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Over the last decade, the issue of treatment of acute necrotizing pancreatitis has been requiring special attention because of the growth of this pathology worldwide and high mortality from it, especially with extended infected types of the disease. The aim of the research was to improve results of treatment of patients with nonbiliary necrotizing pancreatitis by optimizing of the surgical tactics, which depend on the extent of necrosis in the pancreas and peripancreatic fat. Materials and methods. The study analyzed results of treatment of 220 patients with acute nonbiliary necrotizing pancreatitis, who were hospitalized in the clinic from 2014 to 2016. The age of the patients ranged from 18 to 80 years, including patients under the age of 50, who accounted for 54 %. Comparison of qualitative features was carried out through analysis of conjugacy tables, using the χ² Pearson criterion (Pearson Chi-square). For four-field tables (for 1 degree of freedom), the Yates's correction was used. When comparing the groups, the level of statistical significance (P) was calculated. At P < 0.05, the differences were considered statistically significant. Results. The research argues that mortality depends not only on the extent of pancreatic necrosis, but also on the choice of method of surgical intervention. Use of puncture-draining operations under ultrasound control and lumbotomy made it possible to reduce postoperative mortality from lesser sac abscess from 6.5 % to 3.9 %, from retroperitoneal phlegmon – from 31.6 % to 15.8 %, and from their combination – from 60 % to 33.3 %. In cases of diffuse purulent peritonitis, mortality from laparostomy combined with the programmed sanitation of the abdominal cavity was 40 %; it included cases when carbapenem antibiotics (imipenem/cilastatin, and meropenem) were used in the complex treatment, accounting for 33.3 %, and cases of implementing laparostomy, sanitation, and drainage of the abdominal cavity, making 50 %. Conclusions. The more extensive use of puncture-draining operations under ultrasound control and lumbotomy, as well as laparostomy in combination with the programmed sanitation of the abdominal cavity, allowed to reduce mortality from 26.1 % to 12.1 %.

The aim of the study was to conduct spatio-temporal retrospective and operational genetic analysis of the tularemia agent population in the Rostov Region, Donetsk People’s Republic (DPR), Lugansk PR and Ukraine in the period of 1943–2023. Materials and methods. We used Francisella tularensis strains isolated in the Rostov Region (RR), DPR, LPR and Ukraine between 1943 and 2023. VNTR genotyping was performed by 5 loci. Cluster analysis and construction of a phylogenetic tree were carried out using the GrapeTree software (NJ and MST algorithms). Whole-genome sequencing was performed on the MiSeq Illumina platform. The assembly of genomes in the form of reads was carried out using the Spades program. Results and discussion. A comparative analysis of the VNTR genotypes in 72 F. tularensis strains has been conducted: 35 strains isolated from various natural foci of Russia and the Rostov Region in particular from 1928 to 2023, 11 strains from the DPR and LPR (2022–2023) and 26 strains from the collection of the Rostov-on-Don Anti-Plague Institute, isolated on the territory of Ukraine from 1949 to 1990. In the studied strains, 20 individual genotypes have been identified, distributed among three clonal complexes (CC1 – CC3). Molecular-genetic analysis of F. tularensis strains has made it possible to identify three clonal complexes of tularemia agent (CC1 – CC3), circula ting in the studied areas. All of them are present on the territory of the RR and only complex CC2 shows a geographic confidedness to the southern areas of the RR. Strains isolated in western Ukraine before the 1990s belong exclusively to the CC3 complex. Judging by the range of distribution and diversity of genotypes, the population of strains of the CC3 and CC1 complexes has been existing for a long time in the studied areas. Strains of the same genotype can be found in endemic areas for up to 80 years and at a distance of about 1000 km from each other. On the contrary, the population of the CC2 complex is the most recent in time of origin and is geographically limited to the territory of RR. Geographic data on the origin of the CC1 and CC3 progenitor clones of the tularemia agent clonal complexes suggest an expansion of the genetic diversity of tularemia agent population from east to west.

