antimicrobials | CMAC

antimicrobials

PIKAP study: physicians’ preferences for drug selection and management of pregnant women with bacterial genitourinary infections

Objective. To analyze physicians’ preferences regarding the pharmacotherapy of bacterial genitourinary infections (UTI) in pregnant women and assess their compliance with current clinical guidelines. Materials and Methods. The study was conducted over 2018–2022 using an anonymous questionnaire method among physicians in seven regions of Russia. A total of 227 healthcare providers participated, of whom 66.8% were general practitioners and 33.2% were obstetricians/gynecologists. Results. According to the analysis, there is an insufficient level of knowledge in the field of pharmacotherapy of UTIs in pregnant women.

Infections in ICUs in Russia: the results of a nationwide study RIORITa-II

Objective. To assess prevalence, etiology, antimicrobial prescribing practices and treatment outcomes of infections in intensive care units in Russia. Materials and Methods. A two-stage (the first stage – October 18, 2022, the second stage – November 18, 2022) multicenter prospective one-day observational study involved 111 intensive care units (ICUs) of 67 centers from 25 cities of the Russian Federation. Each patient was included in the study only once. Data from the medical records of all patients in the ICU on the day of the study were entered by the attending physician into a single electronic individual case report form.

Intracranial abscesses: some clinical pharmacology issues of a multidisciplinary approach

This literature review summarizes actual data on the use of anti-infective drugs in the treatment of brain abscesses, in particular, otorinosnusogenic ones. Mainly the largest publications over the last decade concerning this issue were analyzed. The …

Comprehensive assessment of nitrofurans for lower urinary tract infections

Antimicrobial therapy is an essential part of treatment of urinary tract infections, often being the only etiological and pathogenetic component of it. At the same time, the rationality of choosing an antimicrobial depends both on the sensitivity of …

Antimicrobial resistance of Mycobacterium avium during the COVID-19 pandemic

Objective. Conduct a comparative assessment of the frequency and spectrum of antimicrobial resistance of Mycobacterium avium isolated from patients of a phthisiopulmonology clinic in the pre-Covid period (2018–2019) and during the COVID-19 pandemic (2020–2023). Materials and Methods. The antimicrobial sensitivity of M. avium isolates was determined to 8 antimicrobial drugs: amikacin, clarithromycin, linezolid, moxifloxacin, ciprofloxacin, doxycycline, rifabutin, rifampicin. Drug susceptibility testing was performed using serial broth microdilution method according to published CLSI guidelines, M24S, 2023.

Genetic diversity and antibiotic resistance of Neisseria gonorrhoeae in Russia for the period 2022–2023

Objective. To perform phylogenetic analysis to assess ongoing changes in population structure of Russian clinical isolates of N. gonorrhoeae. Materials and Methods. The object of the study was 34 clinical isolates of N. gonorrhoeae obtained from dermatovenerological medical institutions of the Russian Federation in the period 2022–2023. The cultures were spread on chocolate agar with 1% ISOVitalex growth additive and 1% VCAT selective additive (Becton Dickinson, USA). Mass spectrometric studies were performed using MALDI-TOF mass spectrometer (Bruker Daltonics, Germany).

Practical guidelines for antibiotic prescribing in breast surgery: antibiotic prophylaxis and treatment of surgical site infections and implant-associated infections

Breast surgery is a broad field that includes both surgical treatment of breast diseases and various variants of reconstructive and plastic surgeries for breast correction. Despite the fact that according to the accepted classification breast …

Piperacillin-tazobactam in the treatment of severe intra-abdominal and urinary tract infections in the Russian Federation

Piperacillin/tazobactam is a well-known β-lactam antibiotic that has been used in clinical practice since 1993. The review presents the clinical and pharmacological characteristics of piperacillin-tazobactam, the results of clinical studies and …

Antimicrobial drug consumption in the Russian Federation (2008–2022): pharmacoepidemiological study

Objective. To assess the dynamics of antimicrobial drug consumption in the Russian Federation. Materials and Methods. Data on antimicrobials for systemic use (ATC class J01) sales for the period 2008–2022 in the hospital and outpatient segment were downloaded from the IQVIA database. The absolute quantities of purchased antimicrobials were transferred to the defined daily doses (DDD) separately for the outpatient and hospital segments for each year of observation. Results. Over the period 2008-2022 there was an increase in antimicrobials consumption from 9.

Evaluation of the effectiveness of antimicrobial stewardship program: results from a ten-year study in a multidisciplinary hospital

Objective. To evaluate the results of the implementation of antimicrobial stewardship (AMS) program in a multidisciplinary hospital. Materials and Methods. A retrospective intervention study was performed in the 600-bed multidisciplinary hospital of the Pirogov National Medical and Surgical Center (Moscow, Russia). The study included a number of sequential interventions, aimed at improving the prevention, diagnosis and treatment of infections, with an assessment of the following indicators dynamics: the structure of microorganisms isolated in the hospital, the level of resistance to antimicrobial drugs (AMD) among the pathogens of the ESKAPE group, the structure of prescribed AMD, as well as an assessment of clinical and economic consequences of antimicrobial resistance changes.