Нитрофураны в урологической практике: все ли они одинаковые и почему мы возвращаемся к ним сегодня?

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Увеличивающийся уровень антимикробной резистентности у микроорганизмов является одной из важных проблем здравоохранения. Основной движущей силой является повсеместное потребление антибиотиков. ВОЗ сигнализирует о росте антимикробной резистентности вместе с неуклонным снижением открытия новых антимикробных препаратов. Чтобы контролировать антимикробную резистентность необходимо более рационально использовать существующие препараты. Поэтому, необходима переоценка эффективности и побочных эффектов старых уже много лет известных нам антимикробных препаратов, таких как нитрофураны. Нитрофураны очень эффективны при острых инфекциях, в основном в мочевых путях с низкой концентрацией препарата в тканях, они не вызывают бактериальную резистентность так быстро, как другие антибиотики. Несмотря на имеющиеся сходства в строении молекул препаратов нитрофуранового ряда, каждая молекула имеет свои особенности, которые выражаются и в проявлении клинического эффекта и переносимости. Главное, что вызывает «новый» интерес в урологии к этой группе препаратов на сегодня - это редкое формирование резистентности и довольно широкий спектр антимикробной активности для применения в урологической практике.

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Инфекции мочевых путей, нитрофурантоин, фуразидин, нифурател, острый цистит, посткоитальный цистит, рецидивирующий цистит

Короткий адрес: https://sciup.org/142216897

IDR: 142216897

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