Рациональная антимикробная терапияА-стрептококкового тонзиллита -основа первичной профилактикиревматической лихорадки
https://doi.org/10.14412/1996-7012-2011-646
Аннотация
(острая ревматическая лихорадка, синдром токсического шока), обоснована необходимость рациональной антибактериальной
терапии данной патологии. Препаратами выбора для лечения острых форм БГСА-тонзиллита являются пенициллины (амоксициллин, бензатин-пенициллин, феноксиметилпенициллин) и цефалоспорины I поколения (цефадроксил), а при непереносимости β-лактамных антибиотиков - макролиды (спирамицин, азитромицин, рокситромицин, кларитромицин, джозамицин, мидекамицин).
При наличии хронического рецидивирующего БГСА-тонзиллита, когда вероятность колонизации очага инфекции микроорганизмами, продуцирующими β-лактамазы, достаточно высока, применяют ингибитор-защищенные пенициллины (амоксициллин-клавуланат) или цефалоспорины II поколения (цефуроксим-аксетил). Антибиотики - линкозамины (линкомицин, клиндамицин) используют в терапии острого и хронического БГСА-тонзиллита как препараты резерва.
Литература
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Рецензия
Для цитирования:
Белов БС, Белов БС. Рациональная антимикробная терапияА-стрептококкового тонзиллита -основа первичной профилактикиревматической лихорадки. Современная ревматология. 2011;5(1):13-22. https://doi.org/10.14412/1996-7012-2011-646
For citation:
Belov BS, Belov BS. RATIONAL ANTIMICROBIAL THERAPY FOR GROUP A STREPTOCOCCAL TONSILLITIS IS THE BASIS FOR THE PRIMARYPREVENTION OF RHEUMATIC FEVER. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2011;5(1):13-22. (In Russ.) https://doi.org/10.14412/1996-7012-2011-646