AHMvlTl4'{ECKl',lE ]',iAuArHOcrl4qEcKl4E 14HCTPyKql49 Ane ,"ry"orporr"rorpaQravecxoro BbteBieHhn r Mycobacterium Tuberculosis (MT) ""rri"r, qenuxoi xpoar B CbtBopoTKe (nnaarrae) no npxMeHeHnrc (Ha6opa peareHroB 14 (hrurrlyxoXporrl-anru-MT'Sxcnpecc)D XAPAKTEPI4GTHKI'| Onoct,tenbHas qyBcrBllTenbHocrb onpeAeneHufl 83,0%' orHocureflbHat cneqrQnvrocru - 98,9% no ornouLernp x 6arrepuonofhgecKuM MeToAaM uccfleAoBaHil9. BpeunnpoeegenntaHan[3a-10r,'unyr. I Ha6op lzhar,ryroXpou-amrl-MT-Sxcnpecc pa3peueH K npou3BOACTBy, npoAaxe I nphMeHeHIto la reppuropnr PO ' unu 20 Kaxautl4 sa6op npeAsaaxa'{eH Afle npoBeAeHue onpegeneutt Haflt4tlue aHT[ren r MT e csteoporxe (nnasn're) n qenutofr rPoeu qefloBeKa. HA3HAt{EH1,lE MEPbI nPEgocroPoxHocTl4 Ha6op 14rrlrrlynoXpotu-atrr-MT-Sxcnpecc npeAHa3Ha'{eH Anr In vitro ogtosrannoro 6utcrporo xalecrBeHHol'o Bbl9BneHh9 aHTuren lgG, lgM r,r lgA xnaccoa k Mycobacterium Tuberculosis (MT) qenbHol4 KpoBil qefloBeKa MeroAoM B cbrBoporKe (nnasrrle) 14MMyHOXpOMaTOf paQuqecK0ro a$an[34. [ c Pesynurar, nonyveuuti lz1 u r.l4cflon$osaHneM Haoopa ruyroXpotrl-amu-MT-Sxcnpecc, He AonxeH paccMarphBarb- KaK eAIHcrBeHtutr,l rpurepni a gnarlocrnxe ry6epKyne3a, a pe3yflbraAonxer 6utrs uHTepnpeTilpoBaH B coBoKynHocrl4 c cs florerquanutulil pt4cK nphMeHeH[9 - rnacc 2a. Ha6op 14 urvrynoXpotrl-asru-MT-3xc+pece-Fpeft€$lar+eH ToFbro !ns in vitro AuarHocrl4Kt4. Bce xorltnotestut Habopa g flcnorb3yeMblx KoHqeHTpaq[nx sBnFlorcfl HeroKct4tlHbtMl4 CocraanRoque nonocKh hMMyHoxpoMarorpaQuqecxofi ue copepxar MhKo6afiepuh ry6epxyre3a tlfl[ 14x Ko[4noHeHTbl, Moryqile npheecrr r ul$uqupoeanno. flpu pa6ore c ra6opotu cnegyer co6rrcgaru "flpaeuna ycrpotacrBa, rexHIKtt 6egonacHocru, npon3BoAcrBeHHo n ca+Vr apt4v" [t pexilMa il fltl'lHol4 il4r[eHbl np[ pa6ore s na6oparopunx (or4enelnnx, orgenax) caHhrapHognugerruottot'l4qecxrx yvpe4qeluta cilcreMbl Murncrepcraa llpr,rxqr,tn Aeficreuq. Ha6op ocloean Ha np[Hqhne uMMyH0xpouarorpaQr,tvecKoro aHanh3a. 14cnstryeustt,t o6paseq ecacutBaeTcg BnuTblBapquM yqacTKoM tlMMyH0xp0MaTorpaQfiqe- 3ApaBooxpaHeHun CCCP" (M., 1981 r ) flpr,t pa6ore c ta6opolr cneAyer HaAeBarb oAHopa3oBble pe3r4HoBbre [nI nnacr[KoBble nepqarx[, rar xax o6paaqut xpoau cxofi nonocxr, noMeqeHHoh B nflaHUer. qenoBeKa cneAyer paccMaTpuBaTb KaK noTeHqnanbHo t4HQtl- TaMI Apyftlx KnilHuqecKnx uccneAoBaHu14 XAPAKTEPilCTI4 KA 143[En npoTl4BoSn[AeMuqecKoro E4l'|lQllEoe qpq4!1 qqlga[flTb narura uru Apyrue aos6yAnren[ 14 KoHblofhpo- B cnyvae Han[ehfl B o6paaqe anruren x [tl-T, nocne4nnePepeKoM6uHaHTHblMu MT-alrrrelaun, an4pyror BaHHbrMl4 c qacruqa[lu KoJ]norgHofo sonora, o6pasyn c oxpa- rrQexqntl' oSoPyAoBAHl4E uexruti rounrerc. 