Background. The study of the phylogeography of the tularemia microbe is not only practical, but also of scientific interest, as it allows us to evaluate the evolutionary processes of Francisella tularensis in modern conditions.Aim. Phylogenetic analysis of strains of the causative agent of tularemia in the Rostov region and identification of erythromycin-sensitive genovariants.Results. A representative collection of 122 cultures, isolated from various sources from 1945 to 2022, was studied. As it was established, all the studied strains of the causative agent of tularemia had typical cultural, morphological, and biological characteristics. The results of the study of bacteria antibiograms showed that all strains were resistant to β-lactams, polymyxin, clindamycin, and sensitive to aminoglycosides, rifampicin, and fluoroquinolones. In relation to erythromycin, only 2 erythromycin-sensitive strains were found. Phylogenetic analysis of 34 European and Russian strains of F. tularensis made it possible to determine whether these strains belong to subgroup B.7 of the main genetic group B.6.Conclusion. For the first time, in the Tselinsky district of the Rostov region, the presence of «atypical» genovariants of the tularemia microbe belonging to subgroup B.7 of the main group B.6 of the subspecies holarctica was registered, according to the modern scheme of genetic typing of F. tularensis subsp. holarctica.

Six cultures of tularemia microbe from fallen and captured live animals were isolated during epizootiological monitoring in the steppe focus in the south-east of the Rostov Region in 2020 against the background of extensive epizootics in the populations of the common vole Microtus arvalis obscurus and the public vole Microtus socialis.The aim of the work was to develop an SNP-typing scheme and to conduct a comparative study of the phylogenetic relations between Francisella tularensis strains isolated in the Rostov Region (2020) and strains from other regions.Materials and methods. Genome-wide sequencing was performed on the MiSeq Illumina platform. The author’s software GeneExpert, PrimerM and VirtualPCR, written in the Java programming language, were used for the analysis.Results and discussion. The strains of tularemia agent, isolated on the territory of the Rostov Region in 2020, can be allocated to two different clusters. It is established that two strains of tularemia pathogen (F0884 and F0889) isolated in Turkey are genetically close to some isolates circulating in the Rostov Region. A unique INDEL marker characteristic of this group of strains has been identified. The comparison of our proposed typing scheme with the scheme of “canonical” SNPs has showed a fairly good consistency and convergence of results within large clusters, meanwhile using a set of 6626 SNPs allows for differentiating the strains within one canSNP type. It is revealed that the vaccine strain has a common canSNP type with clinical and natural strains. A set of SNP markers has been selected for comparative analysis. A new INDEL marker that enables intraspecific typing of F. tularensis has been discovered and the possibility of its application in vitro and in silico has been comfirmed.

Background. Helicobacter pylori-associated chronic gastritis (CG), being a very heterogeneous group, still does not have a divisin based on Helicobacter pylori (Hp) genotyping data, which could predict the clinical form of CG.The aim of the study is to search for the prevalence of the cagA gene or any allelic combination of the vacA gene, or stable combinations of cagA and any allelic combination of vacA genes in Hp isolates from patients with mild and severe CG, as well as patients with peptic ulcer disease (PUD).Methods. Hp isolates from gastrobiopsy specimens were genotyped for cagA and vacA allelic combinations (s1m1, s2m1, s1m2, s2m2). The difference in the occurrence of vacA allelic combinations was assessed by Mann–Whitney U test; the conjunction of cagA and vacA allelic combinations was assessed by the Spearman's rank correlation coefficient (rs).Results. The cagA gene was found in more than half of all cases, both in patients with ulcer and in patients with CG (mild and severe). The incidence of vacAs1m1 (the most virulent allelic combination) showed no significant differences in all forms of gastritis and in PUD; the correlation between cagA and vacAs1m1 was significant in all groups of patients, rs ranged from 0.57 to 0.72. In patients with mild CG, an abundance of non-virulent allelic combination vacAs2m2 was observed, which was significantly different from its occurrence both in patients with severe CG and in patients with ulcer; the joint occurrence of vacAs2m2 and cagA in patients with mild CG was chaotic (rs=-0.13; P=0.40).Conclusion. In mild CG, despite the absence of significant differences in cagA and vacAs1m1 (when compared with severe CG and ulcer disease), strains with a non-virulent allelic combination vacAs2m2 were significantly dominant; therefore, the detection of this particular allelic combination of vacA speaks in favor of a mild course of CG.

