrons, red-breasted goose Rufibrenta ruficollis, graylag goose Anser anser, shelduck Tadorna tadorna) and from two species of domestic waterfowl (ducks and geese) was conducted in the Kherson, Zaporizhzhia, Odesa, Kharkiv, and Cherkasy regions of Ukraine. Biological material was collected, stored, and transported in cryotubes with transport medium (brain heart infusion broth [BHIB] with the addition of 15% glycerol) in liquid nitrogen. Bacteriological studies were carried out according to standard methods for the isolation and identification of microorganisms. Drug resistance of E. coli was carried out by a standard disk diffusion method. Results: Bacteria representing six families (Enterobacteriaceae, Yersiniaceae, Morganellaceae, Bacillaceae, Pseudomonadaceae, Staphylococcaceae) were isolated from clinically healthy wild birds (wigeon, Eurasian teal, white-fronted goose, red-breasted goose, mallard, graylag goose, shelduck) in the southern regions of Ukraine with isolation rates ranging from 26.7% to 100%. A total of 19 E. coli isolates were cultured from 111 samples from wild birds, and 30 isolates of E. coli were cultured from 32 poultry samples. E. coli was isolated from birds of all species. The prevalence of E. coli ranged from 5.0% to 33.3% in wild waterfowl and from 90.9% to 100% in domestic waterfowl. The prevalence of multidrug-resistant (MDR) E. coli ranged from 10.0% to 31.8% in wild and domestic waterfowl: 3 of 15 (20%) specimens from wild mallard were MDR in the Kherson region, as well as 7 of 22 domestic ducks (31.8%) and 1 of 10 geese (10%) in the Kharkiv and Cherkasy regions. Isolates from wild birds were the most resistant to ampicillin (AMP), amoxiclav (AMC), amoxicillin (AMX), doxycycline (DO), and chloramphenicol (C). Isolates from poultry were resistant to ampicillin, amoxiclav, doxycycline, amoxicillin, chloramphenicol, and enrofloxacin (EX). Most of the other E. coli isolates from wild waterfowl were classified as non-multidrug-resistant (non-MDR) forms. Analysis of antibiotic sensitivity phenotypes showed that only four antibiotic-resistant phenotypes were detected among non-MDR bacteria, whereas among the MDR bacteria, two antibiotic-resistant phenotypes were detected in mallards and six in domestic waterfowl. Conclusion: The results of this study showed that wild waterfowl in Ukraine, which live in natural conditions and do not receive any antimicrobial drugs, are carriers of E. coli that are resistant to a number of antibiotics that are actively used in industrial poultry.

Genetic diversity of Newcastle disease viruses circulating in wild and synanthropic birds in Ukraine between 2006 and 2015.

Newcastle disease virus (NDV) infects a wide range of bird species worldwide and is of importance to the poultry industry. Although certain virus genotypes are clearly associated with wild bird species, the role of those species in the movement of viruses and the migratory routes they follow is still unclear. In this study, we performed a phylogenetic analysis of nineteen NDV sequences that were identified among 21,924 samples collected from wild and synanthropic birds from different regions of Ukraine from 2006 to 2015 and compared them with isolates from other continents. In synanthropic birds, NDV strains of genotype II, VI, VII, and XXI of class II were detected. The fusion gene sequences of these strains were similar to strains detected in birds from different geographical regions of Europe and Asia. However, it is noteworthy to mention the isolation of vaccine viruses from synanthropic birds, suggesting the possibility of their role in viral transmission from vaccinated poultry to wild birds, which may lead to the further spreading of vaccine viruses into other regions during wild bird migration. Moreover, here we present the first publicly available complete NDV F gene from a crow (genus Corvus). Additionally, our phylogenetic results indicated a possible connection of Ukrainian NDV isolates with genotype XXI strains circulating in Kazakhstan. Among strains from wild birds, NDVs of genotype 1 of class I and genotype I of class II were detected. The phylogenetic analysis highlighted the possible exchange of these NDV strains between wild waterfowl from the Azov-Black Sea region of Ukraine and waterfowl from different continents, including Europe, Asia, and Africa.

