Hello dear readers of the blog site. viral etiology... Its first description was made two millennia ago by the Persian scholar Zakariya ar-Razi.

Before the introduction of measles vaccination and mass vaccination into medical practice (1963), major measles pandemics resumed every two years, claiming up to 2.5 million lives annually.

Measles infection does not affect animals. Develops mainly in children early age, sometimes in adults and adolescents. Back in the late sixties of the last century, scientists found that consequences of measles in unvaccinated patients, are manifested by complications in the form:

1. severe forms of pneumonia;
2. an infectious lesion of the ear structure,
3. progressive brain damage (sclerosing panencephalitis), which can develop even many years after a measles infection.

Measles vaccine is mandatory for children and is indicated for adults

Measles vaccine is the only one effective method prevention of infection dangerous infection.

Due to the high susceptibility of young children to the disease, especially those who are in collectives, measles vaccination is included in the national children vaccination schedule.

Under certain circumstances, this vaccination recommended for adults too:

1. planning to visit regions and countries with registered cases of measles infection;
2. women of reproductive age;
3. educators and healthcare professionals who are at increased risk of infection.

What are the names of the vaccines that are used for inoculation

For vaccinations against measles, a monovalent vaccine and a polyvalent immunobiological preparation are used, which contains antigens of other biological species of microorganisms.

Monovaccine usually used for immunization of adults.

For childhood vaccination, use divaccine, including two types of pathogens - measles and mumps, or combined ( PDA) trivial vaccine with live, weakened strains of measles, mumps and rubella viruses.

In terms of efficiency and safety, they are identical and interchangeable. They can be used both separately and together, without negatively affecting the formation of immune phagocytosis.

When is the measles vaccine given (vaccination schedule)

Routine immunization of children is carried out according to the national immunization schedule. Modern immunobiological drugs are distinguished by good compatibility, therefore measles vaccination is often combined with vaccination against mumps and rubella.

1. The first vaccination for babies is done between a year and 1.5 years.
2. Repeated vaccination - at the age of 6 - is necessary to develop a strong immune defense.

The feasibility of re-vaccination is due to the fact that almost 20% of one-year-old children do not develop immunity to infection after the first vaccination and they are not protected from the disease in any way.

The second vaccination is aimed at forming reliable protection of children from measles before entering school, if immunity has not been formed or it is weak enough.

The minimum allowable interval between vaccinations is 4 years. Vaccination is carried out by subcutaneous injection to the forearm.

Deviation from the schedule vaccinations are possible in the following cases:

1. direct contact with a patient with measles, persons who have not previously had this infection and who have not been vaccinated according to the vaccination schedule;
2. giving birth to a child from a mother who does not have antibodies to infection in the body. To protect the baby from infection, the first vaccination of the child is carried out at 8 months, followed by vaccination according to the schedule.
3. unfavorable epidemiological situation in the region, the baby is vaccinated at six months of age.

The vaccine is given to healthy children. Pre-examined and passed an allergic test for the vaccine.

Children who have had a measles infection do not need vaccination. After illness, they develop lifelong immune phagocytosis (defense) to the virus.

Measles vaccine for adults - at what age and where

It is completely unreasonable that measles is considered a childhood disease.

The infection affects people of any age. In addition, patients in adulthood carry the disease more severely than children with a higher risk of complications.

Adults are especially susceptible to infection:

1. not sick with measles and not vaccinated in childhood;
2. in contact by virtue of professional activity with a large group of people;
3. with a weakened immune system and a lack of retinol and beta-carotene (vitamin "A") in the body, which speaks, first of all, of the paucity of the diet.

Measles vaccine given to adults under the shoulder blade... It is well tolerated and develops protective immunity lasting from 20 to 25 years.

The optimal vaccination age for adults is from 35 to 60 years old... It is believed that, most likely, older people have been exposed to this infection and have a protective immunity to it.

Who is contraindicated in vaccination?

Measles vaccination, despite the need for vaccination, has a number of contraindications.

This could be:

1. individual hypersensitivity of the body with the risk of developing systemic allergic reactions- anaphylaxis, angioedema (Quincke). Including hypersensitivity to aminoglycoside antibiotics, quail or chicken egg white;
2. severe reactions or complications with a previous vaccination;
3. the presence of primary or secondary immunodeficiency states;
4. malignant pathologies of blood and neoplasms;
5. pregnancy.

