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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2013-11-14-19</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-1140</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ХОБЛ</subject></subj-group></article-categories><title-group><article-title>Выбор оптимального антибактериального препарата для терапии обострений хронической обструктивной болезни легких</article-title><trans-title-group xml:lang="en"><trans-title>Selecting adequate antibacterial therapy for the treatment of COPD exacerbations</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лазарева</surname><given-names>Н. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Lazarev</surname><given-names>N. B.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБОУ ВПО «Первый Московский медицинский университет им. И.М. Сеченова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>First Moscow Medical University named after I.M. Sechenov</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2013</year></pub-date><volume>0</volume><issue>11</issue><fpage>14</fpage><lpage>19</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лазарева Н.Б., 2013</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="ru">Лазарева Н.Б.</copyright-holder><copyright-holder xml:lang="en">Lazarev N.B.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/1140">https://www.med-sovet.pro/jour/article/view/1140</self-uri><abstract><p>Обострения ХОБЛ негативно влияют на качество жизни пациента, ухудшают клинические симптомы и функцию легких, служат основной причиной обращений за медицинской помощью, ассоциируются со значительной летальностью и, как следствие, приводят к значительным социально-экономическим издержкам. Принимая во внимание современные рекомендации по лечению ХОБЛ и данные исследований по резистентности респираторных патогенов, защищенные пенициллины для перорального приема могут быть отнесены к препаратам первого выбора при проведении эмпирической антибактериальной терапии при обострениях ХОБЛ легкой и средней степени тяжести.</p></abstract><trans-abstract xml:lang="en"><p>COPD exacerbations have a negative impact on patient's quality of life, lead to worsening of clinical symptoms and function of the lung. COPD, being a major cause of seeking medical aid, is associated with a significant mortality and results in considerable economic and social costs. Taking into account current recommendations for the treatment of COPD and research data on the resistance of respiratory pathogens, inhibitor-protected penicillin for oral administration may be considered a medicine of choice in the empirical antibiotic therapy for mild to moderate COPD exacerbations.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>хроническая обструктивная болезнь легких</kwd><kwd>антибактериальная терапия</kwd><kwd>защищенные пенициллины</kwd><kwd>chronic obstructive pulmonary disease</kwd><kwd>antibiotic therapy</kwd><kwd>inhibitor-protected penicillins</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Miravitlles M., Torres A. Antibiotics in exacerbations of COPD: lessons from the past // Eur. Respir. J. 2004. №24. P. 896–897.</mixed-citation><mixed-citation xml:lang="en">Miravitlles M., Torres A. Antibiotics in exacerbations of COPD: lessons from the past // Eur. Respir. J. 2004. №24. P. 896–897.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Wilson R. Bacteria, antibiotics and COPD // Eur. Respir. J. 2001. №17. P. 995–1007.</mixed-citation><mixed-citation xml:lang="en">Wilson R. Bacteria, antibiotics and COPD // Eur. Respir. J. 2001. №17. P. 995–1007.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Sethi S., Murphy T.F. Infection in the pathogenesis and course of chronic obstructive pulmonary disease // N. Engl. J. Med. 2008. №359. P. 2355–65.</mixed-citation><mixed-citation xml:lang="en">Sethi S., Murphy T.F. Infection in the pathogenesis and course of chronic obstructive pulmonary disease // N. Engl. J. Med. 2008. №359. P. 2355–65.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Prescott E., Lange P., Vestbo J. Chronic mucus hypersecretion in COPD and death from pulmonary infection // Eur. Respir. J. 1995. №8. P. 1333–1338.</mixed-citation><mixed-citation xml:lang="en">Prescott E., Lange P., Vestbo J. Chronic mucus hypersecretion in COPD and death from pulmonary infection // Eur. Respir. J. 1995. №8. P. 1333–1338.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Anthonison N.R. The British hypothesis revisited // Eur. Respir. J. 2004. №23. P. 657–658.</mixed-citation><mixed-citation xml:lang="en">Anthonison N.R. The British hypothesis revisited // Eur. Respir. J. 2004. №23. P. 657–658.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Sethi S., Evans N., Grant B., Murphy T.F. New strains of bacteria and exacerbations of chronic obstructive pulmonary disease //N. Engl. J. Med. 2002. №347. P. 465–471.</mixed-citation><mixed-citation xml:lang="en">Sethi S., Evans N., Grant B., Murphy T.F. New strains of bacteria and exacerbations of chronic obstructive pulmonary disease //N. Engl. J. Med. 2002. №347. P. 465–471.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Stockley R.A., O’Brien C., Pye A. et al. Relationship of sputum colour to nature and outpatient management of acute exacerbations of COPD // Chest. 2001. №117. P. 1638–1645.</mixed-citation><mixed-citation xml:lang="en">Stockley R.A., O’Brien C., Pye A. et al. Relationship of sputum colour to nature and outpatient management of acute exacerbations of COPD // Chest. 2001. №117. P. 1638–1645.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Sethi S., Sethi R., Eschberger K., Lobbins P., Cai X., Grant B.J., Murphy T.F. Airway bacterial concentrations and exacerbations of chronic obstructive pulmonary disease // Am. J. Respir. Crit. Care. Med. 2007 Aug 15. №176(4). P. 356–61. Epub. 2007. May 3.