THE STUDY OF ACTION THE OZONE IN THE SURGICAL TREATMENT OF INFLAMMATORY PROCESSES BY DIABETES MELLITUS.

OBJECTIVE: The aim: was to improve the course of purulent wounds in diabetes by using physical therapies. PATIENTS AND METHODS: Materials and methods: we investigated 122 patients with diabetes mellitus and wound processes. We divided all patients on the two groups. Our study groups were 50 patients who had therapy by ozone together with other general treatment and surgery treatment (daily dressings, ointments and solutions). Our control groups were 72 patients, who had treated only by general methods and surgery treatment (daily dressings, ointments and solutions).The patients of our explore group had received intravenous injection of saline ozone solution together with other general treatment and surgery treatment (daily dressings, ointments and solutions). RESULTS: Results: it had studied of indicators of oxidative modification of proteins, lipid peroxidation in blood plasma, antioxidant protection during this period, there were no significant changes in these parameters between the control and experimental groups. As the result of the study was found that the leukocyte index of intoxication in patients in the main and control groups was almost indistinguishable. Regarding the indexes of hematological index of intoxication, which decreased during the treatment of patients of the main group, and different from the patients of the control group, in which this indicator increased sharply. The result of the study of changes in the indicators of sorption capacity of erythrocytes showed that the level of sorption capacity of erythrocytes in patients in the main group during treatment, also decreased, compared with patients in the control group. CONCLUSION: Conclusions: Therefore, the use of ozone in the treatment of patients with complicated forms of diabetes does not cause a negative impact on the dynamics of homeostasis and indicators of the level of intoxication of the body. Ozone therapy has a beneficial effect on the course and wound process in patients with diabetes with purulent processes.

Highly Pathogenic and Low Pathogenic Avian Influenza H5 Subtype Viruses in Wild Birds in Ukraine.

There have been three waves of highly pathogenic avian influenza (HPAI) outbreaks in commercial, backyard poultry, and wild birds in Ukraine. The first (2005-2006) and second (2008) waves were caused by H5N1 HPAI virus, with 45 outbreaks among commercial poultry (chickens) and backyard fowl (chickens, ducks, and geese) in four regions of Ukraine (AR Crimea, Kherson, Odesa, and Sumy Oblast). H5N1 HPAI viruses were isolated from dead wild birds: cormorants (Phalacrocorax carbo) and great crested grebes (Podiceps cristatus) in 2006 and 2008. The third HPAI wave consisted of nine outbreaks of H5N8 HPAI in wild and domestic birds, beginning in November 2016 in the central and south regions (Kherson, Odesa, Chernivtsi, Ternopil, and Mykolaiv Oblast). H5N8 HPAI virus was detected in dead mute swans (Cygnus olor), peacocks (Pavo cristatus) (in zoo), ruddy shelducks (Tadorna ferruginea), white-fronted geese (Anser albifrons), and from environmental samples in 2016 and 2017. Wide wild bird surveillance for avian influenza (AI) virus was conducted from 2006 to 2016 in Ukraine regions suspected of being intercontinental (north-south and east-west) flyways. A total of 21 511 samples were collected from 105 species of wild birds representing 27 families and 11 orders. Ninety-five avian influenza (AI) viruses were isolated (including one H5N2 LPAI virus in 2010) from wild birds with a total of 26 antigenic hemagglutinin (HA) and neuraminidase (NA) combinations. Fifteen of 16 known avian HA subtypes were isolated. Two H5N8 HPAI viruses (2016-2017) and two H5N2 LPAI viruses (2016) were isolated from wild birds and environmental samples (fresh bird feces) during surveillance before the outbreak in poultry in 2016-2017. The Ukrainian H5N1, H5N8 HPAI, and H5N2 LPAI viruses belong to different H5 phylogenetic groups. Our results demonstrate the great diversity of AI viruses in wild birds in Ukraine, as well as the importance of this region for studying the ecology of avian influenza.

