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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">10.14412/1996-7012-2010-582</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-267</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>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Проблема инвазивных микозовв ревматологии (часть II)</article-title><trans-title-group xml:lang="en"><trans-title>Problema invazivnykh mikozovv revmatologii (chast' II)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><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><email xlink:type="simple">belovbor@yandex.ru &amp;lt;mailto:belovbor@yandex.ru&amp;gt;</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Егорова</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Egorova</surname><given-names>O N</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тарасова</surname><given-names>Г. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Tarasova</surname><given-names>G M</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Полянская</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Polyanskaya</surname><given-names>M V</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Балабанова</surname><given-names>Римма Михайловна</given-names></name><name name-style="western" xml:lang="en"><surname>Balabanova</surname><given-names>R M</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><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><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Егорова</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Egorova</surname><given-names>O N</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тарасова</surname><given-names>Г. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Tarasova</surname><given-names>G M</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Полянская</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Polyanskaya</surname><given-names>M V</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Балабанова</surname><given-names>Римма Михайловна</given-names></name><name name-style="western" xml:lang="en"><surname>Balabanova</surname><given-names>R M</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib></contrib-group><pub-date pub-type="collection"><year>2010</year></pub-date><pub-date pub-type="epub"><day>14</day><month>03</month><year>2010</year></pub-date><volume>4</volume><issue>1</issue><issue-title>№1 (2010)</issue-title><fpage>23</fpage><lpage>27</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Белов Б.С., Егорова О.Н., Тарасова Г.М., Полянская М.В., Балабанова Р.М., Белов Б.С., Егорова О.Н., Тарасова Г.М., Полянская М.В., Балабанова Р.М., 2010</copyright-statement><copyright-year>2010</copyright-year><copyright-holder xml:lang="ru">Белов Б.С., Егорова О.Н., Тарасова Г.М., Полянская М.В., Балабанова Р.М., Белов Б.С., Егорова О.Н., Тарасова Г.М., Полянская М.В., Балабанова Р.М.</copyright-holder><copyright-holder xml:lang="en">Belov B.S., Egorova O.N., Tarasova G.M., Polyanskaya M.V., Balabanova R.M., Belov B.S., Egorova O.N., Tarasova G.M., Polyanskaya M.V., Balabanova R.M.</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/267">https://mrj.ima-press.net/mrj/article/view/267</self-uri><abstract><p>Отмечено, что грибы рода Candida являются наиболее частыми возбудителями микотических инфекций. Неоправданно широкое
применение антимикотиков для профилактики и эмпирической терапии привело к нарастанию частоты резистентных к флуконазолу штаммов возбудителей, которая в России составляет 15-30%, а в отдельных стационарах - 50%. Указано, что присутствие Candida в любом органе или ткани является фактором риска потенциально летальной диссеминации и системного кандидоза.