There are also nuances of vaccination:

1. The non-anaphylactic nature of egg allergy, the presence of contact dermatitis triggered by neomycin (aminoglycoside antibiotics) are not an obstacle to vaccination.
2. The measles vaccine can be given to patients with asymptomatic HIV and AIDS infection.
3. Vaccination is postponed during an exacerbation of a chronic disease clinic until acute processes are stopped.
4. In an acute clinic of intestinal pathologies, not complicated forms of acute respiratory viral infections, vaccination is carried out after the normalization of temperature indicators.

Possible body reactions to measles vaccine

Any immunobiological anti-measles drug, whether imported or domestically produced, contains attenuated live viruses.

Therefore, the measles vaccine is weak reactogenic and, as a rule, is not accompanied by any pathological manifestations. Most vaccinated children, post-vaccination reactions do not appear.

Quite rare possible post-vaccination reactions can manifest itself in the form of an increase in temperature not exceeding 38 C or mild malaise for 2, 3 days.

In babies prone to allergies, on the 4th day after vaccination, small skin rashes may occur, lasting up to 2 weeks. Serious complications are rare.

Conclusion

Parents should remember that the only way prevent a child from getting a dangerous infection - measles vaccination.

Even with infection, the vaccine is able to nullify the possibility of developing various, sometimes fatal complications.

Good luck to you! See you soon on the pages of the blog site

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Measles is a very dangerous and unpredictable disease. It is long-standing - familiar to all inhabitants of the earth for a long time, and even kids know about its existence. It is transmitted both by air and by close contact with the patient. Every year more than 100 thousand people die around the world and the reasons can be different. Some were not vaccinated, and some simply refused to be vaccinated in writing. Therefore, vaccination against this disease for adults and children is the only way to protect the human body from a terrible and unpredictable infection. Many are interested in when the measles vaccine is prescribed for an adult and what contraindications are there?

Currently, measles vaccination shows a high percentage of effectiveness in preventing the disease and the number of deaths has been significantly reduced to 85% worldwide.

The drugs that are used in vaccination produce antibodies against this ailment. They have typical viruses and form resistance human body... All drugs from Russian and foreign manufacturers are of high quality and are recognized by our medicine.

Many people wonder: how many times the measles vaccine is prescribed, contraindications for adults and whether these drugs have a warning. For adults, the scheduled injection occurs twice with an interval of 3 months. That is, if you have already taken the vaccine before, then it is repeated if necessary, but revaccination is not prescribed.

Why measles is dangerous for adults

This disease reduces human immunity and the disease is much more difficult to bear, in comparison with children, and measles vaccination for adults is contraindicated even sometimes. This disease is considered dangerous due to the occurrence of unwanted complications and among them there are:

• Inflammation in the body that is caused by a dangerous measles virus or infectious bacteria;
• Acute bronchitis;
• Otitis;
• Hepatitis;
• Damage to keratitis of the shape of the eyes;
• Pyelonephritis;
• Eustachites, which are severe - this leads to hearing loss or complete loss of your hearing.

Meningoencephalitis is a complication; it overcomes the human nervous system with its virus. Exacerbations are rare, only 0.6% of the total indicators of diseases and, unfortunately, special treatment for this problem no. Measles encephalitis is the leading cause of death in 25% of cases.

Complications can be, but is the vaccination of measles, rubella, mumps dangerous for adults? In some cases, yes, this is evidenced by the presence of contraindications for vaccinations for the entire population of the country, they are prescribed after the tests and the permission of the doctor.

When adults need vaccinations

Within national coverage, routine measles vaccinations are carried out strictly on schedule. Throughout Russia, there is a standard schedule for injections, which indicates exactly how many times they are performed by specialists and when the procedure is performed for adults.

An injection is not paid for when there is an order for vaccination against measles, they receive until the age of 35 - these are people who did not get sick, did not take it before, or did not have the necessary information about vaccinations and their need.

All people who have come into close contact with measles patients, regardless of age category, receive vaccinations without payment, but if they have not previously tolerated the disease and did not receive a timely injection. For everyone else, drugs for this ailment are paid.

Contraindications to vaccination for children and adults

Young children are not given vaccinations when:

• Acute infection or worsening of chronic ailments (you should not be vaccinated until a month after recovery);
• Immunodeficiency of the first stage, or acquired;
• Recently introduced blood products (transferred for exactly 3 months);
• Complications due to previous vaccinations;
• Allergy to proteins from chicken eggs;
• Malignant diseases.

Even after being vaccinated against measles, children can still become infected with this ailment. The disease can form actively after a single vaccination and only when the baby's immunity has dropped sharply. But when infected, children older than 1 year of age tolerate this ailment much easier.

