Clinical and endoscopic characteristics of patients undergoing gastrointestinal endoscopic procedures in Egypt: a nationwide multicenter study.

BACKGROUND: Egypt faces a significant public health burden due to chronic liver diseases (CLD) and peptic ulcer disease. CLD, primarily caused by Hepatitis C virus (HCV) infection, affects over 2.9% of the population nationwide, with regional variations. Steatotic liver disease is rapidly emerging as a significant contributor to CLD, especially in urban areas. Acid-related disorders are another widespread condition that can significantly impact the quality of life. These factors and others significantly influence the indications and findings of gastrointestinal endoscopic procedures performed in Egypt. AIM: We aimed to evaluate the clinico-demographic data, indications, and endoscopic findings in Egyptian patients undergoing gastrointestinal endoscopic procedures in various regions of Egypt. METHODS: This study employed a retrospective multicenter cross-sectional design. Data was collected from patients referred for gastrointestinal endoscopy across 15 tertiary gastrointestinal endoscopy units in various governorates throughout Egypt. RESULTS: 5910 patients aged 38-63 were enrolled in the study; 75% underwent esophagogastroduodenoscopy (EGD), while 25% underwent a colonoscopy. In all studied patients, the most frequent indications for EGD were dyspepsia (19.5%), followed by hematemesis (19.06%), and melena (17.07%). The final EGD diagnoses for the recruited patients were portal hypertension-related sequelae (60.3%), followed by acid-related diseases (55%), while 10.44% of patients had a normally apparent endoscopy. Male gender, old age, and the presence of chronic liver diseases were more common in patients from upper than lower Egypt governorates. Hematochezia (38.11%) was the most reported indication for colonoscopy, followed by anemia of unknown origin (25.11%). IBD and hemorrhoids (22.34% and 21.86%, respectively) were the most prevalent diagnoses among studied patients, while normal colonoscopy findings were encountered in 18.21% of them. CONCLUSION: This is the largest study describing the situation of endoscopic procedures in Egypt. our study highlights the significant impact of regional variations in disease burden on the utilization and outcomes of GI endoscopy in Egypt. The high prevalence of chronic liver disease is reflected in the EGD findings, while the colonoscopy results suggest a potential need for increased awareness of colorectal diseases.

The Association Between Bone Remodeling Markers, genes polymorphisms with Incidence of Osteopenia Among Young Saudi Female.

Osteopenia and osteoporosis, are prevalent skeletal systemic conditions, cause weaker bones and an increased risk of fragility fractures. This work is aimed to evaluate the relation between bone-remolding markers and genotypes of four single nucleotide polymorphisms in young Saudi females (rs2297480 of farnesyl diphosphate synthase (FDPS), rs3736228 of Low-density lipoprotein receptor-related protein 5 (LRP5), rs1234612 of sclerostin (SOST), and rs9934438 of Vitamin K epoxide reductase complex subunit 1  (VKORC1) ). For this purpose, 750 premenopausal females aged 18 to 40 years old, either university students, postgraduates, or university employees were recruited and divided into three groups according to bone mineral density BMD (g/cm2) divided by T score into osteoporosis (n = 12), osteopenia (n = 147), and normal (n = 591). Serum SOST, BALP, calcium, phosphate, ALP, albumin, beta-CTXs and human VDR levels were determined. TaqMan SNP Genotyping assays were used to genotype four polymorphisms using real-time PCR (applied biosystem). Results showed that BALP, CTX-1 and SOST were significantly higher in the osteoporosis and osteopenia groups than in the normal group. Bone mineral density readings were considerably lower in females with the GG genotype in FDPS rs2297480 and TT genotype in LRP5 rs3736228, which increase the risk for osteopenia by 3. 6-fold and 3. 06-fold than control respectively. Also, females with the TT genotype in LRP5 rs3736228 have decreased average values for Bone Mineral Density. In conclusion, the GG genotype of FDPS rs2297480 and the TT genotype of LRP5 rs3736228 was shown to be strongly associated with osteopenia in young Saudi females with low bone mineral density and SOST levels.

Factors associated with completeness in documentation of diagnostic work-up and treatment in patients with breast cancer in Sudan.

