Abstract:
:At present, Helicobacter pylori (Нр) infection is the most common chronic bacterial infection in humans, the pathogen of which colonizes approximately 50% of the world's population. Hp eradication is required to control complications of Hp-related diseases (gastric and duodenal ulcers). Nevertheless, a number of investigations have demonstrated widespread antibacterial therapy inefficiency due to Hp antibiotic resistance and patient non-compliance with treatment regimens. Due to the growing need to elaborate alternative eradication regimens, some researchers have drawn their attention to probiotics and immunomodulators derived from Lactobacillus in particular for eradication therapy in Нp-positive patients to enhance the effect of antibacterial drugs. The review analyzes the results of 10 meta-analyses of randomized clinical trials with a similar design, which were published in 2007 to 2015, and other clinical trials assessing the role of probiotics and probiotic-based immunomodulators as an adjuvant therapy for Hp eradication. The results of the analysis have established that Lactobacillus strain-containing probiotics, both monocomponent probiotics and those as part of multicomponent ones, when used as an adjunct to anti-Hp therapy, significantly increase the level of Нp eradication by 8.1-20.0% (p<0.05; Level of Evidence, 1A; Recommendation Grade A). The use of N-acetylglucosaminyl-N-acetylmuramyl dipeptide (Licopid, a Lactobacillus bulgaricus-based immunomodulator) 0.001 and 0.01 g/day as an adjuvant to first-line triple anti-Hp therapy was shown to increase the level of Hp eradication by 7.1-8.9%. The intake of licopid 0.001 and 0.01 g/day during 7-day triple anti-Hp therapy results in the absence of recurrent Hp infection, as compared with 7- and 14-day treatment protocols without licopid, and leads to a significantly low incidence of Hp reinfection within 2-5 years after successful bacterial eradication, as compared with the 7-day protocol without adjuvant therapy with glucosaminylmuramyl dipeptide (p<0.05). :В настоящее время инфекция, вызываемая Helicobacter pylori, является наиболее распространенной хронической бактериальной инфекцией у человека, возбудитель которой колонизирует приблизительно 50% мирового населения. Эрадикация H. pylori необходима для контроля осложнений заболеваний, ассоциированных с инфекцией H. pylori (язва желудка и двенадцатиперстной кишки). Тем не менее из-за резистентности H. pylori к антибиотикам и несоблюдения пациентами схем лечения ряд исследований показали широкомасштабную неэффективность антибактериальной терапии. В связи с растущей необходимостью в разработке альтернативных решений схем эрадикации некоторые исследователи стали обращать внимание на пробиотики и иммуномодуляторы, полученные, в частности из Lactobacillus, при проведении эрадикационной терапии у позитивных по Н. pylori пациентов для усиления эффекта антибактериальных лекарственных средств. В обзоре проведен анализ результатов 10 метаанализов рандомизированных клинических исследований со сходной структурой, опубликованных с 2007 по 2015 г., и других клинических исследований по оценке роли пробиотиков и иммуномодуляторов на их основе в качестве адъювантной терапии при проведении эрадикации H. pylori. По результатам анализа установлено, что пробиотики, содержащие штаммы Lactobacillus, как монокомпонентные, так и входящие с состав многокомпонентных пробиотиков, при использовании в качестве вспомогательного средства при проведении антихеликобактерной терапии, достоверно повышают уровень эрадикации Н. pylori на 8,1-20% (р<0,05; уровень доказательности 1а; класс рекомендаций А). Использование N-ацетилглюкозаминил-N-ацетилмурамил-дипептида (ликопид, иммуномодулятор на основе Lactobacillus bulgaricus) 0,001 и 0,01 г/сут в качестве адъювантной терапии при проведении трехкомпонентной антихеликобактерной терапии первого ряда, повышает уровень эрадикации H. pylori на 7,1-8,9%. Прием ликопида 0,001 и 0,01 г/сут при проведении 7-дневной трехкомпонентной антихеликобактерной терапии приводит к отсутствию рецидива инфекции H. pylori по сравнению с 7- и 14-дневными протоколами лечения без ликопида, а также к достоверно (р<0,05) низкой частоте реинфекции H. pylori в течение 2-5 лет после успешной эрадикации бактерии по сравнению с 7-дневным протоколом без адъювантной терапии глюкозаминилмурамилдипептидом.
