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?????? ?????????? ?????????????? ???????? ????????? ? ???? ??????????? 2018?? ??????????? ? ?????????????? ??????? ?????????? ??? ????????, ??? ????????? ?? 65 ???????? ????????? ??????????????? ?????? ???????? ??????? ? 1000 ?????? ?????????? ??? ????????? ???????? ?????????????? ??????? ?????????? ????????? ??????? ? ?????????? 64.4, ??? ???????????? ??????????? 4.4: ???????????? ? ???????????/??????????????? (??-??????????) ?????????? ??????? ??????????? ??? [20] ?

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???????? ??????? ????????? ??????? ??????????? ????????????????? ??? ???? ?????? ?????? ??????????????? ???????????? ?????????????? ?? [57] ? ??????? ?? ????-?????????? ??????????????, ??????? ?? ????????????? (?????????? ?? Penicillum ???? ?????? ??????), ???????????????? ? ??????????????? ???????????????, ????? ????? ???????? ?? ??????? ?????????????, ????????????????? ??, ??????? ??? ?????????????????, ??????? ????????????????? , ??????????? ? ????????????????? ???????? ?? ????????? ???????? ??????? ??????? [57] ? ????????????? ??????????????? ??? ???? ??????????????? ???? ??????????? ??, ????? ???? ???????????? ???????, ??? ???? ? 1000 ???????? [58] ?

1939 ???????? ?????????? ??? ??????????????, ??? ????? ????????????????? ???????????? ?????????? ?????? ?????? ? ????? ?????? ???????????? ??????????? ?????????? ?????????????????? ? ????????????????? ??????????? ????????????? ???????????? ???? ???????? ???????? ????????????? ????????? ?????????? ???? ????? ??????????????? ???????? ???????????? ? ??????? ???????, ????????? ???? ????? ?????????????

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?????? ?????????? ?????? ?????????? ???????? ?????? Staphylococcus aureus -? ??????? ?????????? ?????????? ??????????? ?????????????? ???????

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?????????????? ???????????? ???????????? ???????????? ?? ?????? ??? ??????????? ??? ?????? ????????????? ?????????????? ????? ? ????????? ???????? ?????????? ???????? ???? ????? [67] [68] ? ??????? ??????????? ?????? ????? ? ????????? ????????? ??????? ? ?????????? ?????????????? ????????? ??????????? ?????????? ??? ???????????????? ??? -? ?????????? ???????? ? [67] ? ????????????? ????????? ?????????? ?? ???????????? ??????, ????? ??? ???????? ?? ???????????? ???????????? ????? ? ?????, ?? ??? ???????????? ???? ?? ????????????? ????????? ???????? ????????????? ???? ????? ???????? ??? ????????? ????????????? ? ????? ?? ????????? ??? ???????????? [69] [70] ? ????????????? ????????? ???????? ???????????? ????????? ????? ???? ? ???????? ??? ????????? ???????????? ?????????? ????????? ? ?????? ??????????? ????????? ??????? ???-? ??????????? ?????????????? ( ?????????????? ) ??????????? [62] ? ????????????? ???????????? ?????? ????? ?? ?????????? ?????? ????????? ???????? ??? ????????? ????? ??????????? ???????, ????? ????? ?? ???????????? ????? [62] [71] ? ???????????, ????? ????? ?? ???????????? ?? ???? ?????? ?????, ????? ?? ????????? ????????????? ????????? ??????? ????????????? [71] ? ?? ???? ????????????????? ???????? ?????? ?????????????? ????? ? ???????? ??? ???????????? ??? ???? ????????????, ???? ??????????? ? ????? ????? ?????? ????????????? ????????? ???????? ????????????? [71] ?

????????????? ????????? ???????? ?????? ????????? ? ?????????? ???????? ?? ????????????????? ??? ?????????????? (superbugs)? ?????????? ????? ???????? ?? ??????? ????????????????? ??????????, ????? ????????? ?????????? ???? ??????? ????????????? ????????? ????????? ??? ????????, ????? ?????? ?? ????????? ??????????? ????????????? ??????? ????????, ??? ?????????????? ?? ?????? ???????????? ???? ???? ?????? ????????? ????????? ?? ?????????????? ???????? ??????? ????????????? ???????????? ??????????? ??? ?????? ??? ?????? [72] ? ??????? NDM-1-? ??? ?????????????? ??????? ?, ??? ????????????? ? ????????? ????-?????????? ????????????? ????????? ???? ???????? ???????? [73] ? ??????? ????????????? ????????????? ???????? ????????????????? ???? ?, ?? NDM-1 ???????? ??????????? ??????? ??? ?????? ????????????? ? ????????? ????? ???????? ??????????? ?????????????? ????????, ????? ????????? ?? ?? ???? ????????? ??????? ????? [74] ? 2016 ??????? ?????? 26-?? ???-??? ???????????? ? E. coli ??????????????, ??? ?????? ? ????????? , ?????? ?????? ≪????????????? ?????? ???≫ ??????????? ???????? [75] [76] ?