Purpose: This study evaluates the relationship between geography and ethnicity on the completeness of documentation of diagnostic work-up and treatment modalities in Sudan for patients with breast cancer. Methods: This retrospective study used data abstracted from patients with breast cancer receiving cancer care at Sudan's largest cancer centre (Radiation and Isotopes Center Khartoum) in 2017. Patient demographic and clinical characteristics were abstracted from paper medical records. Odds ratios and 95% confidence intervals were estimated to evaluate complete diagnostic work-up on ethnic group, origin and residence using binomial logistic regression models. Results: Of 237 patients, the median age was 52 (interquartile range 43-61). Most often patients identified as Arab (68%), originated from Central, Northeastern and Khartoum regions (all 28%) and lived in the Khartoum region (52%). Overall, 49% had incomplete diagnostic work-up, with modest differences by ethnicity and geography. In adjusted analyses, non-statistical differences were found between the ethnic group, geographic origin and residence and having complete diagnostic work-up. For treatment modality, significant differences were observed between receptor status and receiving hormone therapy (p = 0.004). Only 28% of patients with HR+ breast cancer received hormonal therapy. For those with HR- or undocumented breast cancer subtype, 36% and 17% received hormone therapy, respectively. Conclusion: Approximately half of Sudanese patients with breast cancer had incomplete diagnostic work-up, irrespective of ethnicity and geography. Moreover, a high proportion of patients received inappropriate treatment. This underlines a considerable systems-based quality gap in care delivery, demanding efforts to improve diagnostic work-up for all patients with breast cancer in Sudan.

Silencing of tissue factor by antisense deoxyoligonucleotide mitigates thioacetamide-induced liver injury.

BACKGROUND: Retinoid receptors (RRs), RAR-α and RXR-α, work as transcription factors that regulate cell growth, differentiation, survival, and death. Hepatic stellate cells (HSCs) store retinoid and release its RRs as lipid droplets upon their activation. PURPOSE: We test the hypothesis that loss of retinoid receptors RAR-α and RXR-α from HSCs is dependent on tissue factor (TF) during thioacetamide (TAA)-induced liver injury. METHODS: Liver toxicity markers, TF, fibrin, cleaved caspase-3, and cyclin D1 as well as histopathology were investigated. RESULTS: Increased TF, fibrin, cleaved caspase-3, and cyclin D1 protein expression is seen in zone of central vein after TAA injection compared with vehicle-treated mice. A strong downregulation of RAR-α and RXR-α is seen in TAA-induced liver injury. In addition, histopathological obliteration and pericentral expression of cleaved caspase 3 and cyclin D1 are observed after TAA injection compared with the normal vehicle-treated mice. No changes have been seen in TAA/TF-sense (SC) in whole parameters compared with TAA-treated animals. TAA/TF-antisense (AS)-treated mice show normal expression of all parameters and normal histopathological features when compared with the control mice. In conclusion, this study declares that the strong downregulation of RAR-α and RXR-α may cause liver injury and particularly activation of HSCs in TAA-induced toxicity. TF-AS treatment not only downregulates TF protein expression but also alleviates loss of liver RAR-α and RXR-α and suppresses the activated apoptosis signals in TAA-induced liver toxicity. Finally, TF and RAR-α/RXR-α are important regulatory molecules in TAA induced acute liver injury.

Carbon tetrachloride-induced liver injury in mice is tissue factor dependent.

Tissue factor (TF) is a membranous glycoprotein that activates the coagulation system when blood vessels or tissues are damaged. TF was up-regulated in monocrotaline (MCT)/lipopolysaccharide (LPS) hepatotoxicity model. The present study aimed to test the hypothesis that TF-dependent fibrin deposition occurs in liver toxicity induced by CCl4 in mice. Pericentral deposition of TF and fibrin is induced after CCl4-induced liver toxicity. The toxicity was evaluated by determination of serum activities of ALT, AST and ALP as well as GSH content and histopathological changes. The results showed that injection of mice with TF-antisense deoxyoligonucleotide (TF-AS) prevented the accumulation of TF and fibrin in the hepatic tissues. Furthermore, it significantly restored blood biochemical parameters, GSH content and distorted histopathological features caused by CCl4. The current study demonstrates that TF activation is associated with CCl4-induced liver injury. Furthermore, administration of TF-AS successfully prevented this type of liver injury.

Comparative studies of semi-artificial diets on the biology and the bionomics of the European corn borer, Ostrinia nubilalis Hübner (Or.: Lepidoptera, Fam. : Pyralidae).

