Аннотация
Изучена распространённость продукции β-лактамаз расширенного спектра (БЛРС) среди нозокомиальных штаммов энтеробактерий, выделенных в ОРИТ различных регионов России в 1997-1998 гг. и 2003 г. Выявлено стремительное нарастание частоты встречаемости БЛРС, в основном за счёт распространениея β-лактамаз CTX-M-типа. Результаты оценки чувствительности штаммов-продуцентов БЛРС к различным препаратам in vitro свидетельствуют о значительном снижении активности небеталактамных препаратов (амикацина и ципрофлоксацина) за указанный период. Препаратами выбора для терапии нозокомиальных инфекций, вызванных продуцентами БЛРС, остаются карбапенемы и цефоперазон/сульбактам.
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