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??? ????????????????? ?????????? ? ???????????? ??????????? "???? ???????" ?????????? ???????, ??? ?????????? ? ???????? ????????????????? ?????? ?????? ????????? ? ??? ?????, ?? ?????????????? ??? ??????? ?????????? ????????????????? ???????

The ICU Book ?????? ?????????????? ?????????? ?????? ?????? ? ?????? ??????????? ?????, ??? ????????? ??????????? ????? ??? [77] ? ??????????????? ?? ?????? ???????? ? ????? ??????????? ???????? ?? ????????????? ???????? ????????????? ?????? ???????????? ???????????? ?????????????? ???????????, ????? ????????? ???????? ????????? ????? ?? ???? ??????????? ?????? ? [78] ? ????? ??? ????????????? ???????????? ?? ??????? ???????????? ??? ????????????????? ???????, ????? ??? ≪???????????≫ ??????????????? ???????? ??? ????? ?????????? ?? ????? ????????? ???? ????????? ????????? ??????? ?? ???? ??????? ??? ??????????? ????????????? ?? ?????????? [21] [78] ? ?????????????? ???????????, ???????? ?? ?????????? ? ????????????, ????? 1950 ???????? ????????? ? ?????????????? ???????? ???????????? ??? [60] [79] ? ?????????????? ?????????? ???????????? ???????????????? ???????? ?????????? ? ????????? ???????? ? ????????? ??? ???????????? ????????? ??? [79] ?

?????????????? ?? ???? ???????? ????? ???????? ?????? ? ??????????? ??? ??????????? ???????????? ?????????????? ??????? ????????????, ?????? ??? ????????? ?????? ??????? ???? ? ????????? ??????????? ??????????? ?????????? ????? ??? ????????? ??????????? ???????? ?? ???? ????????? ???? ??????????? ???????? ?? ??? ????????? ?????????????? ???????? ????????????? ????????? ??????????, ?? ???? ???????? ?????????? ? ????????????? ?? ????????? ?????????????? ??????? ?????? ? ??? ????? ?????????? ??????? ?????????? ????????? ??????? ?????, ???????? ? ????????????? (???????)? ????????? ????? ????????? ?????????? ??????????????????? ???? ???????? ????????? ????? ????? ????????????? ?? ????????? ??? ???????????, ????? ??????? ?? ???? [80] ? ???????????? ????????????????? ??????? ?? ?????????, ?? ?????????? ??? ????? ?? ????????? ?????????????? ?? ???? ????????????? [81] [82] ?

????????????? ???????????? ?????? ????????? ?? ???? ??????????????????? ??????????? ?? ????? ??????????????? ?????????????? ??????????? ?????????? [78] ? ?????????????? ???? ??????????? ??? ?????????? ?????????? ??????? ????????????? ?? ???-??? ????????????? ???????????? ????????? ?????????????????? ?????????? ???? ??????????? ??? ?????????? ???? ????????? ????????????? ?? ??? ????????????????? ?????????? ? ???????????? ???????????, ??????????? ? ????????????? ?????????? ?????? (FDA), ??????????????? ??????? ??????????, ?????? ??? ??? ??? ?????????? ?????? [83] ? ???????? ??????????? ??????????????? ? ≪???????? ?????????????? ?????????????????≫ ?????????? ???????????????? [84] ? 2002 ???????? ??????????? ????? ? ???? ≪?????????????? ???????????? ???≫ ?????????? ??????? ????????????????, ??? ??????? ???????? ?????????????? ?????? ?????????????? ???????? ????????? ???????? [85] ?

?????????????? ???????????? ????????? ???????? 1970 ???????? ??????? ??????????????? ???????? ????? ?????????, ??? ??-? 2003 ???????? ??????? ?????????????? ???????????? ????? ??? ?????? ????????? [86] ? ??????, ?? ???? ???????????????????, ??? ????? ??? -?, ??? ?????????????? ??????? ????????? ? ??? ??????????? ? ????????????? ????????????? ??????? (FDA) ??? ?? ???? ???????? ?????????? ????? ???????????????? ???????? ?????????????? ?????? [87] ? ??????, ????????????? ? ???????? ????????????????? ???????????? ????????????? ?? ?????????????? ?????????, ???? ?????? ?????????? ? ??????, ?? ????????????? ?????????? ??? ??????? ?????????? ???????????????? ??? ?????????? ???? ???????????, ?????? ??? ???????? ????????, ??? ????????? ? ?????????????? ???????? ? ????? ???????????? ???? ???? ?????????????????? ?????? ?????????????? ?????? ???-??? ????? ???????? ?????????? (S.742 [88] and H.R. 2562 [89] ) ?????????? ?? ??????????? ????? ??????? ?? ????????? ?????????????, ?????? ??? ????????? ??? ????????? [88] [89] ? ??? ????????? ????????? ??? ???????? ??????????? ? ???????? ????????????????????, ??? ????? ????????? ???????????? ????????? ???????????, ????????? ???????? ??????????? ? ????????? ???????? ??????????? ??????????? ?????? [90] ?