</mixed-citation><mixed-citation xml:lang="en">Sethi S., Sethi R., Eschberger K., Lobbins P., Cai X., Grant B.J., Murphy T.F. Airway bacterial concentrations and exacerbations of chronic obstructive pulmonary disease // Am. J. Respir. Crit. Care. Med. 2007 Aug 15. №176(4). P. 356–61. Epub. 2007. May 3.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Bandi V., Jakubowycz M., Kinyon C. et al. Infectious exacerbations of chronic obstructive pulmonary disease associated with respiratory viruses and non-typeable Haemophilus influenzae // FEMS Immunol. Med. Microbiol. 2003. №37. P. 69–75.</mixed-citation><mixed-citation xml:lang="en">Bandi V., Jakubowycz M., Kinyon C. et al. Infectious exacerbations of chronic obstructive pulmonary disease associated with respiratory viruses and non-typeable Haemophilus influenzae // FEMS Immunol. Med. Microbiol. 2003. №37. P. 69–75.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Jacobs M.R., Felmingham D., Appelbaum P.C., Gruneberg R.N. The Alexander Project 1998–2000: susceptibility of pathogens isolated from community-acquired respiratory tract infection to commonly used antimicrobial agents // J. Antimicrob. Chemother. №52. P. 229– 246.</mixed-citation><mixed-citation xml:lang="en">Jacobs M.R., Felmingham D., Appelbaum P.C., Gruneberg R.N. The Alexander Project 1998–2000: susceptibility of pathogens isolated from community-acquired respiratory tract infection to commonly used antimicrobial agents // J. Antimicrob. Chemother. №52. P. 229– 246.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Johnson D.M., Biedenbach D.J., Beach M.L., Pfaller M.A., Jones R.N. Antimicrobial activity and in vitro susceptibility testdevelopment for cefditoren against Haemophilus influenzae, Moraxella catarrhalis, and Streptococcus species // Diagn. Microbiol. Infect. Dis. №37. P. 99–105.</mixed-citation><mixed-citation xml:lang="en">Johnson D.M., Biedenbach D.J., Beach M.L., Pfaller M.A., Jones R.N. Antimicrobial activity and in vitro susceptibility testdevelopment for cefditoren against Haemophilus influenzae, Moraxella catarrhalis, and Streptococcus species // Diagn. Microbiol. Infect. Dis. №37. P. 99–105.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Sader H.S., Fritsche T.R., Mutnick A.H., Jones R.N. Contemporary evaluation of the in vitro activity and spectrum of cefdinir compared with other orally administered antimicrobials tested against common respiratory tract pathogens (2000–2002) // Diagn. Microbiol. Infect. Dis. №47. P. 515–525.</mixed-citation><mixed-citation xml:lang="en">Sader H.S., Fritsche T.R., Mutnick A.H., Jones R.N. Contemporary evaluation of the in vitro activity and spectrum of cefdinir compared with other orally administered antimicrobials tested against common respiratory tract pathogens (2000–2002) // Diagn. Microbiol. Infect. Dis. №47. P. 515–525.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Ram F.S., Rodriguez-Roisin R., Barnes N.С. Antibiotics for exacerbations of chronic obstructive pulmonary disease // Cochrane Database Syst. Rev. January 1. 2006. №(2). CD004403.</mixed-citation><mixed-citation xml:lang="en">Ram F.S., Rodriguez-Roisin R., Barnes N.С. Antibiotics for exacerbations of chronic obstructive pulmonary disease // Cochrane Database Syst. Rev. January 1. 2006. №(2). CD004403.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Quon B.S., Gan W.Q., Sin D.D. Contemporary management of acute exacerbations of COPD: a systemic review and meta-analysis // Chest. 2008. №133. P. 756–66.</mixed-citation><mixed-citation xml:lang="en">Quon B.S., Gan W.Q., Sin D.D. Contemporary management of acute exacerbations of COPD: a systemic review and meta-analysis // Chest. 2008. №133. P. 756–66.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2013. Available from: http://www.goldcopd.org/.</mixed-citation><mixed-citation xml:lang="en">Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2013. Available from: http://www.goldcopd.org/.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Woodhead M., Blasi F., Ewig S. et al. Guidelines for the management of adult lower respiratory tract infections // Eur. Respir. J. 2005. №26. P. 1138–1380.</mixed-citation><mixed-citation xml:lang="en">Woodhead M., Blasi F., Ewig S. et al. Guidelines for the management of adult lower respiratory tract infections // Eur. Respir. J. 2005. №26. P. 1138–1380.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Miravitlles M., Espinosa C., Fernandez-Laso E., Martos J.A., Maldonado J.A., Gallego M. Relationship between bacterial flora in sputum and functional impairment in patients with acute exacerbations of COPD. Study Group of Bacterial Infection in COPD // Chest 1999. №116(1). P. 40–46.</mixed-citation><mixed-citation xml:lang="en">Miravitlles M., Espinosa C., Fernandez-Laso E., Martos J.A., Maldonado J.A., Gallego M. Relationship between bacterial flora in sputum and functional impairment in patients with acute exacerbations of COPD. Study Group of Bacterial Infection in COPD // Chest 1999. №116(1). P. 40–46.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Celli B.R., MacNee W. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position-paper // Eur. Respir. J. 2004. №23(6). P. 932–946.</mixed-citation><mixed-citation xml:lang="en">Celli B.R., MacNee W. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position-paper // Eur. Respir. J. 2004. №23(6). P. 932–946.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Anzeuto A., Bishai W.R., Pottumarthy S. Role of oral extendedspectrum cephems in the treatment of acute exacerbation of chronic bronchitis: focus on cefdinir. P. 39–44.</mixed-citation><mixed-citation xml:lang="en">Anzeuto A., Bishai W.R., Pottumarthy S. Role of oral extendedspectrum cephems in the treatment of acute exacerbation of chronic bronchitis: focus on cefdinir. P. 39–44.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