Virus de influenza aviar del subtipo H5 altamente patógenos y de baja patogenicidad en aves silvestres en Ucrania. Ha habido tres oleadas de brotes de influenza aviar altamente patógena en aves comerciales, de traspatio y en aves silvestres en Ucrania. La primera (2005-2006) y la segunda (2008) fueron causadas por el virus de influenza aviar de alta patogenicidad H5N1, con 45 brotes en aves comerciales (pollos) y aves de traspatio (pollos, patos y gansos) en cuatro regiones de Ucrania (AR Crimea, Kherson, Odesa y Sumy Oblast). Los virus de alta patogenicidad H5N1se aislaron de aves silvestres muertas: cormoranes (Phalacrocorax carbo) y de somormujos lavanco (Podiceps cristatus) en 2006 y 2008. La tercera ola del virus de influenza aviar de alta patogenicidad consistió en nueve brotes del virus de alta patogenicidad subtipo H5N8 en aves silvestres y domésticas, a partir de noviembre de 2016 en las regiones central y sur (Kherson, Odesa, Chernivtsi, Ternopil y Mykolaiv Oblast). Se detectó el virus al patogenicidad H5N8 en cisnes blancos muertos (Cygnus olor), pavos reales (Pavo cristatus) (en zoológicos), tarros canelos (Tadorna ferruginea), gansos caretos (Anser albifrons) y en muestras ambientales en 2016 y 2017. Una vigilancia más amplia de aves silvestres para detectar el virus de la influenza aviar se realizó entre 2006 y 2016 en las regiones de Ucrania sospechosas de ser rutas migratorias intercontinentales (norte-sur y este-oeste). Se recolectaron un total de 21,511 muestras de 105 especies de aves silvestres que representan a 27 familias y 11 órdenes. Se aislaron ochenta y dos virus de influenza aviar de baja patogenicidad (incluido un virus H5N2 de baja patogenicidad del 2010) de aves silvestres con un total de 23 combinaciones antigénicas de hemaglutininas (HA) y neuraminidasas (NA). Se aislaron quince de los 16 subtipos de HA aviar conocidos. Dos virus de alta patogenicidad H5N8 y dos virus H5N2 de baja patogenicidad se aislaron de aves silvestres vivas y de muestras ambientales (heces de aves frescas) durante la vigilancia antes del brote en avicultura. Los virus ucranianos de alta patogenicidad H5N1, H5N8 y de baja patogenicidad H5N2 pertenecen a diferentes grupos filogenéticos de H5. Estos resultados demuestran la gran diversidad de virus de la influenza aviar en aves silvestres en Ucrania, así como la importancia de esta región para estudiar la ecología de la influenza aviar.

Highly Pathogenic and Low Pathogenic Avian Influenza H5 Subtype Viruses in Wild Birds in Ukraine.

There have been three waves of highly pathogenic avian influenza (HPAI) outbreaks in commercial, backyard poultry, and wild birds in Ukraine. The first (2005-2006) and second (2008) waves were caused by H5N1 HPAI virus, with 45 outbreaks among commercial poultry (chickens) and backyard fowl (chickens, ducks, and geese) in four regions of Ukraine (AR Crimea, Kherson, Odesa, and Sumy Oblast). H5N1 HPAI viruses were isolated from dead wild birds: cormorants (Phalacrocorax carbo) and great crested grebes (Podiceps cristatus) in 2006 and 2008. The third HPAI wave consisted of nine outbreaks of H5N8 HPAI in wild and domestic birds, beginning in November 2016 in the central and south regions (Kherson, Odesa, Chernivtsi, Ternopil, and Mykolaiv Oblast). H5N8 HPAI virus was detected in dead mute swans (Cygnus olor), peacocks (Pavo cristatus) (in zoo), ruddy shelducks (Tadorna ferruginea), white-fronted geese (Anser albifrons), and from environmental samples in 2016 and 2017. Wide wild bird surveillance for avian influenza (AI) virus was conducted from 2006 to 2016 in Ukraine regions suspected of being intercontinental (north-south and east-west) flyways. A total of 21 511 samples were collected from 105 species of wild birds representing 27 families and 11 orders. Ninety-five avian influenza (AI) viruses were isolated (including one H5N2 LPAI virus in 2010) from wild birds with a total of 26 antigenic hemagglutinin (HA) and neuraminidase (NA) combinations. Fifteen of 16 known avian HA subtypes were isolated. Two H5N8 HPAI viruses (2016-2017) and two H5N2 LPAI viruses (2016) were isolated from wild birds and environmental samples (fresh bird feces) during surveillance before the outbreak in poultry in 2016-2017. The Ukrainian H5N1, H5N8 HPAI, and H5N2 LPAI viruses belong to different H5 phylogenetic groups. Our results demonstrate the great diversity of AI viruses in wild birds in Ukraine, as well as the importance of this region for studying the ecology of avian influenza.