?????? ???????????? ???????????????? ? ???????????? ???????????? ?? ??????????? ??????? ??????? ??????????? ?????????????? ?????????? ??? ?????????? ??????????????? ??????????? ??????? ????????? ???????? ?????????????? ???????? ????????? ????????? ? [91] ?

???-??? ?????? ??????????? ??????? ????????? ?????????????? ???????? ??????????? ?????????????? ???????? ?????? ???????? ????????? ????? ????? 1977 ???????? ????????????? ? ??? ??????????? ? ????????????? ?????????? ?????? ??????? 2012 ??????? ?????? ??? ???? ????? ????????? ?????? ?????????? ?????? ????????? ????????????? ??????? ? ????? ?????? ????????? ????? ?????????? ??????? ???????? ??? ??????????? ? ????????????? ?????????? ?????? ?????? ???????????????? ??? ?????????????? ???????? ?????????????, ????? ??????? ??? ??? ?????? ????????????? [92] ?

??????????? [ ???????? | ???????? ???? ]

????? 20-?? ???? ?????? ????????? ???????? ??????? ?? ??????????? ????????? ?????????? ???? ??????, ????????????? ???????????????? ?????? ????????????, ????? ????????? ??? ????????? ??????? ?????, ?????????? ?? ????? 2000 ???? ???? [93] ? ?? ???? ???????? ???????????????????, ??? ?????? ??? ???????????? ? ??? ????????, ????????? ??????? ????? ??????????? ??? ?????? ??????? ???????????? ? ???????? ?????????????? [94] [95] ?

??????????? ?????????? ??? ????????????? ????????? ????? ????? ???????? ????????????? ?????????????, ????? ???????? ??? ?????????????? [53] [96] [97] [98] [99] ?

?????????????? ??????? ???????? ????????????? [ ???????? | ???????? ???? ]

???????? ??????????????? ??????????????? ????? ??????? ????? ? ????????????? ????????? ?????????? ????? ????? ???????????? 1880-???????? ?????? ????? ?????? ????????????? [53] ? ?????? ??????, ?? ???? ???????????? ????? ?? ?????? ??????, ??????????? ? ????????? ???????? ? ?????????? ?? ????????? ??? ????????, ?? ???????? ? ??????? ??????? ???????? ??????????????, ????? ????? ?? ?????? ????? ?????????? ????????????, ????? ????? ?? ?????? ??????????? ? ????????? ????? ????? ???????? ?????? ??????????? ?????? ???????????? ???????? ??????????? ????????????? ?????????? ???? 1907 ???????? ?? ??????????? ???????? ???????????? ??????? ?????????? ?????? ???????? ????????????? ????? ?????????? , ??? ???? ??????? ? ?????????? [53] [96] [97] ?

??????????? ?????????, ?? ?????? ? ??? ????????? ???????, ???????????? ? 1907?? ????? ?????? ??????
????? ?????? ? ???????? ?????

????????????? ?????????? ???????? ????? ???? ?????? ???????? ? ?????? ?????? 1907?? ??????? ??????? ???????? ?????????????? ???????????? [98] [99] ? ????? ????????????? ????????? ?????????????? ??????? ?????? ???????? ??????????????? ??????? ?????? ??? ?????????????? ? ????????? ??? ???????????? ????????? ??????? ???????????? ?????? ??????? ?????? ??????????????? ????????? ?????? ???? ?????? ? ??? ??? ??????? ???????? ??????????? ???????? ????? ???????? ??????? ????? ?????????? ????????????? ??????????? ?????, ??? ????? ????? ?????????????????? ??????? ?? 606-?? ???????????? ??? 1910?? ??????????? ??????? ???????? ???????? ??????? ????? ????????? ????? ?????? ?????? ≪606≫ ?????????? ???????????????? ????? [100] ? ????? 1910?? ?????? ??? ???????????? ????? ?????????? Hoechst ??????????? ??????? ????????? ??????????? ???? ??? ?????? ????? ?????????? [100] ? 20-?? ???? ?????? ????? ?????????? ???????????? ?? ???????? ??????? ????????? 1908?? ?????? ????????? ???????? ???????? ???????????? ??? ?????????? ??????????? ? ????????????? ???????? ??????? ?????? ????? [101] ? ??? ????? 1911 ???????? ?????????? ? ????? ??????? ?????????, 1912 ???????? ? 1913 ???????? ???????????? ??? ?????????? ????????? ???????? ???????? [102] ?

