This work is purposed for determining grounds for legal consequences to come when any medical malpractice cases occur.Aim. The goal of our research is to determine the quintessence features of "medical malpractice (error)" in the medical-legal context so to determine legal consequences of medical malpractices (errors), and to classify the regulatory measures of prevention of medical malpractice cases and reduction of these problems.Methods: Semiotical, synergetic, anthropological and hermeneutical, method of normative comparison.Results. Detecting the current medical malpractice (medical error) becomes more complicated due to its definition as highly significant differences in interpreting, understanding, qualifying, finding defects, medical errors and provability of these failures result in the complication of producing efficient legal guarantees for protection of the patient`s right. The peculiarity of this medical and legal substrate is that it synthesizes the awareness of rights and medicine both through the lens of their achievements. A clear vision of such a phenomenon as medical malpractice (error) has a priori significance for the legal environment. It is a sparkling example of the epistemological and gnoseological interaction of the medical and legal knowledge as to determine criteria of medical malpractices is to set "boundaries" of the legal regulation. Here we mean the occurrence of legal consequences in committing an error of law. Conclusions.For a more complete understanding of cases of legal consequences the following regulatory measures of prevention of medical malpractice cases are necessary: establishment of an effective system of prudential internal control of defects in the medical care; specialised training for medical personnel on methods of detection of medical malpractices, their prediction and prompt elimination of possible consequences; instrumental, functional and system-structural measures for reducing risks of medical malpractice, namely: actions for reducing medical errors caused by system determinants (failures, disorders, etc.), actions for reducing medical errors made in prescribing and applying medicaments, medical errors happened because of the medical intervention, surgical in particular; improvement of the legal support of guarantees of patients and doctors rights for a safe delivery of medical aid and prevention of medical errors.Правові наслідки, засоби превенції та редукування лікарських помилок А. О. Янчук, А. О. Запорожченко, І. П. Катеринчук, С. О. Кузніченко, О. В. Крижановська Робота присвячена визначенню підстав для настання правових наслідків при здійсненні лікарської помилки.Мета роботи -встановлення основних ознак «лікарської помилки» в медико-правовому аспекті, а також класифікація організаційно-правових заходів превенції лікарських помилок і редукування цих проблем.Методи. Комплексно-критичний, семіотичний, синергетичний, антропологічний, герменевтичний, порівняльно-правовий і метод нормативного порівняння.Результати. Визначення наявності лікарської помилки ускла...

An important role in the development of acne is played by the activity of the skin microflora (namely the bacteria Propionibacterum acnes) and members of the genus Staphylococcus. In the schemes of complex treatment of patients with this disease, antibiotics from among macrolides or lincosamides are mainly used. It is of interest to study the current state of susceptibility of staphylococci and propionic bacteria to these drugs, as well as to other antimicrobial agents in order to determine the prospects for expanding the arsenal of methods for treating acne. The aim of the study was to study the susceptibility of microorganisms involved in the development of acne to antimicrobials and antagonistic effects of probiotic strains of lactobacilli. We conducted a bacteriological study of the content of rash elements in 60 patients with acne. The biological characteristics of 40 strains of Staphylococcus spp. and 15 strains of Propionibacterum acnes isolated and researched. The sensitivity of microorganisms to antibiotics and antiseptics was determined by the disco-diffusion method and the method of serial double dilutions of drugs in a liquid nutrient medium. Determination of the sensitivity of acne pathogens to the antagonistic effect of lactobacilli was performed by the method of two-layer agar by reducing the number of microorganisms. The results of the study made it possible to establish that the isolated strains of bacteria show a low level of sensitivity to antimicrobials, which in medical practice are most often used for topical therapy of acne. Only 17.5 % of isolated staphylococcal strains were sensitive to erythromycin, only 45.0 % of strains of this species were sensitive to clindamycin. Strains of Propionibacterum acnes showed a higher level of sensitivity to antibiotics than staphylococci. However, the established indicators do not allow to consider highly effective means for treatment of acne on their basis. At the same time, a high level of sensitivity of acne pathogens to antiseptic drugs decamethoxine and Aeroplysinin 1 and antagonistic effect of Lactobacillus acidophilus was established. Thus, the strains of Propionibacterum acnes and Staphylococcus spp., involved in the development of acne, are characterized by high levels of resistance to erythromycin, clindamycin, chloramphenicol, benzoyl peroxide, which are now the basis of the arsenal of topical therapy for patients with this disease. There is a need to find new effective drugs for the etiotropic therapy of acne.