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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">mrj</journal-id><journal-title-group><journal-title xml:lang="ru">Современная ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Modern Rheumatology Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1996-7012</issn><issn pub-type="epub">2310-158X</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1996-7012-2025-2-107-112</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1750</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>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Серьезные коморбидные инфекции у пациентов с воспалительными заболеваниями суставов: частота, структура, факторы риска</article-title><trans-title-group xml:lang="en"><trans-title>Severe comorbid infections in patients with inflammatory joint diseases: frequency, structure, risk factors</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5264-337X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баранова</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Baranova</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Марина Михайловна Баранова</p><p>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»</p><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>Marina Mikhailovna Baranova</p><p>34A, Kashirskoe Shosse, Moscow, 115522</p></bio><email xlink:type="simple">baranovamarina103@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/0000-0003-4327-6720</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Муравьева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Muravyova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»</p><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow, 115522</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7091-2054</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белов</surname><given-names>Б. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Belov</surname><given-names>B. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>34A, Kashirskoe Shosse, Moscow, 115522</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>22</day><month>04</month><year>2025</year></pub-date><volume>19</volume><issue>2</issue><fpage>107</fpage><lpage>112</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Баранова М.М., Муравьева Н.В., Белов Б.С., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Баранова М.М., Муравьева Н.В., Белов Б.С.</copyright-holder><copyright-holder xml:lang="en">Baranova M.M., Muravyova N.V., Belov B.S.</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://mrj.ima-press.net/mrj/article/view/1750">https://mrj.ima-press.net/mrj/article/view/1750</self-uri><abstract><p>Серьезные коморбидные инфекции (СКИ) – инфекции, развивающиеся на фоне основного заболевания и требующие госпитализации и/или внутривенного введения антибактериальных препаратов. В структуре коморбидной инфекционной патологии у пациентов с воспалительными заболеваниями суставов (ВЗС) на долю СКИ приходится не более 4%. Однако именно они являются непосредственной причиной смерти этих пациентов. Развитию СКИ у пациентов с ВЗС способствуют различные факторы, в том числе социальнодемографические, а также связанные непосредственно с самим ВЗС, включая проводимую терапию.</p><p>В статье рассматриваются частота, структура, факторы риска СКИ у пациентов с ВЗС.</p></abstract><trans-abstract xml:lang="en"><p>Severe comorbid infections (SCI) are infections that develop against the background of the underlying disease and require hospitalization and/or intravenous administration of antibacterial drugs. In the structure of comorbid infections in patients with inflammatory joint diseases (IJD), the number of SCI does not exceed 4%. However, they are the direct cause of death in these patients. Various factors, including sociodemographic factors, as well as factors directly related to the IJD itself, including therapy, contribute to the development of SCI. This article discusses the incidence, structure and risk factors in patients with IJD.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>серьезные коморбидные инфекции</kwd><kwd>ревматоидный артрит</kwd><kwd>спондилоартрит</kwd><kwd>анкилозирующий спондилит</kwd><kwd>псориатический артрит</kwd><kwd>факторы риска</kwd><kwd>генно-инженерные биологические препараты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>severe comorbid infections</kwd><kwd>rheumatoid arthritis</kwd><kwd>spondyloarthritis</kwd><kwd>ankylosing spondylitis</kwd><kwd>psoriatic arthritis</kwd><kwd>risk factors</kwd><kwd>biologic&#13;
disease-modofying antirheumatic drugs</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено в рамках научно-исследовательской работы, государственное задание №1021051503137-7</funding-statement><funding-statement xml:lang="en">The study was conducted as part of a research project, state assignment №1021051503137-7</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Germano V, Cattaruzza MS, Osborn J, et al. Infection risk in rheumatoid arthritis and spondyloarthropathy patients under treatment with DMARDs, corticoster-oids and TNF- antagonists. J Transl Med. 2014 Mar 22:12:77. doi: 10.1186/1479-5876-12-77.</mixed-citation><mixed-citation xml:lang="en">Germano V, Cattaruzza MS, Osborn J, et al. 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