journal_name
Ter Arkhjournal_title
Terapevticheskii arkhivauthors
Konorev MR,Andronova TM,Matveenko MEdoi
10.17116/terarkh20168812140-148subject
Has Abstractpub_date
2016-01-01 00:00:00pages
140-148issue
12eissn
0040-3660issn
2309-5342journal_volume
88pub_type
杂志文章,评审abstract:AIM:To study velocity characteristics of changes in the levels of insulin, glucagon and C-peptide in the course of the intravenous glucose tolerance test (IGTT). MATERIAL AND METHODS:Glucose, insulin, glucagon and peptide levels were measured in the course of IGTT performed in 50 patients with coronary atherosclerosis...
journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract:AIM:Detection of viral hepatitides markers in patients with alcoholic damage to the liver. MATERIALS AND METHODS:Virological, immunological and histochemical tests were performed in 36 chronic alcoholics who had enlarged liver and/or abnormal hepatic characteristics. RESULTS:60% of the examinees carried chronic HBV, ...
journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
abstract::The authors observed 19 patients with paroxysmal atrial fibrillation (AF) and compensatory intracardiac hemodynamics accounting for 10% of all their examinees with AF. Following the retaining of sinus rhythm with the help of lanicor, nitrosorbide and lasix patients of group 1 exhibited increased Vs, Vd, Vcf, EF agains...
journal_title:Terapevticheskii arkhiv
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更新日期:1995-01-01 00:00:00
abstract:AIM:To ascertain regularities of development of cellular immunity in patients with Astrakhan fever (AF) with reference to AF severity, treatment and course. MATERIAL AND METHODS:Cellular factors of immunity--relative and absolute contents of T-lymphocytes (early and late), T-helpers and T-suppressors, B-lymphocytes, n...
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abstract::The lecture is devoted to the analysis of the state-of-the-art of the impact of genetic diversity of human immunodeficiency (HIV) viruses on the pattern of infection and the efficiency of antiretroviral therapy (ART). It provides brief information on the origin and evolution of HIV and on the current classification of...
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abstract::The paper analyzes an evidence base for the pharmacotherapy of irritable bowel syndrome (IBS) A large number of randomized placebo-controlled trials (RPCTs) systematized in a number of meta-analyses suggest that monotherapy regimens with spasmolytics, antidepressants, dietary fibers, polyethylene glycol, rifaximin, pr...
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abstract:AIM:The primary objective of this study was to describe clinical, virusological and immunological characteristics of hospitalised HIV-infected patients, who had different stages of the disease. MATERIALS AND METHODS:This study was conducted at Moscow Infectious Diseases Hospital №2 in 2012-2015. We have clinically obs...
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
abstract::Hemodynamic studies in 226 patients with erysipelas of the lower limbs with employment of tetrapolar rheography revealed a marked reduction in the intensity of regional blood flow correlated with the disease severity. Circulation recovery in the affected limb takes place as late as 3 months after the discharge from ho...
journal_title:Terapevticheskii arkhiv
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更新日期:1993-01-01 00:00:00
abstract:AIM:To evaluate 24-hour dynamics of the arterial stiffness main indicators in patients with bronchial asthma of various severity and control. MATERIALS AND METHODS:The study included 119 patients with bronchial asthma, who formed main groups: the first group 48 patients with mild and moderate asthma, the second 71 pat...
