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Literatura
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Sukhikh G.T., Loginova N.S., Faizullin L.Z., Zdanov A.V, Malinina E.V, Bozedomov VA. Scientific Center of Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences and the International Institute of Biological Medicine, 117815, 4 Oparin Street, Moscow, Russia. Int. J. Immunotherapy 1997, Vol XIII, No. 3/4, pp 131-133 SO 112 (19-04-2) - (5-02-2) Summary Chlamydial infections are recognized as a major cause of infertility in couples and different types of pathology of male and female reproductive functions. Female endocervical smears and male urethral swabs were examined by polymerase chain reaction (PCR) in 3,200 patients. Optimal schedule of treatment of chronic urogenital chlamydiosis using proteolytic enzymes (peroral tablet of Wobenzym®, Mucos Pharma, Geretsried, Germany) were proposed by us. In order to realize the mechanism of the therapeutic effect of proteinases we investigated the changes in the interferon system of patients. We found significant decrease of IFN a-g production and increase of serum IFN. Application of Wobenzym® led to normalization of leukocyte capability to synthesize IFN in response to all inductors. Standard antibiotic therapy led to chlamydia elimination in 61 % women and 45% men; combination of antibiotic therapy with Wobenzym® resulted in 92% cases with women and 89.5% with men, respectively. The blockade of interferon synthesis by leukocytes seems to be the cause of long-term prolongation of chlamydial infection inducing inflammation in the genital tract. Proteinases coming into the blood relieve the blockade of non-specific antibacterial defense. Thus, proteolytic enzymes were shown as a highly efficient strengthening factor for antibiotic therapy of urogenital chlamydiosis. |
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