OPTIMIZATION OF INFECTIOUS DISEASES THERAPY ACCORDING TO CHANGES IN THE IMMUNE STATUS PATIENS
Abstract
Introduction. Human viral diseases associated with a protracted course, lifelong persistence, chronicity of the process and adverse consequences of the disease are an urgent problem in clinical immunology. Among the many factors that directly affect the immune system, herpesvirus infections deserve special attention. Nowadays optimization of therapy for patients by differentiated administration of immunocorrective therapy is an urgent problem.
The aim of the work is to study the nature of immune disorders in patients with CEBVI and to develop an optimal therapy, according the identified immune
disorders.
Materials and methods of research. 128 patients with CEBVI was examined. Immunophenotyping of lymphocyte subpopulations was carried out using flow laser cytometry on a FACS-Calibur apparatus (USA) using monoclonal antibodies.
Results. According to the results of the study, it was established that monotherapy was highly effective in patients of the 1st group with minor immune disorders before starting treatment. In patients of the 2nd group, with more pronounced disorders, in comparison with the first group, the combination therapy of Valtrex and Neovir was effective in the immunogram. In patients of group 3 with significant disorders of the immune status, the immunogram indices returned to normal only after the use of Valtrex in combination with Alfarekin.
Conclusion. A detailed analysis of the immune parameters of patients with CEBVI revealed discrepancies among patients of the 1st, 2nd and 3rd groups regarding both the degree and nature of immune changes. This is must be taken into account for the successful result of differential immunocorrection in such patients.
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