Experience of using the immunomodulator in the therapy of papillomavirus infection of genitalia in women
Objective. Evaluation of the clinical efficacy and immunologic therapy of genital human papillomavirus infection in women using Galavit.Borovikov I.O., Kutsenko I.I., Gorring C.I.
Subjects and methods. The prospective observational study of the treatment results of 90 women, sick vulvovaginal condyloma: Group I (45 patients)-destruction of warts + Galavit rectal dose 100 mg 1 time per day for 10 days; Group II (45 patients) is only destructive therapy. Vagino-colposcopy, Pap-test, Digene HPV test used. Performance criteria: Changing the clinical picture (lack of papillomavirus infection), Pap- and Digene-negativation.
Results. Found that the combination therapy (destruction of warts + Galavit) increases the clinical efficacy of HPV infection therapy vulvovaginal zone in 3.7 times, and microbiological – 2.6 times.
Conclusion. Complex method of treatment with combined use of destructive therapy on rectal introduction immunomodulator with anti-inflammatory activity – Galavit in comparison with isolated using only destruction genital warts has higher clinical and microbiological efficiency.
Keywords
Supplementary Materials
- Table 1. Dynamics of the concentration of cytokines in cervical mucus in women in the study groups (M ± m ; P)
- Fig. 1. Distribution of HPV types in groups
- Fig. 2. Proportion of patients with relapsed condylomas in the groups during the observation period
- Fig. 3. Dynamics of PAP-positive patients in treatment groups
- Fig. 4. Comparison of the levels of major classes of cytokines in the cervical mucus of patients with HPV infection to her second and healthy women
References
1. Аполихина И.А. Папилломавирусная инфекция гениталий у женщин. М.: ГЭОТАР-Медиа; 2002. 111с. [Apolihina I.A. Papillomavirus infection of the genitals in women. Moscow: GEOTAR-Media; 2002. 111p. (in Russian)]
2. Башмакова М.А., Савичева А.М. Папилломавирусная инфекция. М.: Медицинская книга; Н.Новгород: Из-во НГМА; 2002. 19с. [Bashmakova M.A., Savicheva A.M. Papillomavirus infection. Moscow: Meditsinskaya kniga; N.Novgorod: Iz-vo NGMA; 2002. 19p. (in Russian)]
3. Роговская С.И. Папилломавирусная инфекция у женщин и патология шейки матки. В помощь практикующему врачу. 2-е изд. М.: ГЭОТАР-Медиа; 2014. 192с. [Rogovskaya S.I. Papillomavirus infection in women and pathology of the cervix. To help a practicing doctor. 2nd ed. Moscow: GEOTAR-Media; 2014. 192p. (in Russian)]
4. Васильев М.М., Богатырёва И.И., Белавин А.С., Котова Л.К. Современные аспекты папилломавирусной инфекции урогенитального тракта (клиника, диагностика, лечение). Инфекции, передаваемые половым путем. 1999; 5: 20-6. [Vasilev M.M., BogatyirYova I.I., Belavin A.S., Kotova L.K. Modern aspects of papillomavirus infection of the urogenital tract (clinic, diagnosis, treatment). Infektsii, peredavaemyie polovyim putem. 1999; 5: 20-6. (in Russian)]
5. Молочков В.А., Киселев В.И., Рудых И.В., Щербо С.Н. Папилломавирусная инфекция – клиника, диагностика, лечение. Пособие для врачей. М.; 2005. 32с. [Molochkov V.A., Kiselev V.I., Rudyih I.V., Scherbo S.N. Papillomavirus infection – clinic, diagnosis, treatment. A manual for doctors. Moscow; 2005. 32p. (in Russian)]
6. Gross G., Jablonska S., Pfister H., Stegner H.-E., eds. Genital papillomavirus infections. Modern diagnosis and treatment. Spinger-Verlag; 2012. 449p.