The drugs effectively stop the active development of the disease and prevent severe disease and complications. This is the only preventive treatment for disease control in the entire earth. After all, it is important for health that a weakened measles virus is not so dangerous, and it helps a young body to form immunity.

Sometimes emergency preventive vaccinations are carried out 2-3 days after communication with the patient (children over 6 months of age are vaccinated). You should always know if there are contraindications after measles vaccination and how they are expressed.

Measles vaccination for adults is not given when:

• Any period of pregnancy or breastfeeding;
• HIV in the AIDS stage;
• Respiratory infections (vaccination is delayed by 1 month);
• With atopic dermatitis;
• With diabetes;
• Cancer, oncological diseases, oncology;
• Psoriatic for psoriasis;
• Pancreatic pancreatitis;
• Poor health conditions, including a runny nose or colds.

With a runny nose, vaccinating with a cold, is it possible to get vaccinated against measles and what do experts advise?

All contraindications after measles vaccination are dangerous, especially for cancer patients, measles vaccination is contraindicated. You need to closely monitor your health. Doctors strongly advise against vaccinating if these warnings are present.

To reduce complications, leading experts recommend:

• Full examination by a doctor, if necessary, taking tests;
• Limit yourself from visiting crowded places for 3 to 5 days to avoid other infections;
• Compliance with a strict diet and exclude new foods from your diet.

But if the reaction after vaccination manifests itself is necessary and the patient's temperature rises, you need to drink aspirin and an antiallergic drug. And if the first signs of an exacerbation of the disease are noticed, it is necessary to cause ambulance or seek support from a doctor.

Medical contraindications for vaccination

Medical warnings include such reasons for medical withdrawal as temporary malaise or feeling unwell, dizziness, and this is an intolerance to the components of the vaccine.

Complications viral disease can manifest itself due to the intolerance of the drug, from the patient's inattention, indicating contraindications for vaccination, and from the quality of the drug manufactured by the manufacturer.

It is imperative to inject into medical institutions, do not purchase medications of unknown origin and, before getting vaccinated, thoroughly undergo a medical examination and find out about your health.

How is rubella and mumps vaccine tolerated?

After the general vaccine, the consequences in adults are almost the same as those of a single measles vaccination. There is a noticeable swelling at the injection site, you can notice a slight malaise, a strong cough appears, and the body temperature rises to 37 degrees Celsius.

It is recommended that the injection be given on an empty stomach to avoid regurgitation in the child, in which case the vaccine will have a slightly less effect. Among the known reactions to vaccination, both harmless and those that are fatal have been identified.

Possible reactions to getting the vaccine

A person just needs to know all the complications and possible consequences after vaccination.

• The most life-threatening consequences after vaccination:
• Hives;
• Myxedema Quincke;
• Anaphylactic shock.

The most rare but severe reactions are:

• Pneumonia;
• Inflammation muscular system heart (myocarditis);
• Encephalitis;
• Inflammatory process meninges(meningitis).

Among undesirable consequences that occur after vaccination can be distinguished:

• Spasm of the limbs (this complication is not very severe);
• Toxicity, which are characterized by: intoxication, high fever, rash and signs of sore throat;
• Nausea, agitation, frequent headaches, migraines, or loss of consciousness;
• Consequences of allergic diseases.

To protect themselves from severe reactions to the measles vaccine, adults need to be completely healthy on the day it is given and to watch closely for the weakening of the vaccine in their bodies.

If you get sick during contact with a patient and you have not been vaccinated against measles before, everyone is given a free opportunity to use it.

Only a timely measles injection can protect adults and their children from life-threatening illness. Thanks to her alone, medical statistics on this ailment have dropped sharply and the number of deaths around the world has decreased. All these facts must be taken into account before denying vaccination in order to protect yourself and your child, to be completely healthy and enjoy life.

There is still a misconception among the population that measles is a mild disease, and a child must definitely get it. In not so distant times, there was even a tradition in families: as soon as one family member fell ill, healthy people began to closely contact him in order to also become infected. Such an idea is extremely erroneous and dangerous! Measles is far from a simple harmless disease. From this article you will find out how the disease proceeds, its symptoms and consequences, how many times in a life they are vaccinated against measles and after what period of time.

How dangerous is measles?

