CONCLUSIONS

1. Aetiology OSL (groats) is presented now mikst - an infection. The bacteriemic flora is presented by colonisation anaerobov to 50 % of cases of observation, aktinomitsetov in 20 %, other aerobes have made 30 %, of them the originators taped in bacteriological laboratories, have made 15,6 %.

2. The new direction in molecular microbic diagnostics taps mikst-infection presence, disbiozov and inflammatory processes on specific markers (to fat acids, aldehydes and sterolam) by means of hromato-mass spectrometry. At patients OSL (croup) with secondary bacteriemic complications in one experience has shown presence of diverse microorganisms (aerobes, anaeroby, aktinobakterii, mushrooms, viruses) with primary colonisation Streptococcus, Nocardia, Streptomyces and other is conditional-pathogenic flora.

3. Results of data of mass spectrometry of a saliva and blood at patients with OSL (croup) are same on structure that testifies about uniform ekosisteme an organism. For an establishment of an aetiology of disease it is possible to use any accessible material, not resorting to invasive methods of inspection.

4. Absence of staphylococcal enterotoxin (SE) at patients OSL (croup) with secondary bacteriemic complications against treatment by antibacterial preparations testify to inexpediency of carrying out of a similar method of diagnostics for specification of an aetiology of disease, in connection with long process of its allocation and small terms of circulation in medium.

5. Definition SRB and JAII are exact and fast methods for acknowledgement of a bacteriemic aetiology of disease, however in clinical practice "delay" of changes from laboratory methods of research quite often becomes perceptible.

6. At patients OSL (croup) with secondary bacteriemic complications therapy Vobenzimom promotes fever cupping, implication intoksikatsionnogo a syndrome, the phenomena of a laryngitis, a rhinitis, a tonsillitis, a pharyngitis, an otitis for 4th day of reception of a preparation. Therapy by preparation roksigeksal has shown peer and big clinical efficiency in comparison with
Comparison antibiotics that confirms expediency of appointment of these preparations in the report of treatment OSL (groats) with secondary bacteriemic complications.