Современные подходы к борьбе c полирезистентными патогенами группы ESKAPE
- Авторы: Конькова Л.С.1, Рогачева Е.В.1, Краева Л.А.1,2
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Учреждения:
- ФБУН НИИ эпидемиологии и микробиологии имени Пастера
- ФГБВОУ ВО Военно-медицинская академия имени С.М. Кирова МО РФ
- Выпуск: Том 15, № 2 (2025)
- Страницы: 235-246
- Раздел: ОБЗОРЫ
- URL: https://journal-vniispk.ru/2220-7619/article/view/311312
- DOI: https://doi.org/10.15789/2220-7619-NAF-17784
- ID: 311312
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Антибиотикорезистентность микроорганизмов — наиболее актуальная проблема мирового здравоохранения, обусловленная все более возрастающим количеством смертей по причине неэффективной антибактериальной терапии. Пандемия COVID-19 лишь усугубила и без того существующую проблему нарастания резистентности штаммов бактерий во всем мире. Отсутствие осведомленности населения об адекватном применении антибиотиков оказало прямое влияние на их бесконтрольное применение, связанное со слабыми мерами контроля отпуска антибиотиков, а также ограниченным доступом к медицинским учреждениям в странах с низким и средним уровнем доходов. Сообщается, что 68,9% пациентов с COVID-19 использовали антибиотики в качестве профилактики бактериальных осложнений либо для лечения коронавирусной инфекции (в основном азитромицин и цефтриаксон) до госпитализации, при этом уровень самолечения составил 33,0%. Наиболее устойчивая к антибиотикам и опасная для мирового здравоохранения группа микроорганизмов известна как ESKAPE: Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, Enterobacter species. При этом доля резистентных штаммов среди этих микроорганизмов может достигать 95%. В свете стремительного роста количества случаев инфекций, вызванных антибиотикорезистентными штаммами, необходимость создания новых антибактериальных препаратов является наиболее актуальной задачей. Разработка новых антибиотиков высокозатратна и зачастую малоэффективна. Поэтому все чаще их разработчики прибегают к использованию комбинаций антибиотиков или сочетанию их с адъювантами с разным механизмом действия. В последние годы все более широкое распространение получают специальные устройства и покрытия с нанесенными на их поверхность наночастицами различных металлов. Некоторые успехи, достигнутые при использовании антимикробных пептидов, были нивелированы потерей активности в организме человека и высокой стоимостью их производства. В связи с этим перспективным направлением становится использование бактериофагов, особенно в сочетании с антибиотиками. Наблюдаемый при этом синергизм, как в экспериментах in vitro, так и in vivo, позволяет надеяться на определенные успехи в борьбе c полирезистентными патогенами группы ESKAPE.
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Л. С. Конькова
ФБУН НИИ эпидемиологии и микробиологии имени Пастера
Email: lykraeva@yandex.ru
младший научный сотрудник лаборатории медицинской бактериологии
Россия, Санкт-ПетербургЕ. В. Рогачева
ФБУН НИИ эпидемиологии и микробиологии имени Пастера
Email: lykraeva@yandex.ru
к.б.н., младший научный сотрудник лаборатории медицинской бактериологии
Россия, Санкт-ПетербургЛ. А. Краева
ФБУН НИИ эпидемиологии и микробиологии имени Пастера; ФГБВОУ ВО Военно-медицинская академия имени С.М. Кирова МО РФ
Автор, ответственный за переписку.
Email: lykraeva@yandex.ru
д.м.н., доцент, зав. лабораторией медицинской бактериологии, профессор кафедры микробиологии
Россия, Санкт-Петербург; Санкт-ПетербургСписок литературы
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