?????? ?????????????? ? ?????? ???????????? ???????????? ????????????? ??????? ?????????? , ??????? ? 1932 ???????? ??????? ?????? ??????????? ???? ??? 1933 ???????? ?????????? IG Farben-? ????? ??????????????? [97] [99] [103] , ???? ????? 1939 ???????? ?????? ????????? ???????? ???????? ???????????? ??? ?????????? ??????????? [104] ? ??????????????? ?????????? ????? ????????????, ????????????? ?????? ???, ???? ?? ????????? ?? ????????????? ???????????????? [103] ? ?????????? ??????????????? ???? ???????????? ?? ????????? ????-?????? ?????? , ???? ?? ?????????????????? ????????? ?????? ???????? ????????????? ??????? ??? ?????????? ???????????????? ??? ????????????????? ?????????? ?????????????? ? ?????????? ?????? ????????????? ????????? ??? ?????????????? [105] [106] ?

?????????? ? ????? ?????? ?????????????? [ ???????? | ???????? ???? ]

?????????? ????????? ????????????????????? ???????????? ? ????????? ???????? ??????, 1928??

19-?? ???? ?????? ???????? ????????? ??? ?????, ?? ???? ????????????????? ??? ????? ? ????? ??? ????????????????? ????? ??????????? ????????????????? ????????? ??? ?????? ??? ?????????????????????? ??????????? ?????? ????????????? ????????? ?????????????? ???? ???????? ???? ?? ≪??? ???? ???????????? ????????? ???? ???????????? ???? ?????? ??????????? ???, ???????? ? ??? ??????? ?????? ????????? ?????≫ [107] ?

1874 ???????? ????? ??? ?????? ???????? ???? ?, ?? Penicillum glaucum ????????????? ???? ????????????, ????? ???????????? ?? ??????? ????????? ???? ????????? ??????? ?????, ????????? ???????????? ??? ?????????? [108] ? 1876 ???????? ??? ???????? ?? ????????? ? ??????? ??? ??????? ??? ??????? [109] ? ???????? ?????? ??????????? ?????????????????? ?? ????? ?? ????, ?? Bacillus anthracis -? ?? ????? Penicillum notatum ????????????? ?????????????

1895 ???????? ??????? ????? ???????? ???????? ?????????? ????????????? ???? ??????????????? ????????????? ??????????? ?????????? ??????? [110] ?

1897 ???????? ????????? ????? ????? ???????? ??????????? ?? ≪????????????????? ?????????????? ?????? ?????? ????????????? ? ????????? ???????????≫ ??????? ?????????? ???????????????? [111] ? ?? ?????? ??????? ????????? ??, ????? ?????? ?? ????????????? ????????????? ??????????? ??????? ????? ????????? ???????? ??????????????????? ?????? ?????????????? ??? ???????? ????? ??, ?? ???????????? ? ????????????? ??????? ?? ????????? ???????? ??????? ???? ???????? ?????? ??, ?? E. coli -? ????????? ?, ????? ? ?????? ??????????, ??? ???????? ? Penicillum glaucum -? ??? ????? ???????????? ?? ?????? ?? ???, ?? ????????? ???????????? Penicillum glaucum -? ??? ?????? ???? ????????? ??????? ????????? ?????????? ??????? ??????????? ???? ??????????? ?????? ?????????? ??????? ????????? ???? ???????? ????? ? ?????????? ??????????? ? ?? ?????????? ?????? ?????????????????? [112] ? ???????? ??????? ? ???????? , ??? ???? ???????? ? ??????????????? [112] ? 1928 ???????? ??? ????????? ???????? ?????????? ? ?????????? ??????????? ????? ??????? ????????????? ?????? ????????? ???????????, ??? ?????????? ?? ???? ????????? ????????????? ??? ??????????? ????? ???? ???????? ???????? ?? ????????????? ????????? ????????? ??????????? ???, ??? ?? ???????????? ?????????? ???? ??? ????? ???????? Penicillum chrysogenum -? ??????? ??????? ?? ?????, ?? ??????? ????????????? ?????????? ? ??????????? ??? ?????????? ??? ??? [113] ? ???????? ????????, ?? ??????? ?????? ????? ? ????????? ????????????? ???????????? ??????????? ? 1928 ???????? ??? ??????? ????????? ? ?? ????????? ??, ?? ?????????? ????????????? ??????????????? ????? ??? ???????? ???????????????? ? ??????? ?? ?????????? ?????????? ???? ???????????? ?????????????? ? ?????? ??????, ???????? ????????? ?????????? ???? ????????? ??????? ?????, ?????? ?? ??? ????? ?????????? ?? ???????????? ????? ???????? ??????????? ????????? [114] [115] ?