Objective of the study was to investigate biological properties and genetic characteristics of tularemia agent strains isolated from natural foci of the Rostov Region in 2020.Materials and methods. Field material from natural foci of the Rostov Region was examined by serological, bacteriological, biological, and molecular-genetic methods. Cultural-morphological, biochemical, antigenic and pathogenic properties of isolated cultures were studied. Protein profles were obtained through MALDI-TOF MS using mass spectrometer Autoflex speed III Bruker Daltonics and Flex Control of Biotyper software. The genetic characteristics of the strains were determined by VNTR and INDEL typing and SNP analysis.Results and discussion. Six strains of tularemia pathogen were isolated from mouse-like rodents using biological method. The investigation of their biological features and data of PCR analysis and INDEL typing with canonical markers showed that all strains are typical representatives of the Francisella tularensis subsp. holarctica biovar EryR. VNTR typing by six genetic loci revealed that all strains belong to four individual genotypes. The strain isolated in 2020 in the Salsky district was identical to the strain which was isolated in the same area in 1989. Based on the whole genome sequencing of two strains, we established that they are closest to the cultures isolated in Turkey (2009, 2012) and Khanty-Mansiysk (2013) by the studied set of SNP markers. Thus, we found that both identical (or closely related) clones of the tularemia agent and new strains with unique genotypes which previously were not described for the Rostov Region can circulate in natural foci of this region for a long period of time.

Relevance. If we reduce the treatment exclusively to the eradication of Helicobacter pylori (Hp), the question of monitoring the results of anti-Hp therapy is controversial, given the widely known data on the detection of Hp, including virulent strains of Hp, in most healthy individuals.The aim of the study: to track the dynamics of stomach colonization with various Hp strains in patients with gastric ulcer and duodenal ulcer (PUD) immediately after the use of standard three-component anti-Hp therapy (AHT) and 1.5–2 months after AHT.Methods. Genotyping of Hp strains was carried out by the VNTR method together with the determination of the cagA gene.Results. Assessment of the results of AHT in the form of «eradication of Hp — re-detection of Hp» (i. e., without taking the determination of Hp strains into account) showed less reliability in the differences than the «eradication — preservation of the strain or change of the strain» score in patients with PUD; in addition, the differences between the initial bacteriological picture and that observed immediately after AHT were on the verge of reliability, while the differences between the initial bacteriological picture and that observed after 1.5–2 months had a high degree of reliability. The number of eradications increased (eradication achieved immediately after AHT was not preserved, except for one) and the number of cagA-containing strains decreased (due to new eradication detected at late follow-up periods and due to a change in strains) in long-term follow-up in patients with PUD.Conclusion. Since all patients with PUD achieved clinical remission, which lasted for the next 1.5–2 months, the success of AHT should not be unambiguously associated with the eradication of Hp; the restoration of the organism's colonization resistance to Hp after a course of therapy is more likely.

Objective: to study the infection of the adult and children’s population of the Rostov and Astrakhan regions by the bacteria Helicobacter pylori, to determine the frequency of H. pylori pathogenicity factors in different age groups of the population.Materials and methods: 118 adults and 112 children were examined. Te presence of H. pylori DNA and the pathogenicity factors of CagA and VacA in the biopsy material of the mucous membrane of the antrum of the stomach was determined by PCR.Results: a signifcantly smaller percentage of H. pylori–positive patients is characteristic of the child population. Te prevalent H. pylori genotype in the infant population is the avirulent genotype Vac s2m2 (60%) (χ2: p

Different groups of non-steroidal anti-inflammatory remedies are analyzed in respect of its efficacy and safety. The information concerning gastric and intestinal sequelae is presented. The approaches in treatment of NSAI-gastropathy are shown in dependence of Helicobacter pylori involvement into the affection.

Creation of new liquid crystal displays and their adaptation for different external environments are impossible without correct diagnosing of wide range of electro-optical effects inherent to nematic, smectic and cholesteric liquid crystal materials. The modern universal display measuring complexes allow to solve this problem. Among different display measuring complexes those are wide used in the world for scientific centers and enterprises in Russia, Belorussia and Ukraine the complex CM-100, which has been developed in Institute of Semiconductor Phisics of NAS of Ukraine, is the most suitable.

