The external treatment of seborrheic dermatitis of the scalp depends on the withdrawal of clinical symptoms and the complaints the patient made to the doctor. At present Ukrainian dermatology has several dozen pharmacotherapeutic products in this direction, with dominating medicines of ketoconazole, zinc pyrition, and their combinations. They are characterized by the short-term or weak effect, associated with the pathogenic microorganisms’ resistance against the background of long-term use of biologically active substances which are their active parts. One way to solve the problem is using the drugs with new highly active pharmaceutical ingredients. Employees of the Department of Technology of Medications of the Zaporizhzhia State Medical University proposed the composition of a new applicate semisolid dosage form of pirocton olamine based on complex physical-chemical, pharmacotechnological, biopharmaceutical, and rheological investigations – topical ointment on the hydrophilic base in combination with resin-free naphthalene for external use in the complex etiotropic treatment of seborrheic dermatitis of the scalp. The aim of this work is to study the specific activity of the combined ointment with pirocton olamine and resin-free naphthalene on a hydrophilic vehicle. Materials and methods. As the object of preclinical studies used experimental ointment containing 1 % piroctone olamine and 5 % resin-free naphthalene on the base of sodium carboxymethylcellulose glycerogel, providing optimum release of active pharmaceutical ingredients from the vehicle, and appropriate placebo semisolid dosage form. The study of the specific activity of the developed ointment under the conditional name “Oktonaf” was carried out by evaluating its antimicrobial, anti-inflammatory, and antioxidant effects given the foreseeable therapeutic focus and the literature on the spectrum of biological activity of active substances. The anti-inflammatory and antioxidant action of the proposed composition was evaluated by the allergic contact dermatitis model. As a reference drug cream “Psoricap” (KMP, Ukraine), which has long been applied in dermatological practice was used. Results of comparative microbiological studies proved that composite anti-seborrheic ointment with piroctone olamine and resin-free naphthalene by the antibacterial effect in relation to the size of the growth delay zones for Staphylococcus aureus and Escherichia coli (gram-positive and gram-negative microorganisms) slightly exceeds the effective dermatological medication reference cream “Psoricap”. At the same time, the antimycotic activity of experimental ointment in relation to Candida albicans practically does not differ from the same reference drug. A study of antioxidant and anti-inflammatory activity of the developed piroctone olamine ointment on a hydrophilic basis using the model of allergic contact dermatitis revealed that its level reliably was exceed the efficacy of topical reference medication “Psoricap”. Conclusions. Obtained data of a spectrum of specific activity of a combined ointment with piroctone olamine and resin-free naphthalene can predict the high clinical value of the proposed drug for practical domestic dermatology.
In 2017–2019 in Ukraine, including the Zaporizhzhia region, a strong rise in the incidence of measles was recorded. A retrospective analysis of the incidence in the Zaporizhzhia region during this outbreak allows us to identify the main problems in the system of epidemiological surveillance to predict future possible consequences. The aim of the work is to perform a comparative analysis of measles incidence in the Zaporizhzhia region with the data obtained in the period from 2015 to 2020 according to the epidemiological criteria. Materials and methods. The annual reports of 2015–2020 provided by the Department of Epidemiological Research of the Zaporizhzhia Regional Laboratory Center of the Ministry of Health of Ukraine were used as materials for the retrospective epidemiological analysis of measles incidence in Zaporizhzhia region. Statistical analysis of the data was carried out according to epidemiological characteristics: age distribution, the residence of patients in urban or rural areas. Commonly used statistical methods used in medicine were used to evaluate the obtained results. Results. It is concluded that in the Zaporizhzhia region during 2015 only 2 cases of measles were detected for children, and in 2016 no measles were registered in the region at all. In 2017–2019 1.433 measles patients were identified in the Zaporizhzhia region, of which 68 % were adults and 32 % were children. The lowest detection rate of measles was registered among rural residents. Insufficient vaccination coverage of the population has become a significant reason for the spread of measles among residents of the Zaporizhzhia region. In 2020 no cases of measles have been registered in the Zaporizhzhia region. Conclusions. The prevalence of incidence rate among adults attests to the fact that today measles can not be considered only a childhood disease. The deficiency of an immune layer, both among adults and children, contributed to the rapid spread of the disease. Mandatory vaccination of children and the introduction of additional vaccination of adults, optimizing the system of epidemiological surveillance for measles, including continuous monitoring of vaccination, is the main mechanism for combating this disease.
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