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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-2020-5-104-112</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-5612</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>ЗАБОЛЕВАНИЯ КИШЕЧНИКА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>BOWEL DISEASES</subject></subj-group></article-categories><title-group><article-title>Клиническая эффективность препаратов на основе пробиотических штаммов Saccharomyces boulardii</article-title><trans-title-group xml:lang="en"><trans-title>Clinical efficacy of drugs based on probiotic strains of Saccharomyces boulardii</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0535-2916</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дроздов</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Drozdov</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дроздов Владимир Николаевич - доктор медицинских наук, профессор, профессор кафедры клинической фармакологии и пропедевтики внутренних болезней.</p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Vladimir N. Drozdov - Dr. of Sci. (Med.), Professor, Professor of the Department of Clinical Pharmacology and Propaedeutics of Internal Diseases.</p><p>8, bldg. 2, Trubetskaya St., Moscow, 119991</p></bio><email xlink:type="simple">vndrozdov@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1436-6671</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Арефьев</surname><given-names>К. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Arefev</surname><given-names>K. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Арефьев Константин Игоревич - клинический ординатор кафедры клинической фармакологии и пропедевтики внутренних болезней.</p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Konstantin I. Arefev - Clinical Resident of the Department of Clinical Pharmacology and Propaedeutics of Internal Diseases.</p><p>8, bldg. 2, Trubetskaya St., Moscow, 119991</p></bio><email xlink:type="simple">kiarefev@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7163-7119</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сереброва</surname><given-names>С. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Serebrova</surname><given-names>S. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сереброва Светлана Юрьевна - доктор медицинских наук, главный научный сотрудник, НЦЭСМП; профессор кафедры клинической фармакологии и пропедевтики внутренних болезней, Первый МГМУ им. И.М. Сеченова.</p><p>127051, Москва, Петровский бульвар, д. 8, стр. 2; 119991, Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Svetlana Yu. Serebrova - Dr. of Sci. (Med.), chief researcher, SCEEMP; Professor of the Department of Clinical Pharmacology and Propaedeutics of Internal Diseases, First MSMU named after I.M. Sechenov.</p><p>8, bld. 2, Petrovsky Boulevard, Moscow, 127051; 8, bldg. 2, Trubetskaya St., Moscow, 119991</p></bio><email xlink:type="simple">svetaserebrova@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6589-7654</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ших</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shikh</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ших Евгения Валерьевна - доктор медицинских наук, профессор, заведующая кафедрой клинической фармакологии и пропедевтики внутренних болезней.</p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Evgenia V. Shikh - Dr. of Sci. (Med.), Professor, Head of the Department of Clinical Pharmacology and Propaedeutics of Internal Diseases.</p><p>8, bldg. 2, Trubetskaya St., Moscow, 119991</p></bio><email xlink:type="simple">chih@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>First Moscow State Medical University named after I.M. Sechenov (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет); Научный центр экспертизы средств медицинского применения</institution><country>Россия</country></aff><aff xml:lang="en"><institution>First Moscow State Medical University named after I.M. Sechenov (Sechenov University); Scientific Centre for Expert Evaluation of Medicinal Products</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>21</day><month>05</month><year>2020</year></pub-date><volume>0</volume><issue>5</issue><fpage>104</fpage><lpage>112</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Дроздов В.Н., Арефьев К.И., Сереброва С.Ю., Ших Е.В., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Дроздов В.Н., Арефьев К.И., Сереброва С.Ю., Ших Е.В.</copyright-holder><copyright-holder xml:lang="en">Drozdov V.N., Arefev K.I., Serebrova S.Y., Shikh E.V.