Issue №6-10, 2020

Clinical case

https://doi.org/10.38025/2078-1962-2020-100-6-130-137

The Use of Low-Frequency Ultrasonic Cavitation as an Alternative Method for the Treatment of Cervico-Vaginal Antibiotic-Resistant Mixed Infections

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1 ORCIDKotenko N.V., 1 ORCIDBorisevich O.O.

1 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation


ABSTRACT

In the practice of a modern gynecologist, the problem of cervico-vaginal infections remains one of the most urgent. A causal relationshipbetween the inflammatory process of the mucous membranes of the vagina and cervix and a possible unfavorable outcome in theform of a violation of the biocenosis of the vaginal environment has been clinically confirmed. Despite modern diagnostic technologiesand the adopted tactics of two-stage treatment of cervico-vaginal infections, the cases of relapses is high. As a result, the chronic inflammatory process of the lower tract of the urogenital system negatively affects the reproductive health of the woman and the courseof the pregnancy onset on the background of immunopathological disorders. Bacterial vaginosis, nonspecific or aerobic vaginitis, candidalvaginitis are often specific pathological processes that manifests on the background of an existing asymptomatic infectious disease.The article discusses topical issues of diagnosis, treatment and prevention of mixed infections of the female reproductive system,and also highlights the topic of antibiotic resistance as a significant obstacle to the effective treatment of patients with infection of theurogenital tract. Possibilities and perspectives of using alternative methods of treating cervico-vaginal infections in outpatient gynecologicalpractice are highlighted. The key points of application and beneficial effects of ultrasound therapy on the body are considered.The purpose of describing a clinical case is to make a decision on the development of a project of a scientific and clinical study witha high degree of evidence, to create a working model for alternative method of physical medicine effectiveness assessment in gynecologicalpractice on the example of the use of low-frequency ultrasonic cavitation with antiseptic solutions followed by the use of alyophilized culture of lactobacilli. The use of ultrasonic cavitation in clinical practice as an effective alternative method for treating infectionsof the urogenital tract in women is clearly demonstrated. The clinical effectiveness of the applied method was evaluated, thedesired results were obtained in the form of a long-term relapse-free period and restoration of the normal vaginal biocenosis.


KEYWORDS: antibiotic resistance, mixed infections, low-frequency ultrasonic cavitation, alternative treatment

For citation: Kotenko N.V., Borisevich O.O. The Use of Low-Frequency Ultrasonic Cavitation as an Alternative Method for the Treatment of Cervico- Vaginal Antibiotic-Resistant Mixed Infections. Bulletin of Rehabilitation Medicine. 2020; 6 (100): 130–137. https://doi.org/10.38025/2078-1962-2020-100-6-130-137



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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.