Background. Francisella tularensis, the etiological agent of tularemia, belongs to the facultative intracellular pathogens that cause severe disease in humans and man species of animals, and is a category A bioterrorism agent. Currently, F. tularensis is divided into four subspecies: F. tularensis subsp. tularensis (nearctica), F. tularensis subsp. holarctica, F. tularensis subsp. mediasiatica, F. tularensis subsp novicida, which differ in their pathogenicity and geographical distribution. Historically, this division was due to the different distribution area of strains, their differences in biochemical activity and pathogenicity for different hosts. The biochemical identification of subspecies is very laborious and requires work with live cultures of the microorganism, which determines the need to develop new molecular genetic approaches for genotyping F. tularensis strains.The aim of this study is to develop a method for differentiating subspecies and individual groups of F. tularensis based on INDEL typing. Research objectives: creation of a local database of nucleotide sequences of F. tularensis strains of different subspecies, search for INDEL markers that are significant for the differentiation of subspecies of the causative agent of tularemia, designing primers for the detection of INDEL markers using PCR, optimization of the set of INDEL markers and elucidation of phylogenetic relationships between the studied strains based on the proposed INDEL typing method.Materials and methods. The local database of nucleotide sequences of F. tularensis strains of different subspecies for comparative analysis of F. tularensis genomes presented in the GenBank database was created using the author's software. Detection of INDEL markers in the genomes of strains of the local database was carried out using the GeneExpert program. Primer design and in silico PCR were performed using the Primer3Plus software and the proprietary VirtualPCR software. Cluster analysis and construction of a phylogenetic tree were performed using the GrapeTree program.Results and discussion. The implementation of the proposed five INDEL markers for genotyping of 29 studied strains of different subspecies from the GenBank database made it possible to detect 9 individual genotypes with a high diversity index (DI = 0.85). Not only the corresponding division of the tularensis, holarctica, mediasiatica, and novicida subspecies into different clusters was noted, but also the intraspecific division into groups of strains was observed. Differentiation of F. tularensis subspecies was confirmed in vitro for the collection of strains of different subspecies of the Collection of Living Cultures of the Rostov-on-Don Plague Control Researsh Institute.Conclusion. For the first time, the F. tularensis subspecies differentiation system based on the INDEL typing method has been developed, which allows in vitro identification of both F. tularensis subspecies (tularensis, holarctica, mediasiatica and novicida) and groups of strains within subspecies without the need for strain sequencing. The method is protected by a patent. The topology of the INDEL phylogenetic tree of genotypes of F. tularensis strains correlates with the patterns of evolution of the tularemia microbe presented earlier. The proposed method can be used for combined typing of F. tularensis strains together with MLVA or SNP typing

Aim. Study N-acetyl-β-D-glucosaminidase (chitobiase) (EC 3.2.1.30) in strains of Vibrio cholerae of O1/non-O1 serogroups of various origin, that is a component of chitinolytic complex taking into account object of isolation and epidemiologic significance of strains. Materials and methods. Cultures of V.cholerae O1/non-O1 serogroup strains were obtained from the museum of live culture of Rostov RIPC. Enzymatic activity analysis was carried out in Hitachi F-2500 fluorescent spectrophotometer using FL Solutions licensed software. NCBI databases were used during enzyme characteristics. Results. N-acetyl-β-D-glucosaminidase in V.cholerae O1/non-O1 serogroup strains was detected, purified by column chromatography, studied and characterized by a number of physical-chemical and biological properties. Comparative computer analysis of amino acid sequence of N-acetyl-β-D-glucosaminidases of V.cholerae (VC2217 gene), Serratia marcescens etc. has allowed to attribute the enzyme from V.cholerae to glycosyl-hydrolases (chi-tobiases) of family 20 and classify it according to enzyme nomenclature as EC 3.2.1.30. Conclusion. N-acetyl-β-D-glucosaminidase in V.cholerae of O1/non-O1 serogroups of various origin and epidemiologic significance, participating in chitin utilization was studied and characterized for the first time, and its possible role in biology of cholera causative agent was shown.