1942 ???????? ????? ????? , ?????? ?????? ? ?????? ???????? ?????? ????? ???????????? ????????? ?????? ???? ??????? ??????????? ????????? G-?, ?????? ????? 1945 ???????? ??? ???????? ??? ?????????? ???????? ????????? ????? ??? ?????? ?????? ?????? ????????? ??????? ?????????? ?????????? (????????????) ??????????? ?????? ?????????? ???????? ??????????? ?????? ????? ?????????? ? ???????? ??????, 1942 ???????? [116] ? ?????????? ??? ????????? ? ?????? ????????? ??????? ??????, 1945 ????????? ??????? ?????????? ????? ????????????? ???????????? ?? ????????? ???????????? ???? ???????? ???????? ? ???? ?????????????? ?????? ?????? ??????, ? ???????????? ???????? ?????????????????, ??? ????????????? ??? ??????? ??????? ???????????? ???????????, ???????? ? ?????? ? ?????????? ???????? ??? ??????????????? ????????? ???????? ?????????????????? ? ?????????????? ????????????? ??????????????? ??????????? ???????? [117] ? 1945 ???????? ????? ? ??????, ????? ???????????? ????????? ??? ?????? ??????????, ?????????? ??????????? ???????? ???????? ??????? ????????? ???????? ???, ?? ??????????? ?? ??????????, ?????? ??? ????????? ??????????? ?????? ??? ????? ????????? ????????? [118] ?

?????? ?????? ???? ????????? ???????? ????????????? ??????????????? ?????????????? ? ???????????? ??????????? ???????????, ???? ????????? ??????????? ???????????? ? ???????? ?????????? ??? ?????? ?????? ?????????????????? [119] ? 1939 ????????? ??????? ????????????? ????????? ?????????, ???????? ?????????? ?????? ?????? ?????????? ??????? ???????????? ??????????? ?????, ??? ??????????? ?? 20% ?????????? ? 80% ?????????? ??? ??????? ?? B. brevis -??? ??? ??? ?????????? ????????? ?????? ??????????????? ?? ? ??? ??????????? ?? ??????? ????????????? ????????? ????????? ??????? ? ?????? ??????? ??????? [119] ? ??????????? ?? ???????????? ???????? ??? ????? ????????? ?????? ????????? ?????????? ???????? ????????? ?????? ?? ????????? ???????? ?????? ??????? ????????????? ????????? ???????????????? ???????? ?????????????????? ???????????? ???????? ???? ??????? ??????? ? ?????????? ???????, ??? ???? ????????? ????????? ?????????????? ???????????????? ?????????? ?? [120] ?

?????????????????? [ ???????? | ???????? ???? ]

???????? ??? ???????? ???????, ??? ????????? ? ?????? ???????, ?????????? ? ????????? ??????????? ??? ??? ?????????? ?????? ? ??????????? ? ??? ???????????? ????????????? ????????????? ????????????? [53] [121] [122] ? ????????? ???????? ?????? ????? ??????????? ? ???????????? ???, 1877 ????????, ??? ???? ???????? ?? ?????? ???? ????????, ?? ??? ????????? ????? ?? ????? Bacillus anthracis -? ??? [121] [123] ? ?????????? 1942 ???????? ????????? ????????? ?????? ???????? ???? ?????????????? ???????? ????????????? ??????? ????????????? [53] [121] [124] ?

?????????? ??????? ?????? ????? ??????????? ? 1942 ???????? ?????? ???????? ? ?? ????????????? ????????????? ??? ?????????? ?? ????????????????? ?????? ????????? ???????? ??????????, ??? ?????????????? ???????????? ?? ????????? ??? ????????????????? ???????? [121] [124] ? ??????? ?????????? ???????? ?? ??? ???????????????, ????? ?????????? ?? ?????????????, ???? ???????????????? ?????? ??? ??????????, ?????? ?????????? ???????? ? ?????? ????????? ? ??? ???????? ?? ??? ???????? ????????????? ???????????????, ???????? ?? ????????????????? ? ?????????? ?????????? ??????? ???????????? ? ????????????? ????????? ??? ????? ??? ????? ???????? ?????????? ??????????? ?????, ????? ?????? ????? ?????????? ????????? ? ????????????????? ??????, ?? ?? [125] [126] ?

?????????? ??????? ????? ? anti + βιωτικ?? ( bi?tikos ) ???????? βιωτικ?? ( bi?tikos ) ????????? ? ?????? ????? ??????, ????????, ??????? [127] ? ???????? ? β?ωσι? ( bi?sis ) ?????, ??? ?? ????????? ? ?????? ???? [128] ? β?ωσι? ( bi?sis ) ???? ?? ????? ? β?ο? ( bios) ? ????? ????? [42] [129] ? ????????????? ??????? ????? ? ???????? ?ντ? ( anti ), "against" [130] + βακτ?ριον ( bakt?rion ) ???????, ??? ?????? βακτηρ?α ( bakt?ria ) ????? ????? ??????? ??????????? ?? ????, ????? ???????????? [131] , ???? ?? ???????????? ?????? ????????? ????????? ?? [132] ?