3tor xounnexc ABrxerce no ueu6pane c OpoHToM xr,rAKocl4 t4 Bcrynaer B peaKqln c tstuu MT-atrnrexanau, utrllao6unn3oBaHHbtMt4 pexou6nuaxr- ' ta ueubpale, o6pasyn nnxuro posoaoro-$noneroBofo qBera B HuxHe14'lacTh recroeola sonrr (T - recr;. . ceKyHAoMep 14 MATEPI4MbI: [nu qacbl; nepqarKh pe3[HoBble [n[ nj]acrrKoBble. AHMl43l4PyEMblE OEPA3qbl qenoBeKa' cblBoporKa (nnasua) KpoBl4 ocranbHbre KoMnoHeHTbr npoAonxaor ABr4farbce no MeM6pa- HereuonuaupoeaHHas l-lenulan xpoau (eeloslar [n[ Kan[nnqpHae)' [o npoae4ere r o$pasyrcr po3oBo-QiloneroByn nhHno e aepxlefi cblBoporKl4 t4uh ,aaroroi sbnur (C - xonrpons) He3aBilct4Mo or npilcyrcrBr4e Hh9 aHartn3a Bo3MoxHo xpaHeH[e oopasqoa +2-8"C 48 '{acoa' ne 6onee re[lneparype npfl KpoBl'4 ntla3Mbl Bu3yanbHo. peaKqflu vacru oqeHilBanT aHTuTen K MT. Pe3ynbTar cocrae . . . . xa6opa: Tecr-nnaHuer B repuernvron ynaroaxe-1 peareHT Ans pa3BeAeH[n - 1 cKaprot4Karop-1 ulr. cn[proBag canQerra - 2 uLr QnaKoH. ur lonycraercn nocraBKa Ha6opa . B l'1uttllynoXporrl-alru-MT- cneAytoqet KoMnneffiaquh: Tecr-nraHuer B repMeruqHoi ynaxoere - 20 . nunerxa - 20 ur. . peareHTAnt pa3BeAeH[n . cxapnQurxaroP - 20 ur. MeHAyercF. 3auopaxnaaure Llensxori xpoau He AonycKaercg. l'lepe4 npo6egenraeM aHanu3a KoMnoHeHTbl xa6opa u uccnegyeuste o6pa3qbt cneAyer BblAepx[Barb flp14 KoMHarHol't uxcrpyxqun-1 ur. 3xcnpecc ilil:l','J.il3i;#'i;JlffiJ5:rl.:lH il:il'3:.i.13. NPOBEAEHI,IE AHAJI143A .nhnerKa-1ur. . npu reo6xo4ur'rocru 6onee AflurenbHoro xpanenr,r (4o 2-3 ur. TeMneparype (+18-25"C) B TeqeHue 5-10 ut'tryr' Bcxpurrs ynaxoexy nnaHUera, pa3pblBae ee BAonb npope3h' [3Bne'{b nnaHUer u norloxl4Tb ero Ha qucryo cyxylo fopl430HTanbHyro n0BepxHocTb. - 1 QnaKoH. Cureoporra . hrI nna3Ma: Bnecru c noMolllblo nunerKu B oKotllxo S (o6paseq) nflaHUera 2 xannr,r (-80 MKn) cblBoporKh (nnaauut). . 