Virus de influenza aviar del subtipo H5 altamente patógenos y de baja patogenicidad en aves silvestres en Ucrania. Ha habido tres oleadas de brotes de influenza aviar altamente patógena en aves comerciales, de traspatio y en aves silvestres en Ucrania. La primera (2005-2006) y la segunda (2008) fueron causadas por el virus de influenza aviar de alta patogenicidad H5N1, con 45 brotes en aves comerciales (pollos) y aves de traspatio (pollos, patos y gansos) en cuatro regiones de Ucrania (AR Crimea, Kherson, Odesa y Sumy Oblast). Los virus de alta patogenicidad H5N1se aislaron de aves silvestres muertas: cormoranes (Phalacrocorax carbo) y de somormujos lavanco (Podiceps cristatus) en 2006 y 2008. La tercera ola del virus de influenza aviar de alta patogenicidad consistió en nueve brotes del virus de alta patogenicidad subtipo H5N8 en aves silvestres y domésticas, a partir de noviembre de 2016 en las regiones central y sur (Kherson, Odesa, Chernivtsi, Ternopil y Mykolaiv Oblast). Se detectó el virus al patogenicidad H5N8 en cisnes blancos muertos (Cygnus olor), pavos reales (Pavo cristatus) (en zoológicos), tarros canelos (Tadorna ferruginea), gansos caretos (Anser albifrons) y en muestras ambientales en 2016 y 2017. Una vigilancia más amplia de aves silvestres para detectar el virus de la influenza aviar se realizó entre 2006 y 2016 en las regiones de Ucrania sospechosas de ser rutas migratorias intercontinentales (norte-sur y este-oeste). Se recolectaron un total de 21,511 muestras de 105 especies de aves silvestres que representan a 27 familias y 11 órdenes. Se aislaron ochenta y dos virus de influenza aviar de baja patogenicidad (incluido un virus H5N2 de baja patogenicidad del 2010) de aves silvestres con un total de 23 combinaciones antigénicas de hemaglutininas (HA) y neuraminidasas (NA). Se aislaron quince de los 16 subtipos de HA aviar conocidos. Dos virus de alta patogenicidad H5N8 y dos virus H5N2 de baja patogenicidad se aislaron de aves silvestres vivas y de muestras ambientales (heces de aves frescas) durante la vigilancia antes del brote en avicultura. Los virus ucranianos de alta patogenicidad H5N1, H5N8 y de baja patogenicidad H5N2 pertenecen a diferentes grupos filogenéticos de H5. Estos resultados demuestran la gran diversidad de virus de la influenza aviar en aves silvestres en Ucrania, así como la importancia de esta región para estudiar la ecología de la influenza aviar.

Influence of variants circadian rhythm of blood pressure on the functional state of the cardiovascular system in patients with essential hypertension II degree.

OBJECTIVE: Introduction: Blood pressure is chronic disease in which the main diagnostic feature (symptom) is a persistent increase in hydraulic pressure in the arterial vessels of the large circulatory system. Increased blood pressure causes the heart to work with greater load due to increased general peripheral vascular resistance to ensure normal blood circulation in the blood vessels of the large circulatory system. The aim of our work was to detection of features of the functional state of the cardiovascular system in patients with essential hypertension II degree depending from the circadian structure of blood pressure. PATIENTS AND METHODS: Materials and methods: The complex examination of 62 patients with essential hypertension II degree with II-III degree by increase of blood pressure. The average age of patients was - 56.2 ± 2.1 years. There were examined the 36 men and 26 women. All 62 patients with essential hypertension of IInd stage with II-III degree of blood pressure increase were divided into 3 groups due to the circadian structure of blood pressure: « Dipper¼ -26; «Non dipper¼-28; and «Night picker¼ -8. RESULTS: Results and conclusions: In patients with the daily index "Dipper" the normokinetic range of hemodynamics prevails, make a difference to patients with "Non dipper" and "Night picker", which has a mainly hypokinetic range of hemodynamics, which is confirmed by ratios of indicators to the area and weight of the body of the subjects. In addition to holding parallels between the body mass index and the left ventricular mass index enables that the increase in inconsistency of the body mass index to the left ventricular myocardial mass index, which deepens in groups from "Dipper" to "Night Picker", can increase the metabolic imbalance of the myocardium.