Описаны основные формы и клинические проявления кандидозных поражений, принципы их профилактики, диагностики и лечения.</p></abstract><trans-abstract xml:lang="en"><p>Candida genus fungi have been noted to be the most common pathogens of mycotic infections. The extensive use of antimycotics for prevention
and empirical therapy is unwarranted, which has resulted in an increase in the frequency of fluconazole-resistant pathogen strains, which is 15-0% in Russia and 50% at some hospitals. The presence of Candida in any organ and tissue has been found to be a risk factor for potentially
fatal dissemination and systemic candidiasis. The major forms and clinical manifestations of Candida lesions and the principles of their
prevention, diagnosis, and treatment are described.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>кандидоз</kwd><kwd>инвазивные микозы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>candidiasis</kwd><kwd>invasive mycoses</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">&lt;div&gt;&lt;p&gt;Pappas P.G., Kaufman K.A., Andes D. et al. Clinical practice guidelines for the management of candidiasis: 2009 update by the Infectious Diseases Society of America. Clin Infect Dis 2009;48:503-35.&lt;/p&gt;&lt;p&gt;Pfaller M.A., Diekema D.J. Epidemiology of invasive candidiasis: a persistent public health problem. Clin Microbiol Rev 2007;20(1):133-63.&lt;/p&gt;&lt;p&gt;Richardson M., Lass-Florl C. Changing epidemiology of systemic fungal infection. Clin Microbiol Infect 2008;14(Suppl.):5-24.&lt;/p&gt;&lt;p&gt;Климко Н.Н. Кандидемия и острый диссеминированный кандидоз у больных в отделениях реанимации и интенсивной терапии. Инфекции в хирургии 2009;4:65-70.&lt;/p&gt;&lt;p&gt;Donal E., Abgueguen P., Coisne D. et al. Echocardiographic features of Candida species endocarditis: 12 cases and a review of published reports. Heart 2001;86(2):179-82.&lt;/p&gt;&lt;p&gt;Сергеев А.Ю., Сергеев Ю.В. Кандидоз. Природа инфекции, механизмы агрессии и защиты, лабораторная диагностика, клиника и лечение. М., Триада-Х, 2001;472 с.&lt;/p&gt;&lt;p&gt;De Pauw B., Walsh T.J., Donnelly J.P. et al. Revised definitions of invasive fungal disease from the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) Consensus Group. Clin Infect Dis 2008;46:1813-21.&lt;/p&gt;&lt;p&gt;Garey K.W., Rege M., Pai M.T. et al. Time to initiation of fluconazole therapy impacts mortality in patients with candidemia: a multi-institutional study. Clin Infect Dis 2006;43:25-31.&lt;/p&gt;&lt;p&gt;Rotstein C. Invasive candidiasis in the ICU: prophylaxis versus preemptive treatment. Curr Infect Dis Rep 2008;10:454-8.&lt;/p&gt;&lt;/div&gt;&lt;br /&gt;</mixed-citation><mixed-citation xml:lang="en">&lt;div&gt;&lt;p&gt;Pappas P.G., Kaufman K.A., Andes D. et al. Clinical practice guidelines for the management of candidiasis: 2009 update by the Infectious Diseases Society of America. Clin Infect Dis 2009;48:503-35.&lt;/p&gt;&lt;p&gt;Pfaller M.A., Diekema D.J. Epidemiology of invasive candidiasis: a persistent public health problem. Clin Microbiol Rev 2007;20(1):133-63.&lt;/p&gt;&lt;p&gt;Richardson M., Lass-Florl C. Changing epidemiology of systemic fungal infection. Clin Microbiol Infect 2008;14(Suppl.):5-24.&lt;/p&gt;&lt;p&gt;Климко Н.Н. Кандидемия и острый диссеминированный кандидоз у больных в отделениях реанимации и интенсивной терапии. Инфекции в хирургии 2009;4:65-70.&lt;/p&gt;&lt;p&gt;Donal E., Abgueguen P., Coisne D. et al. Echocardiographic features of Candida species endocarditis: 12 cases and a review of published reports. Heart 2001;86(2):179-82.&lt;/p&gt;&lt;p&gt;Сергеев А.Ю., Сергеев Ю.В. Кандидоз. Природа инфекции, механизмы агрессии и защиты, лабораторная диагностика, клиника и лечение. М., Триада-Х, 2001;472 с.&lt;/p&gt;&lt;p&gt;De Pauw B., Walsh T.J., Donnelly J.P. et al. Revised definitions of invasive fungal disease from the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) Consensus Group. Clin Infect Dis 2008;46:1813-21.&lt;/p&gt;&lt;p&gt;Garey K.W., Rege M., Pai M.T. et al. Time to initiation of fluconazole therapy impacts mortality in patients with candidemia: a multi-institutional study. Clin Infect Dis 2006;43:25-31.&lt;/p&gt;&lt;p&gt;Rotstein C. Invasive candidiasis in the ICU: prophylaxis versus preemptive treatment. Curr Infect Dis Rep 2008;10:454-8.&lt;/p&gt;&lt;/div&gt;&lt;br /&gt;</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