9epes 10 M[Hyr Bl43yanbHo oqeHnrb pe3ynbrar. Onru6oqxsri pe3ynbtar. Orcyrcrene {enuxan xposu. . ueTa rlH1414 po3oBo-Q[oneToBoro Brecru c noMorlblo nrnerKu B oKotuKo S (o6paseq) nnaruera 2 xannu (-80 raxn) qenuroi xpoeu. . Kor4a o6paseq enrraerce, go6aaurs 1 xannn (-40 urn) pearerra gne pa3BeAeHne. . C (xonrpons) cBuAerenbcrByer o6 ouu6xe recrupoBaHxe Cnegyer npoeecrn noBTopHoe onpeAeneHle c ucnoflb3oBaHHeM Apyror0 nnaHUeTa. ycnoB[fl KpoB14 HenocpeAcrBeHHo 13 nanbua. . fun nonyvenur xanunnrpxoi xpoau o6pa6orars naneq gesur$r,rqupynqeti canSerxoi I npoKonorb efo cKapuQuKaropoM . flosnqnorupoaaru nporonorutfi cxapn$nxaropotrl S (o6paseq) nnaHUera ynacrb B oKoluKo Korga xpoau KpoBr4 anuraercn,4o6aanru 1 xannn (-80 urn) pealeHTa Me pa3BeAeHug. . XPAHEHl4fl 14 3KCnIyATAUl4l4 Ha6op lrlrr,uaynoXpot'l-arrn-MT-Srcnpecc AonxeH xpaHurbct B ynaKoBKe npeAnpugTxfl-n3roToBl,lTeng npI reMneparype +228'C e reqeHue Bcelo cpoKa foAHocrt4. 3auopaxuaatne ta6opa re gonycxaercn. Cpox rogrocru - 24 uecnqa. naneqraK, qro6st rannn KpoBh HaxoAnnacb HaA oKotllKoM . fiars 2-l,r KannsM TecroBoi 3oHe nnaH- xr,r 9epes 10 MlHyr Bn3yanbHo oqeHurb pesynbrar. llcnonsoogaxlre Kanunnf, pHoi B qBeTa Ha ypoBHe MapKlp0B- 'gr l4sene,reHxurH r43 yflaKoBKt4 nnaHuJer pexoMeHAyercs 3oBarb B TeqeH[e '1 vaca nocne ecrpbtrl4s [cnonb- ynaKoBKt4. lnr nonyvernr HaAexHbrx pe3ynbraroB xeo6xo4ut'lo crporoe co6nrcgerre uHcrpyKqun no npuuetenrrc ta6opa. ulepes 10 MuHyr B[3yanbHo oqeHurb pe3ynbrar. He cnegyer [HTepnperxpoBarb pe3ynbrar no3AHee, qeu ueper 30 unryr. KOHTponb TECT - - - oKolllKo gnn o6paoqa flonoxnenuruti pe3ynbrar Orplqarenuxuttr. Otur6oqrui pe3ynbrar pe3ynbrar flo eonpocan, KacatoquMcfl (a\lecrBa xa6opa pearelroa 14ur,,rynoXpou-aru4/T-3xcnpecc cfleAyer o6paqarscn l,tHTEPnPETAql4t PE3yITbTATOB PerrurparyrperptraroB Bt43yanbHzln. llonoxlrrenuxuri pe3ynbrar. ButqaneHre g tecrosotl gote nraHuJera Ha ypoBHe MapKr4poBoK T (recr) I C (xotlrponu) gayx nrtrt,tr,t posoao-$uoneroeofo qBera cBuAerenbcrByeT o nonoxrTeflbHoM pe3ynbraTe aHan[3a, T.e. yKa3blBaeT Ha To, qro B aHanu3upyeuou o6paoqe npucyrcrBypr amrrena x MT B KOHqeHTpaqUn Bbrue n0poroBor4. Orprqarensxuri pe3ynbrar. BHqeneHue g tectosoil sote nraHurera ronuxo oAroi nuuu poaoeo-$nofleroBolo qBera Ha ypoBHe MapxnpoBxr4 C (xomponu) caugerenscrayer o6 or- pnqareflbHoM pe3ynbraTe aHanu3a, To ecTb yKa3blBaeT Ha T0, qro B x MT aHaflu3r4pyenltou obpaeqe KpoBr4 r(oHqeHTpaq[l aHruren grxe noooroBoro 3HaqeHrg. e OOO IMEI-SKCflPECC-AilA|HOCTI/Kb no a aApecy: 88, xopn. 3, o$ttc 100; 119313, Mocrea, Ilexrrcxutl np., renegor/Qaxc: 8 (499) 138-00-79, (499) 138-19-91, e-mail: med@progbio.ru; info@domtest.su; www.progbio.ru; www. domtest.su, s