Comparative studies of two semi-artificial diets (S.A.1 and S.A.2) as well as a natural corn diet were studied on the biology and bionomics of the European corn borer, Ostrinia nubilalis under laboratory conditions. The insect was successfully mass reared for ten successive generations at the conditions of 27 +/- 2 degrees C, 60-80% R.H. in addition of photoperiod of 6:18 (L: D) for larvae and 12:12 (L: D) for the other stages, respectively. Along ten successive generations, there were no significant differences between the larval periods for both artificial diets. The S.A.1 induced the shortest larval period (22.5 days) compared to the artificial diet S.A.2 (24 days) and the natural diet (25 days). Meanwhile, the rearing larvae on the natural diet revealed means of pre-pupal and pupal periods of 2 and 8 days which decreased to 2 and 6.5 days in both artificial diets (S.A.1 and S.A.2), respectively. However, the pupal weight and length were insignificantly increased in S.A.1 (121.7 g and 1.7 cm) than that in the natural diet (115.5 g and 1.8 cm) and were in the artificial diet S.A.2 (101.2 g and 1.7 cm), respectively. Moth longevity (pre-oviposition, oviposition and post-oviposition periods), was affected to a certain extent by the larval diets. The maximal moth longevity was recorded (15 days) for larva reared on the natural diets. On the other hand, the shortest period was observed (10.5 days) for the moth longevity in S.A.1. The artificial diet S.A.2 showed the moth longevity (13 days). The longest oviposition period was recorded (10 days) in the natural diet, while it was only (6.5 days) in the artificial diet S.A.1 compared with (8 days) in the artificial diet S.A.2. The number of the deposited eggs/female throughout the 10 successive generations was (400) in the natural diet, while the artificial diet S.A.1 revealed the least number (304.4) versus (358.2) in the artificial diet S.A.2. On the other hand, the number of hatched eggs/female were (320) in the natural diet, versus (310.9 and 256.5) in the artificial diet S.A.2 and S.A.1, consequently. The highest mean of hatchability percent was 86.93% resulted in the artificial diet S.A.2 compared to. 83.92% in the artificial diet S.A.1 and 80% in the natural diet. It was observed that the shortest total generation period found (41.5) days in the artificial diet S.A.1 while it was (50 and 45.5)days in the natural diet and the artificial diet S.A.2, consequently. The results declared that the artificial diet S.A.1 is a suitable artificial diet as it is considered mass rearing of the European corn borer, Ostrinia nubilalis Hub.

Mass rearing of the pink corn borer, Sesamia cretica Led. (Lepidoptera: Noctuidae) larvae, on semi artificial diets.

The effect of two different semi-artificial diets (S.A.D1 and S.A.D2) as well as a natural corn diet on the biology and bionomics of the pink stem borer, Sesamia cretica was studied under laboratory conditions. The insect was successfully mass reared for ten successive generations at the conditions of 27 +/- 2 C degrees and 60-80% R.H. In addition, a photoperiod of 0:24 (L:D) for larvae and 12:12 (L:D) in concern to the other stages, respectively. ALong the ten successive generations, there were no significant differences between the larval periods for both the artificial diets. The S.A.D2 induced the shortest (24.0 days) larval period compared with the natural diet (27.5 days) and S.A.D1 (31.5 days). Rearing larvae on the natural diets revealed a pupal period of 11.0 days, while it was 10.0 days and 8.5 days for the artificial diets (S.A.D1) and in (S.A.D2), in respect. Moth longevity (pre-oviposition, oviposition and post-oviposition periods), to a certain extent, was affected by the larval diets. The maximal moth longevity (13.0 days) was observed for larva reared on corn plants (4, 8 and 1 days). On the other hand, the shortest period (10.5 days) of moth longevity was noticed in SAD2 (1, 9 and 0.5 days). S.A.D1 showed 11.0 days moth longevity (3,7 and 1 days). The longest oviposition period (9.0 days) was recorded in the artificial diet S.A.D2, while it was only 7.0 days in the artificial diet S.A.D1 compared with 8.0 days in case of the natural diet. The number of deposited eggs increased with the progress of the 10 successive generations (G1:G10) from 150 to 265 and from 384 eggs to 564 eggs / female for the S.A.D1 and S.A.D2, in sequence. The highest mean number of deposited eggs per female (564) was for the derived females from larvae fed on the artificial diet in G10 of S.A.D2. The rate of the deposited eggs in S.A.D2 was gradually increased (from 9.70 to 61.14% increase) more than those reared on the natural diet throughout the ten generations. The highest significant percent hatchability (92.69%) has been resulted from the artificial diet SAD2. But, it has been decreased to 85.59% in the artificial diet S.A.D1 in comparison to 65.71% in the natural diet. In addition, the significant shortest total generation period was 44.0 days resulted from the artificial diet S.A.D2, while it was 53.5 and 54.0 days for corn plants and the artificial diet S.A.D1, consequently. In short, results indicated that the S.A.D2 could be considered as a suitable artificial diet for a feasible mass rearing of the pink corn borer, Sesamia cretica led. The S.A.D2 showed the shortest larval, pupal and life span for the generation periods. Moreover, it induced the longest oviposition period and the highest mean number of deposited eggs per female and the highest significant percent of eggs hatchability/fertility. The utilization of this artificial diet (S.A.D2) would supply the researchers with high-quality insects in adequate numbers, at specified times and specific stages of development for the bioassay, toxicological and biological studies.