????????????????? [ ???????? | ???????? ???? ]

????????????? [ ???????? | ???????? ???? ]

????????? ????????????? ??????????? ???????? ????????????? ?????? ????????? ???????? ????????? ??? ? ??? ??? ?????? ?????????? ??????? ??? ?????????????? ????????? ????????, ??????? ?? ????????? ????????????????? ????????? ????????????? ?????????? ??????? ??????????????????? ?????????????? ??????? [133] [134] ? ??? ????? ??????? ????? ??????? ????????????? ????????? ?????????? ???? ?????????? ?? ??? ??? ???????????, ????? ?????????? ?? ?????????? ??? ??? ????????? ???, ??? ????? ??????? ???????? ? ???????????????? ????????? [135] ?

????????????? ? ??????? ????????? [ ???????? | ???????? ???? ]

????????? ????????????? ???????????? ?????? ???????? ???????????????????? ???? ??????? ??????????????? ????????????? ? ????????????? ?, ????? ????? ?? ????? ???????? ????????????? ????????? ???????? ??????????????? ?????????????? ????? ??? ??????? ?????????? ????? ?? ??????? ??? ????????????? ????? ????????? ???????????? ???????????? [136] ? ??????? ???? ?????????????? ??????? ????????? ????? ?? ????????? ??? ????? ??????? ????????????? ???????????? ????????????, ???????? ? ????????????? ???????????? ??? ????????? ?????? ?????? ?????????? ?????????? ??????????????? ????????????? ?????? ???????? [136] [137] ? ?????????? ???

  • ?????????? ????????? ????? ???-???-??????????? [137]
  • ????-????????? ?????????????, ??????? ?? ??????????????? ? ??????????? [138] ?

??????????????????? ??????????, ??????? ? ??????, ????? ? ????? ≪???????????≫ ??????????? ???????? ?????? ???? ???? ?????????????? ????? ??????????????????? ????? ????????? ??????? [139] ?

??????????????? [ ???????? | ???????? ???? ]

???????????????? ???????? ??????? ?????????? ????????? ??? ??????????? ?? ??????????? ??????? ??? ??????????? ? ??? ????????? ?????????? ?????? ??? ?????????? ?????? ??????? ??????????? ??????????, ?????????????? ?????????, ????????? ? ??? ????????? ??????????? ??????????? ????????????? ???????????????? ???????????? ?? ???????????? ????????? ????????????????? ?????? ????????? ????? [140] ? ????????? ?????????? ????????? ??? ?????????? ??????? ???????????????? ?????????? ?? ????? ?????????????, ?????? ?????????????????, ????? ???????? ?? ??????? ?????????????, ??? ????? ???????????? ???????????????? ? ????? ??????????????, ????????????? ?????????, ?????? ??? ???????????? ??????????? (??????????) ? ?????????????? [141] ?

??????? ??????? [ ???????? | ???????? ???? ]

???? ?? ?????? ????????? ? ????????? ???? ???

?????????????? ???????? ?????? ????????? ???????? ??????? ??? ??? ????? ? ??????? ???????? ??? ????????????? ????????????? ??????? ?????? ??????? ??????????? ???????? ?? ????? ??????? ??????????? ? ?????????????? ? ????? ??? ?????????? ???????????? ???????? ??? ??????????? ?? ????????, ? ????????????? ??????????????, ????? ??? ??????? ??? ?????????? ? ??? ???????? ??????????? [142] ? ?????????????? ??? ???????? ??????, ???????? ?? ??????????? ? ????? ?? ????????? ????, ??? ????? ????????? ??? ??? ?????? ?? ??????????? ????? ????? ????????? [142] [143] ? ?????? ????? ??? -? ????????? ?? ????????? ???? ???, ????? ??? ?????????????? ? ?????????? ? ???????????? ??? ?????? ????????? ?????, ???? ???? ????? ?????? ? ??????????? ?????????? ?, ??? ?????? ????? ?? ????? ? ????? ?? ??????? ?? ????????? ????? ????? ????????????? [143] ? ?????? ????? ???????????????? ??????????? ?????????? ? ≪???≫ ?????????????? ??????, ?????????????? ???????? ??? ?????? ??? ??? ???? ?????????????? ?????????????? ????? ???????? ????? ?? ???? ??????????????? (????????????) ??? ?????? ?????? ????? ????? ?????????????? ???? ????????? ? ????????? ????????????? ??????? ??????????? ??? ?????? ?????????????? ????? ?????? ??????????????? ?????????? ??? ?????????? ?????? ???? ???? ???, ????????? ????????? ???????? ????? ?????? ???? ??? ??????????? ????????? ??????? ????????????? ????? ????? ??? ?, ??? ??????? ???????? ???????? ????????? ??????????????? ??? ??? ?????? ?????? ≪?????????? ???????????≫ ???????? ??????? ?????? ????????? ????????? ????????? ??? ??????? ???? ????????? ???????? ??? ?????? ???????? ????????? ???, ????? ???? ? ??????????? [142] ? ?????? ???????? ????????????????? ????????? ?????????????? ???????? ??????? ????????????? ????????????? ?????? ??????????? ????????????? ?????????? ????????? ??????????? ??????????????? ?????????? ???????????? ??????????? ? [142] [144] ?

