SCIENTIFIC-PRACTICAL JOURNAL

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No1(2) 2019

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DOI 10.37219/2528-8253-2019-1-26

Melnikov OF, Rylska ОG, Shmatko VI, Timchenko МD, Bil BN, Faraon IV, Prylutska OD, Zayats ТА
Effect of esberitox phytopreparation on factors of local immunity of the oral cavity 
Melnikov Oleg F.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine. Head of the Laboratory of Pathophysiology and Immunology (with a group of pathomorphology), Doctor of Medical Sciences, Professor
E-mail: elenamelnykova@gmail.com

Rylska Oksana G.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine. Senior Researcher at the Department of In-flammatory Diseases of ENT Organs, Candidate of Medical Sciences.
Email: oxanar@ua.fm

Shmatko Vladimir
Bogomolets National Medical University, child therapeutic dentistry and prevention of dental diseases, the Candidate of Medical Sciences, Assistant Professor, responsible for medical advisory work at the Department, rating evaluation of students on the Department.
E-mail: kancnmu@gmail.com
Orcid: http://orcid.org/0000-0001-5402-1905

Timchenko Мarina D.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine. Senior Researcher, Laboratory of Pathophysi-ology and Immunology (with a group of pathomorphology), candidate of biological sciences.
E-mail: svtim@i.ua

Bil Bogdan N.
Chief otolaryngologist in Kiev, head of the State Research Center for Endoscopic Rhinolaryngology and the City Phoniatric Center, head of the department of otolaryngology of the Kiev City Clinical Hospital No. 9, candidate of medical sciences, associate professor of the Department of Otolaryngology of the Shupik National Medical Academy of Postgraduate Education.
Email: bohdanbill@gmail.com

Faraon Inna V.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine, Junior Researcher, Laboratory of Pathophysiology and Immunology (with a group of pathomorphology).
E-mail: amtc@kndio.kiev.ua

Zayac Tatiana A.
State Institution “Institute of otolaryngology named after Prof. O.S. Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv, Ukraine, Researcher, Laboratory of Pathophysiology and Immunology (with a group of pathomorphology).
E-mail: amtc@kndio.kiev.ua

Abstract

Introduction: Among a large number of immunomodulation agents, a special role belongs to herbal medicines. They differ in relative harmlessness and high efficiency, both with system and local use. Clinical and immunological efficacy of Esberitox phytopreparation (Schaper&Brummer, Germany) in a number of diseases of viral and microbial origin has been shown. This report presents data on the effect of Esberitox on the factors of local immunity of the oral cavity in patients with chronic pharyngitis, tonsillitis and periodontitis with systemic use of Esberitox in monotherapy.
Methods: The oropharyngeal secret of 10 patients with chronic tonsillitis (CT), 11 patients with chronic pharyngitis (CP), (all patients after tonsillectomy), 10 patients with chronic periodontitis was investigated. Patients were given monotherapy with «Esberitox» for 10 days (CP), according to the manufacturer's instructions for use of the drug. In addition, 9 practically healthy persons (K) of the same age (18-50 years) were examined. The ELISA method was used to determine the class A immunoglobulins (secretory and monomeric), IgG, α-interferon, interleukin-1β, levels of immune complexes. Statistics: Mann-Whitney U-test.
Results: Studies have shown that in patients with chronic inflammatory diseases of the oral cavity there is a decrease in the protective factors of local immunity – the level of secretory IgA, antiviral factor – α-interferon and an increase in the level of pro-inflammatory cytokine – interleukin-1β, monomeric form of IgA and the number of immune complexes. The use of «Esberitox» as a monotherapy was accompanied by an increase in the concentration of class A secretory immunoglobulin, the  «normalization» of the α-interferon content (increase in concentration) and interleukin-1β (decrease in content).
Conclusion: The resulting positive effects from the use of esberitox allow us to recommend the drug as part of the complex therapy of chronic diseases of the oropharynx, and in the form of monotherapy.

Keywords

 tonsillitis, periodontitis, pharyngitis, local immunity, oropharyngeal secret, esberitox.


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