Joint action of quercetin with four insecticides on the cotton leaf-worm larvae, Spodoptera littoralis Boisd. (Lep. : Noctuidae) in Egypt.

The naturally occurring phytoncidal chemical component of some plant- species are responsible for controlling and/or repelling insects from host plants. The use of natural products, readily available in the environment, to control the cotton leafworm, could be of help in reducing the need for applying the synthetic conventional insecticides . Moreover, crude vegetable oils application is quite safer to the non targets and the environment. The use of sex attractant pheromones as predicative tools to forecast pest population and their potential damage levels in specific crops, has significantly been limited because sex attractants are usually directed to one sex only. Thus, identification of plant constituents that attract S. littoralis Boisd. adults, especially females, and that directly affect their feeding or reproductive behaviour, would greatly expand opportunities for manipulation of the biological and environmental events that prevent the establishment, development, and dispersal of the insect-pest under study. Extracted Volatiles from certain parts of cotton plants, attracted both sexes of the cotton leafworm moths instead of attracting one sex only as the pheromones do. Plant flavonoids have been shown by many investigators to have an effect on insect behaviour, growth, and development. Quercetin is one of many bioflavonoids that exists in several fruits and vegetables. The Aim of the present work is to study in vivo the biochemical mode of action of quercetin as a synergist in combination with insecticides. The present results proved the synergistic effect of quercetin when combined with four insecticides, namely, profenofos (organophosphates), deltamethrin (pyrethroid), and tebufenozide et hexaflumuron as insect growth regulators against the studied insect-pest. Quercetin role as a synergist might be attributed to its ability to inhibit certain active oxidases, which may be responsible for in vivo detoxification of the intact insecticides when applied to insect larvae, through glutathione-S-transferase.

An approach for IPM program to control sucking pests infesting garden bean plants (Phaseolus vulgaris L.) in Egypt.

An approach to eatablish IPM program for some sucking pests infesting garden beans plants was carried out in two successive seasons of 2004 and 2005 under field conditions in Alexandria, Egypt. The sucking pests included the aphid, Aphis craccivora Koch (Homoptera: Aphididae), the white fly, Bemisia tabaci Genn. (Homoptera: Aleyroidae) and the spider mite, Tetranychus urticae Koch Pymetrozine, thiamethoxam, carbosulfan, abamectin, azadirachtin and the detergent (Masrol 410) were tested for their efficacy in this study. Thiamethoxam, carbosulfan, and pymetrozine proved to be highly effective against Aphis craccivora Koch, while abamectin, azadirachtin, and the detergent (Masrol 410) provided a moderate effect. Moreover, thiamethoxam, pymetrozine, and abamectin showed remarkable efficacy against adults and immature stages of the whitefly, Bemisia tabaci. However, azadirachtin provided a moderate effect, while carbosulfan and detergent (Masrol 410) had no effect altogether on whiteflies. In addition, abamectin induced the highest toxicity effect against the red spider mite, Teteranychus urticae followed by azadirachtin and the detergent that provided moderate effects. IPM program could be achieved by using abamectin, pymetrozine and azadirachtin in a sequence pattern throughout the whole season. Furthermore, the performance of the used agrochemicals on certain nutritional elements of beans pods vr. Branco , i.e. nitrogen, phosphorus, potassium, iron, and magnesium were also studied with varied results.