???????????? ?????????????? [ ???????? | ???????? ???? ]

???????? ????????????? ??????????????? ?????? ??????? ?? ??????????? ? ????? ??????? ????????? ??????????? ??????????? ???????? ?????????? ?? ??????? ????????????????? ???????????? ??? ??????? ????? [145] [146] ? ?????? ????????? ??? ??????????????? ? ???????? ?????? ???????????????? ?????? ?????? ??????????-?????? (?????????????? ???????????? ?????? ?????? ??????????????) ??? ????????? ?????????????? ? ????????????? ????????????? ???????????? ???????? ????? ???????? ??????????? [133] [147] ? ??????????????? ??? ???????????? ??????????????? ???????? ???????????? ????? ?????????????? ??? ???? ?????????????? ??????????? ?? ???????? , ??????????? , ???????????? ? ???????????? , ????? ????????? ?? ????????????? ???????????? [145] [148] [149] ? ???? ???????????????? ?????? ??????????? ???????? ??????????? ?? ?????????????? (????????????), ??????? ? ?????? ?????? ??????? ? ??????????? ?? in vitro ????????????? ?????????????? [150] [151] [152] ? ??????????????? ????? ?? ????? ?????????????? ???????, ?????? ????????? ?????????? ???????????, ??????? ????????? ??????? ??????????? ???????????????? , ?????? ??? ??????? ??????? ??????????????? [148] ? ?????? ????????? ?????????????? ???????????? ?????????? ????????? ??????????????? ? ???????? ?????? ??? ?????????????? ?????????? [147] ?

??? ?????????????? ??????? [ ???????? | ???????? ???? ]

??????????????? ????????????? ??????????????? ? ????????? ??????? ????????????????? ??????????? ?????????? ????? ?????????????? ????????????????? ???????????, ????????? ?? ???????????? ????????? ???????????????? [153] ? ????????? ??????? ????????????????? ??????????? ?????????? ?????? ?, ?? ????? ????????? ??????????? ?????????? ??? ?????????????? ???? ????????? ? ? ?????????????? ?? ????-????????? ????????? ???????? ??? ?????????????, ????? ??????? ?? ?????????? ?????????????? 2-?? ? 3-?? ?????????? ?????? ??? ????????????? ??????? ??? ????-????????? ????????? ?????? ???????? ????????? ???????????? ??? [154] [155] ? ??? 51-?? ??? ????????? ??????????????? ???????? 2017?? ?????? ????????? ??????????????, ??? ????? ????? ?????????????, ??????? ?? ?????????? ?????????????? 1-3-?? ????????? [156] ? ?????? ????????? ??????? ????????????? ????????????? ??????????? ????????? ???????? ?????????? ? ?????????? ??????????????? ???? ???? ??????????? ?????????????? ??? ?????? ?????????? ???????????? ??????? ?? ????????????????? ? ?????? ??????????????? ??????, ??? ?????????????? ???????? ???????????? ?????????? ??????? ????????? ?, ????? ??? ??????????? ???????? ??? ?????????????? ???????? ????? ????????? ????????????? ???? [156] [157] ? ????-????????? ????????????? ??????????? ?????? ????????????? ??????? ?? ?????? ????????????????? ??? ????????????? ?????? ?????? ?????? ???????? ????? ?????????? ??????? ????????????? ??????????????? [156] ?

?????? ??? ????????? ???????? ?? ?????? ??????????? ?????????? ?? ???? ?????????????? ??????? ?? ????? ? ???????? ?????????????? ???? ????????? ?????? ? ??? ???????? ?????????? ????????? ????????? ??????? ????? ??????????? ??? ????? ??????????? (?????????????????) ? ????????????, ??????????? (??????????????????) [158] ? ???????????????????? ???????????? ? ?????????????????? ?????????? ???????? ????????? ?? ????? ? ???????? ?????????????? ???? ????????? ?????? ??????? ?????? ??? ???????? ??????????? ?????????????? ???????? ?????????????, ????????? ? C. difficile -? ????????? ?????? ??????? ????? [158] ? ??? ????????????-???????? ????????????? ?????????????, ?????? ??? ??????????-?????????? ? ??????????-?????????? ????????? ?? ??????????? ? ?????????????? ????????? ??????? ????? [158] ?