</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/5612">https://www.med-sovet.pro/jour/article/view/5612</self-uri><abstract><p>Микрофлора кишечника в свете интегральной совокупности знаний о ее значимости для организма человека рассматривается в настоящее время как дополнительный «виртуальный» орган, продуцирующий множество биологически активных соединений, влияющих на различные свойства и функции макроорганизма: ферментацию неперевариваемых пищевых полисахаридов, поддержание оптимальных значений внутрипросветного рН и «кишечного барьера», активность иммунной системы, витаминный статус, энергетический гомеостаз, ангиогенез. Saccharomycesboulardii не является представителем естественной микрофлоры кишечника человека, но, применяемый как пробиотик, взаимодействует с ней, восстанавливая баланс короткоцепочечных жирных кислот, снижая уровни бактериальных токсинов, действуя как суррогатная нормальная микрофлора до момента восстановления и замещения естественными ее представителями. S. boulardii обладает иммуностимулирующей и противовоспалительной активностью. Результаты клинических исследований продемонстрировали эффективность применения S. boulardii при коррекции патологических состояний, ассоциированных с Helicobacterpylori, Clostridiumdifficile, Candidaalbicans, Salmonellatyphimurum, Yersiniaenterocolitium, простейшими рода Entamoeba, а также при лечении синдрома раздраженного кишечника и антибиотик-ассоциированной диареи. Эффективность лекарственного препарата, содержащего S. boulardii, продемонстрирована в статье результатами клинических исследований и клиническим примером. Этот лекарственный препарат зарекомендовал себя как высокоэффективное и безопасное пробиотическое средство, позволяющее предотвращать и лечить ряд заболеваний желудочно-кишечного тракта, обладающее физиологически-оптимизированным фармакодинамическим эффектом, имитирующим защитные свойства нормальной микрофлоры кишечника человека. При использовании лекарственного препарата, содержащего S. boulardii, как у взрослых, так и у детей не наблюдаются серьезные побочные эффекты, что расширяет возможности его безопасного применения в клинической практике.</p></abstract><trans-abstract xml:lang="en"><p>Intestinal microflora in terms of the integral body of knowledge about its importance for the human body is now considered as an additional “virtual” organ, producing many biologically active compounds that affect the various properties and functions of the macroorganism: fermentation of non-digestible food polysaccharides, maintenance of the optimal values of the intra-lumen pH and “intestinal barrier”, the activity of the immune system, vitamin status, energy homeostasis, angiogenesis. Saccharomyces boulardii is not a representative of the natural microflora of the human intestine, but, used as a probiotic, interacts with it, restoring the balance of short-chain fatty acids, reducing the levels of bacterial toxins, acting as a surrogate normal microflora until it is restored and replaced by natural representatives. S. boulardii has immunostimulating and anti-inflammatory activity. The results of clinical studies have demonstrated the effectiveness of S. boulardii in correcting pathological conditions associated with Helicobacter pylori, Clostridium difficile, Candida albicans, Salmonella typhimurum, Yersinia enterocolitium, protozoa Entamoeba and in treating irritable bowel syndrome and antibiotic-associated diarrhea. The efficacy of a drug containing S. boulardii has been demonstrated in the article by clinical studies and a clinical example. This drug has proven to be a highly effective and safe probiotic agent for the prevention and treatment of a number of diseases of the gastrointestinal tract with physiologically optimized pharmacodynamic effect that simulates the protective properties of normal human intestinal microflora. When using a drug containing S. boulardii, both adults and children do not have serious side effects, which increases the possibility of its safe use in clinical practice.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>Saccharomyces boulardii</kwd><kwd>пробиотики</kwd><kwd>дисбактериоз</kwd><kwd>эффективность пробиотиков</kwd><kwd>воспалительные заболевания кишечника</kwd><kwd>клостридиальный колит</kwd><kwd>антибиотик-ассоциированная диарея</kwd><kwd>синдром раздраженного кишечника</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Saccharomyces boulardii: probiotics: dysbacteriosis: efficiency of probiotics: inflammatory bowel diseases: clostridial colitis: antibiotic-associated diarrhea: irritable bowel syndrome</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">Rath C.M., Dorrestein P.C. 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