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doi:10.26442/00403660.2020.03.000438
更新日期:2020-04-27 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
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doi:
更新日期:2009-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
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doi:
更新日期:2003-01-01 00:00:00
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doi:10.26442/terarkh201890874-80
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journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::A total of 260 patients aged 15 to 57 years with virus hepatitis A were examined over time for some indicators of humoral and cellular immunity (serum IgA, IgM, IgG, the phagocytic number and indicator of the completeness of neutrophil phagocytosis, cytochemical content of ribonucleic and deoxyribonucleic acids in blo...
journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
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abstract:AIM:To study dynamics of transmitral circulation (TMC) during a hemodialysis (HD) session in patients with chronic renal failure (CRF) regarding structural-functional alterations of the heart and baseline condition of the diastolic function of left ventricular (LV) myocardium. MATERIAL AND METHODS:Sixty one patients (...
journal_title:Terapevticheskii arkhiv
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doi:
更新日期:2006-01-01 00:00:00
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更新日期:2004-01-01 00:00:00
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journal_title:Terapevticheskii arkhiv
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更新日期:2000-01-01 00:00:00
abstract:AIM:To study factors of anemia pathogenesis in patients with ulcerative colitis (UC) and Crohn's disease (CD). MATERIAL AND METHODS:A total of 80 patients (56% males and 44% females, mean age 39 +/- 15.8 years) with UC and CD were divided into two groups: group 1--40 patients with anemia, group 2--40 controls free of ...
journal_title:Terapevticheskii arkhiv
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doi:
更新日期:2012-01-01 00:00:00
abstract:AIM:To achieve a maximal complete remission rate in patients with recurrent and refractory Hodgkin's disease. To find out a group of patients in whom surgical removal of the residual mediastinal mass would be most effective. MATERIAL AND METHODS:46 patients with Hodgkin's disease received Dexa-BEAM chemotherapy follow...
journal_title:Terapevticheskii arkhiv
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更新日期:2000-01-01 00:00:00
abstract:AIM:To characterize the spectrum, incidence rate and features of pulmonary pathology in HIV-infected inpatients with reference to a fall in the count of CD4-lymphocytes. MATERIAL AND METHODS:A total of 2370 patients with HIV infection admitted to Moscow infectious hospital N 2 were examined. The protocol of examinatio...
journal_title:Terapevticheskii arkhiv
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doi:
更新日期:2007-01-01 00:00:00
abstract:AIM:To compare efficacy and tolerability of combined therapy with methotrexate (MTX), sulfasalazine (SSZ) and hydroxychloroquine (HCQ) with MTX-monotherapy in patients with rheumatoid arthritis (RA). MATERIAL AND METHODS:RA patients (n = 60) who had not been treated with the above drugs were randomized (1:1) to receiv...
journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2008-01-01 00:00:00
abstract::Sedacorone (amiodarone) was given to 70 outpatients with coronary heart disease for 1.5-2 years to prevent paroxysms of cardiac arrhythmia after recovery of sinus rhythm. Sedacorone was administered initially in the dose 600 mg/day for 10-12 days, then the dose lowering was adjusted to the tolerance, heart rate and EC...
journal_title:Terapevticheskii arkhiv
pub_type: 临床试验,杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract:AIM:To investigate the clinical features of cystic fibrosis (CF) in adult patients with carbohydrate metabolic disturbances (CMD). MATERIAL AND METHODS:CF was diagnosed on the basis of its clinical picture and a positive sweat test, and/or genetic study. Clinical, anthropometric, functional, microbiological data were ...
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pub_type: 杂志文章,随机对照试验
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更新日期:2013-01-01 00:00:00
abstract:AIM:To examine structural and electrophysiological predictors of the onset and establishment as chronic of cardiac fibrillation (CF). MATERIAL AND METHODS:Echocardiography, transesophageal electrophysiological examination of the heart were performed in 420 cases of paroxysmal cardiac fibrillation (PCF). They were diag...
journal_title:Terapevticheskii arkhiv
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doi:
更新日期:2001-01-01 00:00:00
abstract::Overall 16 patients with chronic renal failure on regular hemodialysis were examined. Of these, 8 received recombinant human erythropoietin (rhERP). A study was made of platelet aggregation and the level of some prostanoids in the blood of these patients. As the time of the treatment with rhERP was increased, the hemo...
journal_title:Terapevticheskii arkhiv
pub_type: 杂志文章
doi:
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