ETIOLOGICAL STRUCTURE OF INFLAMMATORY DISEASES IN PELVIC ORGANS OF FERTILE WOMEN UNDER CURRENT CONDITIONS
In order to study the qualitative and quantitative composition of the microbiota of the lower genital tract in women with inflammatory diseases of pelvic organs of fertile age, 188 patients have been examined in modern conditions. Depending on the form of inflammatory diseases of the pelvic organs (acute, subacute, chronic), all examined were divided into 3 groups. To clarify the diagnosis, all patients underwent clinical and laboratory and instrumental research. To study the etiological structure of inflammatory diseases of the pelvic organs, PCR analysis, bacterioscopic and bacteriological methods were used. The most frequent associations of pathogenic microorganisms, characteristic for inflammatory diseases of the pelvic organs in modern conditions, were determined. It was established that the majority of the examined patients registered chronic forms of inflammatory diseases of the pelvic organs. The etiological structure of inflammatory diseases of the pelvic organs under current conditions is predominantly mixed, most often (in 92.5% of cases) in chronic forms, there are associations of pathogens, ranging from 3 to 7 microorganisms. Such causative agents of sexually transmitted infections, such as Chlamydia trachomatis, Trihomonas vaginalis, are detected mainly in acute forms of inflammatory diseases of the pelvic organs (41.1% and 29.2%, respectively).