7. Прилепская В.Н., ред. Патология шейки матки и генитальные инфекции. М.: МЕДпресс-информ; 2008. 384с. [Prilepskaya V.N., red. ed. Cervical pathology and genital infections. Moscow: MEDpress-inform; 2008. 384p. (in Russian)]
8. Snijders P., van den Brule A., Meijer C. The clinical relevance of human papillomavirus testing: relationship between analytical and clinical sensitivity. J. Pathol. 2013; 201(1): 1-6.
9. Прилепская В.Н. Профилактика рака шейки матки: методы ранней диагностики и новые скрининговые технологии (клиническая лекция). Гинекология. 2007; 9(1): 12-4. [Prilepskaya V.N. Prevention of cervical cancer: methods of early diagnosis and new screening technologies (clinical lecture). Ginekologiya. 2007; 9(1): 12-4. (in Russian)]
10. Боковикова Т.Н., Багирова В.Л., Герникова Е.П., Ваганова О.А., Буланова Л.Н., Чичиро В.Е., Абидов М.Т. Новый препарат «Галавит»: методы анализа и стандартизации. Фарматека. 1999; 2: 53-5. [Bokovikova T.N., Bagirova V.L., Gernikova E.P., Vaganova O.A., Bulanova L.N., Chichiro V.E., Abidov M.T. The new preparation “Galavit”: methods of analysis and standardization. Farmateka. 1999; 2: 53-5. (in Russian)]
11. Кротин П.Н., Павленко Е.О., Ландина О.Ю., Меркулова Л.В. Опыт лечения дисплазии шейки матки у женщин с HPV препаратом «Галавит». Лечащий врач. 2003; 8: 75. [Krotin P.N., Pavlenko E.O., Landina O.Yu., Merkulova L.V. Experience in the treatment of cervical dysplasia in women with HPV preparation «Galavit». Lechaschiy vrach. 2003; 8: 75. (in Russian)]
12. Латышева Т.В., Сетдикова Н.Х., Манько К.С. Вторичные иммунодефициты. Возможности использования отечественного иммуномодулятора Галавит. Цитокины и воспаление. 2005; 4(3): 95-9. [Latyisheva T.V., Setdikova N.H., Manko K.S. Secondary immunodeficiencies. Possibilities of using the domestic immunomodulator Galavit. Tsitokinyi i vospalenie. 2005; 4(3): 95-9. (in Russian)]
13. Шульженко А.Е., Зуйкова И.Н. Галавит в терапии хронической рецидивирующей герпесвирусной инфекции. Новые лекарства. 2003; 3: 23-7. [Shulzhenko A.E., Zuykova I.N. Galavit in the therapy of chronic recurrent herpesvirus infection. Novyie lekarstva. 2003; 3: 23-7. (in Russian)]
14. Rauchfuss E. The immunomodulator GALAVIT – a new hope for cancer patients? In: Achievements in science & technology of research in the black sea region. 2011: 46-8.
Received 08.12.2017
Accepted 22.12.2017
About the Authors
Borovikov Igor O., MD, PhD, Department of Obstetrics and Gynecology, Kuban State Medical University, Ministry of Health of Russia.350063, Russia, Krasnodar, Sedina str. 4. E-mail: bio2302@gmail.com
Kutsenko Irina I., MD, Professor, Head of Department of Obstetrics and Gynecology, Kuban State Medical University, Ministry of Health of Russia.
350063, Russia, Krasnodar, Sedina str. 4
Gorring Chava Israilovna, graduate student, Department of Obstetrics and Gynecology, Kuban State Medical University, Ministry of Health of Russia.
350063, Russia, Krasnodar, Sedina str. 4
For citations: Borovikov I.O., Kutsenko I.I., Gorring C.I. Experience of using the immunomodulator in the therapy of papillomavirus infection of genitalia in women.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (3): 122-8. (in Russian)
https://dx.doi.org/10.18565/aig.2018.3.122-128