Abamectin, pymetrozine and azadirachtin sequence as a unique solution to control the leafminer Liriomyza trifolii (Burgess) (Diptera: Agromyzidae) infesting garden beans (Phaseolus vulgaris L.) in Egypt.

Field trails were conducted to determine the performance of three different sequences as a unique solution for the control of the leaf miner Liriomyza trifolii (Burgess) (Diptera: Agromyzidae) infesting garden beans (Phaseolus vulgaris L.) during the two successive seasons of 2004 and 2005. Furthermore, during the evaluation period, the side effect against the ectoparasite Diglyphus isaea (Walker) (Hymenoptera: Eulophidae) was put into consideration. Meanwhile, the comparative evaluation of the pesticides alone showed that abamectin and azadirachtin were highly effective against Liriomyza trifolii, while carbosulfan, pymetrozine and thiamethoxam provided to be of a moderate effect. Moreover, carbosulfan showed harmful effect to the larvae of the ectoparasite Diglyphus isaea (Walker), while abamectin and azadirachtin gave a moderate effect. Thiamethoxam and the the detergent (Masrol 410) had slight effect in this respect. The highly effective sequence among the sequences was abamectin, pymetrozine and azadirachtin, against Liriomyza trifolii (Burgess), with slight harmful effect on Diglyphus isaea (Walker). However the sequence of azadirachtin, pymetrozine and abamectin had a moderate effect on Liriomyza trifolii (Burgess) and exhibited a slight toxic effect on Diglyphus isaea (Walker). In contrast, the sequence of carbosulfan, thiamethoxam and pymetrozine was the least effective and represented a slight effect on Diglyphus isaea (Walker). From this study, it was concluded that abamectin, pymetrozine and azadirachtin sequence has proved to be a unique solution for the control of the leaf miner Liriomyza trifolii (Burgess) infesting garden beans (Phaseolus vulgaris L.) in Egypt.

Biological performance of quercetin on the cotton leaf-worm larvae, Spodoptera littoralis Boisd. (Lep., Noctuidae) and prevailing natural enemies in the Egyptian cotton fields.

The Egyptian cotton (Gossypium barbadense L.) accounts for 65 % of the world production of long stable cultivars. Taking into consideration the competition of other cotton producing countries, it should be of great importance to control pests, which attack the cotton plants to improve the yield and its quality. The main objective of this study is to develop new approaches for the management of the cotton leafworm Spodoptera littoralis Boisd. within an IPM program, that include synthetic insecticides rationalization, and maximiziation the role of the biological control agents. Sunflower plants Helianthus annuus (Asterales: Asteraceae) raised in rows surrounding plots of cotton were used as trap plants to attract some biological agents, which subsequently lead to check the build-up of the cotton leafworm population. This scientific phenomenon was attributed to the main chemical constituent of sunflower plants, which has been proved to be the polyhydroxy flavone "quercetin". Field data of the two successive seasons 2004 and 2005 revealed that: (a) the total number of insect predators, Coccinella undecimpunctata, Paederus alfierli, Chrysopa vulgaris, Orius laevigatus, Scymnus synacus, and true spiders in the cotton plots surrounded by either one or two rows of sunflower plants significantly exceeded the corresponding numbers in the cotton plots without sunflower plants., (b) the least number of cotton leafworm Spodoptera littorolis larvae infestation was recorded simultaneously in the cotton plots surrounded by sunflower plants. Moreover, laboratory studies assured the antifeeding properties of quercetin against the 4th instar larvae of Spodoptera littoralis. Quercetin at a concentration rate of 4000 ppm, showed abnormal behaviour represented in feeding stop, growth inhibition and development retardation. Deformation of pupae, moths, and reduction up to 50% in egg laying was also noticed after quercetin application to the larvae.

Significant absorption of oral vancomycin in a patient with clostridium difficile colitis and normal renal function.

Orally-administered vancomycin is poorly absorbed in most patients, usually producing minimal or subtherapeutic serum concentrations. Bowel inflammation may enhance absorption of oral vancomycin, particularly in those with renal failure. A 77-year-old female with Clostridium difficile (C difficile) colitis and normal renal function was treated with high doses of oral vancomycin and achieved serum concentrations in the therapeutic range. To our knowledge, this is the first report of a patient with C difficile colitis and normal renal function to develop therapeutic serum concentrations following oral administration of vancomycin.