Measles is a contagious disease transmitted by airborne droplets. It not only flows in acute form, but is also fraught with complications, severe eye damage, all nervous system, death is also possible. The greatest danger for children is considered to be a weakening of the immune system, as a result of which, at best, otitis media or pneumonia can develop. Although these diseases for a particularly small child can end tragically, in the overwhelming majority of cases, such complications are successfully dealt with today.

It is considered more dangerous when the virus remains in the body after recovery, while penetrating deep into the meninges. In these cases, severe, slowly progressive injuries often develop, both to the head and spinal cord(meningitis, encephalitis, meningoencephalitis).

How is measles treated?

Scientists have been trying for many years to find a method to combat this disease. And so far it has not been possible to completely defeat it, nevertheless, to some extent, the course of this disease can be improved and even prevented by the introduction of the substance gamma globulin. But it is effective only if it is introduced into the body no later than the sixth day after contact with the sick person. In this case, although the infection has already occurred, the disease itself has not yet developed. It is very difficult to calculate this moment, because you may not even be aware of such a contact. In addition, gamma globulin protects your baby for only about three weeks, and then the protein structures of this substance break down.

Measles prevention

More effective protection and prevention of the disease at the moment is vaccination - measles vaccination. How many times they do it, every adult should know. Vaccination is necessary for everyone, without exception, especially for children. preschool age, since they are the most difficult to tolerate the disease.

Today, vaccines are produced of the highest quality, they are monovalent (from one component) and polyvalent (from several components), the latter, in addition to measles, prevent diseases such as rubella, mumps and chickenpox.

How many times do you need to get vaccinated against measles?

Everyone knows about the measles vaccine, how many times to do it and after what period of time. But few can answer this question. In different countries, the age for the first vaccination is determined differently, mainly due to the life expectancy of people, their immunity and the number of diseases. In any case, measles vaccination several tens of times reduces the risk of getting sick, regardless of where the person lives. Everyone needs to know why measles vaccination is so important, how many times it is given to children and adults, and what interval should be observed between vaccinations.

Measles vaccine: how many times is it given in Russia?

In Russia, it is mandatory to be vaccinated against measles. How many times to do depends on when 1 vaccination was given:

1. If at 9-12 months, then vaccinations should be done 4-5 (9 months, 15-18 months, 6 years, 15-17 years, 30 years). This is due to the fact that vaccination at 9 months forms immunity in babies only by 80-90% (at 1 year immunization is 100%), so 10-20% of children need to be vaccinated again.
2. If at 1 year, there will be only 3-4 vaccinations (1 year, 6 years, 15-17 years, 30 years).

After vaccination, a temperature may be kept for 1-2 days or a slight malaise may occur. It should be remembered that at least six months must elapse between vaccinations. Today, a pediatrician or therapist is obliged to explain what measles is, how many times they get vaccinated against this disease and why it is needed.

What if you or your child still encounters this disease?

It does not respond to the action of drugs, so even the strongest antibiotics cannot have any effect on it. The doctor prescribes medication treatment only in cases of complications.

The best and most important help in the fight against this disease will be proper care for the sick. The sun's rays are deadly to microorganisms, and fresh air heals the body. Therefore, place the bed in a place illuminated by rays, but so that the light does not fall directly into the eyes. Ventilate the room more often and wipe the floor with a damp cloth every day. In a child with measles, the eyes often fester, all this in the form of dry crusts remains on the eyelids in the corners of the eyes. To alleviate the condition, flush the patient's eyes with warm water that has boiled for several minutes. Coughs and runny nose, which make breathing difficult, are very painful for illness, therefore, the child should often be offered warm drinks.

What else do you need to know?

Feeding the patient deserves great attention. Appetite during illness will be reduced, so choose food that is light, nutritious and at the same time tasty and appetizing. It is not necessary to follow any diet, but it is advisable to add foods rich in vitamins to the menu. Also, do not force to eat by force, but make sure that the child drinks more fruit juices, fruit drinks, tea. After eating, rinse your mouth with boiled water. This will save you from stomatitis, which is often a complication of measles.

Every adult today needs to know why a measles vaccine is needed, how many times it is given during a lifetime and after what period of time.

Measles is an infectious disease with high degree infectiousness. It appears as inflammatory process mucous membranes of the mouth, upper respiratory tract... The skin of a person becomes covered with a rash. Pathology is dangerous with serious complications. From the article we find out at what age adults and children are vaccinated against measles.

The measles virus is transmitted by airborne droplets. Affects mostly children's organism... Rarely occurs in adults with a weakened immune system. The incubation period varies from 7 to 14 days, after the first symptoms of pathology appear.