  • ?????????? / ?????????? (CXA-201; CXA-101/tazobactam): ????????????/β-????????? ????????????? ????????????? Pseudomonas -? ???????? (?????????? ? ???????? ???????)? FDA-? ???????? ? 2014?? ?????????? 19-???
  • ?????????? / ????????? (ceftazidime/NXL104): ????????????/β-????????? ????????????? ????????????? Pseudomonas -? ???????? (?????????? ? ???????? ???????)? ??????? ? ?????????? ?????????????? 3-?? ????????
  • ?????????? /????????? (CPT-avibactam; ceftaroline/NXL104): ????????????/β-????????? ????????????? ????????????? ?????????? ???????? ????????????? ?????? Staphylococcus aureus-? ??? ??????? ????? (?????????? ? ???????? ???????)?
  • ???????? /MK-7655: ?????????? / β-????????? ????????????? ????????????? (?????? ? ???????? ???????)? ??????? ? ?????????? ?????????????? 2-?? ????????
  • ?????????? (ACHN-490): ????????????? ( ?????????? ??????? ????????? )? ????????? ? ??? FDA-? ??? ????????????? ???????? ??????????????? ????????? ?????????? ????????????? ?????????
  • ??????????? (TP-434): ???????? ??????????????? ????????, ?????????? ??????? ?????????, ??? ?????? ???????? ?? ???????? ? Tetraphase-? ??????, 2-?? ????? ?????????????? ???????? ?? [159] ?
  • ?????????? (PMX-30063): ??????????? ????????????? ?????????? ??????? ? (????????? ? ???? ???????)? ??????? ? ?????????? ?????????????? 2-?? ????????

Streptomyces -? ??????????????????? ?????????? ? ??? ?????????????? ???????, ??? ????? ?????????? ???????? ????????????? ?????? Staphylococcus aureus -? ? ???????? ??????????? ????????????? ???????? ?????? ??? ????????? ??????? ?????? ????????????????? ? ???????????? ?????????????? ??????????? ??????? ???????????? ??? ???? ???????? ? ??????? ????????????? ?????????????? ????????, ???????? ?? ???????????????, ??????? Novacta Biosystems-?, ????? Clostridium difficile ????????? ??????? ????? b-???? ???????????? ????? ??? ?????? ?? NVB302 ????????????, ??? ??????? ? ?????????????? ?????? ??????? [160] ?

??? ???????? ???????? ??????????????? ???? ????? ????????? ??????????? ? ????????????? ?????????? ??????????????? ?????? ?????????? ?????????????? ????????????? ??????? ???????????? ????????? ???????????? ????????????? ????? ? ??????? ???????????? ???????????????? ?????? ??? ???????? ???????????? ???????????? [155] ? ???-??? ?????????? ??????? ???????? ?????????????? ??????? (ADAPT) ?????????????? ??????? ?????????????????? ???????? ????? ???????????? ????? ?????????????? ???? ???????? ?? ??? ?????????????? ????????????? FDA-? ?????? ????? ????????? ????????? ??????? ????? ?????????? ?????????????? ? ??????????? ????????? ????? ? ????????? ????????? ????? ??? ???? ?????????? ?????????????? ???? ????????????????? ?????????? ? ???????????? ??????????? ???????????? ?? ?????????????? ??????????? ? ???????? ???????????? ??????????, ????????? ???????????? ?? ?????????? ??????????????? ???????????? ????? ?????? ????????? ??????? ? ??????????? FDA-? ?????? ?????????????? ???????? ??????????? ≪????????????????? ????????????? ??????????? ??????????? ????????????≫ [161] ? The Pew Charitable Trusts-? ??????? ?????? ????? ??????? ??????? ≪ADAPT ???????????????? ?????????? ?????????????? ????? ??????????? ???????, ??? ???????????????? ?????????? ??????? ????? ??? ????????? ??? ? ????????? FDA-? ???? ????????????? ???????? ?????/????????????? ?????????? ????????????≫ [162] ?

??? ??? [ ???????? | ???????? ???? ]

????????? ??????????????? [ ???????? | ???????? ???? ]

  • Davies J, Davies D (2010 ?? ?????????). ≪Origins and evolution of antibiotic resistance≫ . Microbiology and Molecular Biology Reviews . 74 (3): 417?33. doi : 10.1128/MMBR.00016-10 . PMC   2937522 . PMID   20805405 .
  • ≪Antibiotics: MedlinePlus≫ . NIH.gov . ??????? ? 2016 ?? ??????? 19-?? .
  • ≪WHO's first global report on antibiotic resistance reveals serious, worldwide threat to public health≫ . WHO .
  • Pugh R, Grant C, Cooke RP, Dempsey G (2015 ?? ???????). ≪Short-course versus prolonged-course antibiotic therapy for hospital-acquired pneumonia in critically ill adults≫ . The Cochrane Database of Systematic Reviews (8): CD007577. doi : 10.1002/14651858.CD007577.pub3 . PMID   26301604 .
  • Giedraitien? A, Vitkauskien? A, Naginien? R, Pavilonis A (2011 ?? ???????? 1). ≪Antibiotic resistance mechanisms of clinically important bacteria≫. Medicina . 47 (3): 137?46. PMID   21822035 .

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