Multicomponent therapy in patients with pelvic inflammatory diseases
Objective. To compare the outcomes of combination therapy in patients with pelvic inflammatory diseases (PID) who use Longidase (Bovhyaluronidase azoximer) with those of therapy in patients who do not use of this drug.Sukhanov A.A., Karakhalis L.Yu., Kukarskaya I.I., Baranov I.I.
Subjects and methods. An open-label multicenter comparative study was conducted in 240 patients with acute or exacerbated chronic PID. Group 1 of 170 women used Longidasa (Bovhyaluronidase azoximer) 3000-IU suppository once every 3 days in the combination therapy of PID with a total cycle of 20 administrations. Group 2 (n = 70) received basic therapy.
Results. In Group 1, lower abdominal pain syndrome was relieved much faster and detected in a larger number of patients: only 11 (6.5%) women in the study group continued to notice it after 2 months of treatment while there were 56 (80%) women in Group 2 (p < 0.001). Tenderness was reduced by palpation and cervical traction in all (100%) patients in the study group, while this symptom continued to be noted by 25.7% of women in the basic therapy group (p < 0.001). After performed therapy, the proportion of patients who were observed to have increased uterine dimensions decreased by 56% in Group 1 and only by 15.7% in Group 2 (p < 0.001). During 2-month follow-up, the number of patients with normal white blood cell counts in the cervical canal smear increased more than 3-fold in the study group, whereas 1.03-fold from the baseline in Group 2, and by the end of the follow-up, this was noted in 170 (100%) and 59 (84.3%) patients in Groups 1 and 2, respectively.
Conclusion. Longidasa (Bovhyaluronidase azoximer) increases the efficiency of combination treatment for PID, contributes to early improvement of the clinical status of patients, making appropriate use of the drug since the cycle of antibacterial therapy is initiated.
Keywords
pelvic inflammatory diseases
salpingitis
endometritis
salpingoophoritis
Longidasa
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Received 26.11.2018
Accepted 07.12.2018
About the Authors
Sukhanov, Anton A., head of the Department of Family Planning and Reproduction Tyumen Perinatal Center, a graduate student of the Department of Obstetrics, Gynecology and Reanimatology with a course of clinical laboratory diagnostics of the Institute of Scientific and Technological Research of the State Budgetary Educational Institution of Higher Professional Education Tyumen State Medical University of the Russian Ministry of Health.625002, Russia, Tyumen, Daudelnaya str. 1. Tel.: +7345250-82-77. E-mail: such-anton@yandex.ru
Karakhalis, Lyudmila Yu., MD, professor of the Department of Obstetrics, Gynecology and Perinatology of the Faculty of Physical Education and Pedagogical Faculty of the State Educational Institution of Higher Education of the Kuban State Medical University of the Ministry of Health of Russia.
350063, Russia, Krasnodar, Mitrofan Sedin str. 4. Tel.: +7988 2444044. E-mail: lomela@mail.ru
Kukarskaya, Irina I., MD, senior specialist in Obstetrics and Gynecology of the Department of Health of the Tyumen Region, Professor of the Department of Obstetrics, Gynecology and Resuscitation with a course of clinical laboratory diagnostics of the Institute of Hydrometeorological Education of Tyumen State Medical University of the Ministry of Health of the Russian Federation, Head Doctor of State Healthcare Institute Perinatalny Centre.
625002, Russia, Tyumen, Daudelnaya str. 1. Tel.: +73452508277. E-mail: kukarskay@mail.ru
Baranov, Igor I., MD, professor, head of the Organizational and Methodological Department of the Federal State Budget Institution National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of the Ministry of Healthcare of Russian Federation.
117997, Russia, Moscow, Academician Oparina str. 4. Tel.: +74954389492. E-mail: i_baranov@oparina4.ru
For citations: Sukhanov A.A., Karakhalis L.Yu., Kukarskaya I.I., Baranov I.I. Multicomponent therapy in patients with pelvic inflammatory diseases. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (12): 125-30. (in Russian)
http://dx.doi.org/10.18565/aig.2018.12.125-130
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