Signs of illness:

1. Weakness in the body, high fatigue.
2. The body temperature rises to 39 degrees.
3. Violent coryza with purulent discharge.
4. Dry, barking cough.
5. Headache, fear of light.
6. Conjunctivitis.
7. Poor appetite.

Additionally:

• from the head to the very feet, a small rash appears;
• accumulation of white, red spots in the mouth;
• hoarseness, hoarseness during breathing;
• swelling of the face.

The acute form of measles can be fatal, so the disease is deadly. Possible complications: infectious lesions of the respiratory tract, digestive system and meninges. For this reason, it is important to know at what age children are vaccinated against measles.

Measles vaccine in children: when given

1. In newborns, the immune system is not fully developed. The mother's antibodies protect against measles for the first 3 months. After this time, the baby may get sick.
2. The virus is transmitted by airborne droplets.
3. A person becomes contagious in incubation period even in the absence of the first symptomatology.
4. The disease is severe in children aged 12 months to 5 years.
5. Upon contact with a patient with measles, infection occurs in 100% of cases.
6. Complications from the transferred pathology: otitis media, measles encephalitis, laryngeal stenosis, pneumonia.

From the moment of infection with the measles virus, the baby has a weakening immune system... At this time, third-party infectious and bacterial diseases develop. At what age and how many times are they vaccinated against measles (table)?

At what age are children vaccinated against measles, and up to what age does it work? The most recent vaccination is given between the ages of 15 and 17, and the first at 12 months. A series of vaccinations given at regular intervals provide the body with long-term protection. There have been cases when a vaccinated child from childhood retained antibodies to the virus until the age of 25.

Measles vaccine for adults

If in childhood the course of vaccinations was delivered - during adult life there is no need to be vaccinated again. At what age to get vaccinated against measles and until what age do adults need to get vaccinated? If the vaccine was missed in childhood or adolescence, then from 28 to 35 years old it is required to re-receive the vaccine. Antibodies persist for 12 years.

For the body to produce antibodies, men and women need to inject 2 doses of the vaccine at intervals of 3 months.

Factors requiring measles vaccination in adulthood:

• close contact with an infected person;
• when planning a trip abroad if there is a measles epidemic in the country;
• if a person's profession is associated with public catering, medicine, education, upbringing or trade;
• with a measles outbreak.

Why is it necessary to vaccinate in adults:

1. Growth of epidemics in the country.
2. A large number of migrants carrying the virus.
3. Vaccination during childhood does not protect against infection for life.
4. In adults, measles is difficult. Leads to complications: myocarditis, blindness, pneumonia, hearing loss.

Having been ill in childhood, a person gains immunity. Therefore, vaccination is not required in adulthood. The vaccine is given during a severe epidemic. Before re-vaccination, an analysis is required to determine antibodies to the pathogen of measles.

Vaccine rules

We found out at what age adults and children are vaccinated against measles, information on the correct vaccination is also considered important:

1. Before vaccination, adults and children are required to pass a urine and blood test to confirm the absence of inflammatory reactions in the body.
2. The patient should be examined by a doctor. The vaccine is allowed to be given exclusively to healthy adults and children.
3. The drug is injected under the scapula or into the shoulder. It is strictly forbidden to inject into the gluteus muscle, since there is a high risk of damage to the sciatic nerve.

After vaccination, you can not visit crowded places for 3 days. It is important to prevent infection with other viral pathologies.

It is worth refusing to take a bath, visit the pool or sauna. It is not forbidden to wash the body under the shower, but not earlier than a day after the vaccination.

Types of vaccines

When an infection that is not capable of reproduction is introduced into the body, antibodies are produced that protect a person from the negative effects of the measles virus. Combination vaccines increase immunity to each pathogen.

Contraindications

Measles vaccination avoids serious complications. The procedure has contraindications. Children and adults, in certain cases, should not be vaccinated against the virus at any age.

Contraindications:

1. Pregnancy period.
2. Immunodeficiency is the primary stage.
3. Serious complications after the first vaccination.
4. Allergic reaction to the components of the vaccine.
5. Malignant tumors.
6. AIDS (acquired) in severe form.

When immunoglobulin is introduced into the body, the inoculation is done after 3 months.

Bonus

Vaccination against measles is necessary for children and adults, since at every age the disease is difficult to tolerate, it gives serious complications.