Isolation and Genetic Characterization of Avian Influenza Viruses Isolated from Wild Birds in the Azov-Black Sea Region of Ukraine (2001-2012).

Wild bird surveillance for avian influenza virus (AIV) was conducted from 2001 to 2012 in the Azov - Black Sea region of the Ukraine, considered part of the transcontinental wild bird migration routes from northern Asia and Europe to the Mediterranean, Africa, and southwest Asia. A total of 6281 samples were collected from wild birds representing 27 families and eight orders for virus isolation. From these samples, 69 AIVs belonging to 15 of the 16 known hemagglutinin (HA) subtypes and seven of nine known neuraminidase (NA) subtypes were isolated. No H14, N5, or N9 subtypes were identified. In total, nine H6, eight H1, nine H5, seven H7, six H11, six H4, five H3, five H10, four H8, three H2, three H9, one H12, one H13, one H15, and one H16 HA subtypes were isolated. As for the NA subtypes, twelve N2, nine N6, eight N8, seven N7, six N3, four N4, and one undetermined were isolated. There were 27 HA and NA antigen combinations. All isolates were low pathogenic AIV except for eight highly pathogenic (HP) AIVs that were isolated during the H5N1 HPAI outbreaks of 2006-08. Sequencing and phylogenetic analysis of the HA genes revealed epidemiological connections between the Azov-Black Sea regions and Europe, Russia, Mongolia, and Southeast Asia. H1, H2, H3, H7, H8, H6, H9, and H13 AIV subtypes were closely related to European, Russian, Mongolian, and Georgian AIV isolates. H10, H11, and H12 AIV subtypes were epidemiologically linked to viruses from Europe and Southeast Asia. Serology conducted on serum and egg yolk samples also demonstrated previous exposure of many wild bird species to different AIVs. Our results demonstrate the great genetic diversity of AIVs in wild birds in the Azov-Black Sea region as well as the importance of this region for monitoring and studying the ecology of influenza viruses. This information furthers our understanding of the ecology of avian influenza viruses in wild bird species.

Wild bird surveillance for avian paramyxoviruses in the Azov-black sea region of Ukraine (2006 to 2011) reveals epidemiological connections with Europe and Africa.

Despite the existence of 10 avian paramyxovirus (APMV) serotypes, very little is known about the distribution, host species, and ecological factors affecting virus transmission. To better understand the relationship among these factors, we conducted APMV wild bird surveillance in regions of Ukraine suspected of being intercontinental (north to south and east to west) flyways. Surveillance for APMV was conducted in 6,735 wild birds representing 86 species and 8 different orders during 2006 to 2011 through different seasons. Twenty viruses were isolated and subsequently identified as APMV-1 (n = 9), APMV-4 (n = 4), APMV-6 (n = 3), and APMV-7 (n = 4). The highest isolation rate occurred during the autumn migration (0.61%), with viruses isolated from mallards, teals, dunlins, and a wigeon. The rate of isolation was lower during winter (December to March) (0.32%), with viruses isolated from ruddy shelducks, mallards, white-fronted geese, and a starling. During spring migration, nesting, and postnesting (April to August) no APMV strains were isolated out of 1,984 samples tested. Sequencing and phylogenetic analysis of four APMV-1 and two APMV-4 viruses showed that one APMV-1 virus belonging to class 1 was epidemiologically linked to viruses from China, three class II APMV-1 viruses were epidemiologically connected with viruses from Nigeria and Luxembourg, and one APMV-4 virus was related to goose viruses from Egypt. In summary, we have identified the wild bird species most likely to be infected with APMV, and our data support possible intercontinental transmission of APMVs by wild birds.