THE VARIANTS OF CHLAMYDIA INFECTION IN THE PRACTICE OF DOCTORS OF DIFFERENT SPECIALTIES

Abstract

The urgency of the chlamydiaes problem is extremely high today due to the widespread of the disease and the clinical manifestations diversity. Chlamydia causes polysystem and multiorgan lesions, which are reflected in the corresponding diagnoses. According to its clinical and epidemiological characteristics, the problem of chlamydia is located in the zone of occupational interests of infectious disease, urologists, ophthalmologists, gynecologists, and rheumatologists, as well as the lack of knowledge about them (especially with regard to atypical forms), not only the primary care physicians, but also specialists of other specialties, leads until untimely diagnosis and verification of the diagnosis and the lack of adequate treatment. The problem of chlamydia today remains extremely relevant, many questions regarding the etiology, pathogenesis, clinical symptoms and treatment of this disease are underdeveloped and require further research.

The aim of our study was to investigate the incidence of atypical forms of chlamydia in patients who seek medical doctors of various specialties.

Material and Methods. We examined 17 patients with Reuters Chlamydial Genesis syndrome. The main method for verifying the diagnosis was ELISA for the detection of specific Ig M and Ig G. Male were 15, female – 2, which coincides with the literature.

Patients who were included in the study with complaints turned to various specialists (rheumatologist, infectious disease, urologist, gynecologist, ophthalmologist and family doctor). Often, urethritis, dysuric disorders, reagent arthritis, keratoconjunctivitis, uveitis, and keratitis were diagnosed. However, Reiter's syndrome at the first consultation was presented to only 5 patients (29.41 %), indicating low alertness for this disease and the choice of false treatment tactics that does not take into account the etiological root cause of this syndrome. Reiter's syndrome at the second treatment was detected in 7 patients (41.78 %). The rest of the patients (29.41 %) were exposed only after consulting with related specialists.

Conclusions. Reiter's syndrom today is a common disease that occurs in the practice of various specialists. This syndrome requires further study to facilitate verification of the diagnosis and the choice of the correct treatment tactics that takes into account the etiological cause of the development of this disease and the sensitivity of the pathogen to modern antibacterial agents, which will be the purpose of our further research.