• children receive immunity from illness up to 6 years old, and revaccination is carried out at 15-17 years old;
• adults, if necessary, are vaccinated from 28 to 35 years old;
• after vaccination, complications are possible: redness of the throat, the appearance of a slight cough, a runny nose and an increase in body temperature;
• serious reactions to the vaccine include: seizures, a rash on the body, bacterial complications, exacerbation of allergies;
• for prophylaxis, monovaccines and combined vaccines are used. They also protect against rubella and mumps.

Measles vaccination is the only effective way to increase immunity and prevent disease. Vaccination is well tolerated, therefore, it has a minimum number of contraindications.

Zabegaeva I.G.

I would like to express my gratitude to the doctor Ekaterina Borisovna Simonova for her sensitivity, responsiveness to patients, as well as for competent treatment over several years.

Vladimir

I would like to express my gratitude to you for your impeccable work, moral support, accuracy and respect!

Inna Konstantinovna is a wonderful pediatrician. Favorite doctor of my children. He will never appoint too much. Thanks a lot to her!

Getmantseva Lyudmila Ivanovna

Olga Yurievna, a doctor who inspires confidence and you can feel her kind attitude towards a person. I felt it myself. Thank you for your help with treatment. I feel good now.

Olga Yurievna is a DOCTOR not just with a capital letter, but with capital letters. It is very difficult to meet such a knowledgeable, attentive and caring doctor. Thanks to Olga Yurievna, I was able to keep my profession and work. She helped our family cope with a frequently ill child. At a time when all the pediatricians insisted that it was necessary to leave the garden and sit at home with her son, Olga Yuryevna was able to understand what was happening with the child, about “to clarify this to me, to convince me that the problem can be solved and to solve it :) Olga Yuryevna, great to you human thanks from our whole family!

Zalata M.N.

Many thanks to Dr. N. I. Kornievskaya. for a quick and correct diagnosis. The doctor is a professional. There are clear, professional recommendations. I think that the administration and the patients were very lucky with the doctor.

23 Mar 2018 Nov.

A. A. Lazarenko

Many thanks to the doctors Belikova O.S., Simonova E.B., Zhukov E.V. for patience and conscientious attitude towards the patient.

Great professional! Girlfriend normalized high blood pressure! She helped me a lot as a therapist! A doctor with the richest experience, I always come with the confidence that I will be provided with qualified assistance !!! Thank you!!!

Pavlova M.V.

I would like to say thanks to Konstantin Valentinovich Kartashov. He is not only an excellent gastroenterologist, whom I have been seeing for about a year, but also a very attentive therapist who answers all questions of interest and examines the body as a whole, giving a variety of recommendations.

Viktor Leonidovich Panasyuk is a competent, serious doctor. My son, as luck would have it, got sick in the summer and coughed (18 years old), and we had to go on vacation. It was necessary to make a decision - to go or not. The doctor inquired in detail about his son's sores, listened carefully to his lungs, and offered to do an express blood test. The results were ready very quickly (while we were measuring the temperature). The doctor gave recommendations and allowed us to go, but after a couple of days he called to find out if everything was all right (!). Fortunately, we recovered almost as soon as we left Moscow ... The vacation, which I had been waiting for a year, was saved.

Akhvlediani E.L.

On insurance, I have been going to the clinic in Maryino for a long time, for various reasons, myself and with the child. It is always pleasant to communicate with the staff of the reception, reception. I especially want to mention therapists E.B. Simonova, E.V. Ustinova. Doctors are all of the highest qualifications and culture.

Malysheva A.T.

I would like to express my deepest sincere gratitude to Ekaterina Borisovna Simonova. She is not only an attentive doctor therapist, but also an excellent psychologist, she can bring her to her senses even when she wants to howl like a wolf. Thank you for such wonderful doctors.

Thanks to the doctor for support and attitude in porof. examination before vaccination. I am always anxious with new manipulations, but the doctor answered all my questions, was attentive and tactful in relation to my anxiety. The procedure went well. Thanks!

A.Yu. Karnadolya

Therapist G.V. Lazareva - an excellent doctor. Thanks! ...

Kuzmina Ksenia

I express my gratitude to doctors Simonova E.B. and Ryabinin V.The. on behalf of her grandmother Bazyut Lilia Sergeevna. She came with a serious problem - abdominal pain and weight loss for a total of 17 kg. For a year, doctors even from a respected institute could not help her. However, thanks to the joint work of the doctors at the IMMA clinic, my grandmother recovered. In the literal sense of the word, she has already gained 7.5 kg, she eats well and does not suffer from pain. Many thanks for the high professionalism and attentive attitude!