Influence of the nonsteroidal ecdysone agonist, tebufenozide, on certain biological and physiological parameters of the cotton leaf-worm, Spodoptera littoralis (Boisd.) (Noctuidae: Lepidoptera) in Egypt.

In Egypt, cotton represents the most economical and important field crop. Cotton plant is the target of different pest species from cultivation until harvest. The Egyptian cotton leaf-worm, Spodoptera littoralis (Boisd.) (Noctuidae: Lepidoptera), is an important polyphagous insect pest attacking cotton, several cultivated crops and ornamentals worldwide. The integrated pest management (IPM) programs create the need for novel insecticides having more selective modes of action. So, the no steroidal ecdysteroid mimic, tebufenozide (RH-5992) was studied on some parameters of Spodoptera littoralis. This compound exhibits, in spite of its nonsteroidal structure, a high affinity for the ecdysteroid receptors (EcRs) through a lock-and key principle just like the natural insect molting hormone 20, hydroxyecdysone (20E). The present investigation was performed to throw more light on the following objectives: (1) the toxicity of tebufenozide against the fifth larval instar of a laboratory strain of S. littoralis, (2) the effect of this compound on some biological parameters, i.e. weight of mature larvae, mortality and percentages of larval malformations, (3) the action on some haematological parameters such as blood volume, total haemocyte counts (THCs), absolute haemocyte counts, differential haemocyte counts, and (4) the characterization of haemolymph proteins in treated as well as in the untreated larvae, using the electrophoresis technique on acrylamide gel expressed in the electrophoretic mobility. The obtained results could be summarized as follows: (1) the treated larvae reached their maximum weight after 48 h from treatment with tebufenozide; while the untreated ones reached the maximum weight after 72 h (2) the highest mortality (73%) occurred by applying tebufenozide at the concentration of 18 ppm. In addition, the deduced percentage of larval malformations, indicated that the maximum rate of malformed larvae was attained using the concentration of 36 ppm (3) the blood volume of the 5th instar larvae reached its maximum after 72 h from treatment; while in the untreated ones blood volume increased gradually and reached the maximum rate after 96 h (4) the total haemocyte counts (THCs) decreased in comparison with the control. The maximum value of THCs occurred at 72 h, resembling a lower rate (50%) than that of the untreated ones. (5) The absolute counts reached their maximum rates after 72 h from treatment. It was lower (80.7%) than the untreated larvae. (6) Tebufenozide cause the induction of (10.7 & 14.3 Kda) polypeptide in the haemolymph after 24 h of application. These bands were absent in that time in the untreated larvae (control). Later on, these bands were formed in the control larvae after 72 h of treatment. Induced synthesis of these transcript resulted in precocious molting.

[The contamination of the upper respiratory tract of children with representative opportunistic microflora]. / Kontaminatsiia verkhnikh dykhatel'nykh shliakhiv ditei predstavnykamy umovno patohennoï mikroflory.

In this paper, findings are submitted from 11-yr bacteriological examination of children from the pre-school institutions in the city of Lviv. Stability was ascertained as was high level of nasopharyngeal carriage of the leading representatives of conditionally pathogenic microflora, an association was established to some disease forms. There is the need for the bacteria carriers to be identified in a purposeful and persevering fashion, with the relevant sanitary measures to be instituted in such individuals.

[The characteristics of pneumococcal contamination of the respiratory tract in healthy and sick children]. / Osoblyvosti kontaminatsiï pnevmokokom verkhnikh dykhal'nykh shliakhiv zdorovykh ta khvorykh ditei.

The results of six-year-long investigations of microbiological indices of pneumococcal microflora in healthy carriers and in children with chronic respiratory pathology are presented in the paper. Peculiarities of pneumococcal contamination of nasopharynx mucosa in the both groups were detected. A difference in the intensity of pneumococcus colonization and localization in upper respiratory tract between healthy and sick children was found. Data on adhesive and lysozyme activity of the obtained stocks as factors favourable for microflora contamination and persistence on nasopharynx mucosa are given. An analysis of antibiograms of the obtained pneumococcus cultures was performed. The recent trend of preservation of pneumococcus sensitivity to the main groups of commonly used antibiotic preparations has been affirmed.