Butkevich O M, Solov'ev V V, Vinogradova T L
Ter Arkh. 1986;58(10):129-33.
Based on the data obtained during observation over 270 patients with infectious endocarditis the authors discuss factors that cause antibacterial therapy resistance encountered particularly often over the recent decade. Among the factors, the authors mark polyetiology of the disease over the recent years, "new" patterns of endocarditis in terms of the pathogenesis, predominance of primary endocarditis with highly virulent microorganisms, late disease diagnosis, inadequate antibacterial treatment, and so forth. Approaches to overcoming treatment resistance are also considered.
基于对270例感染性心内膜炎患者的观察所获得的数据,作者讨论了近十年来特别常见的导致抗菌治疗耐药的因素。在这些因素中,作者指出近年来疾病的多病因性、发病机制方面心内膜炎的“新”模式、高毒力微生物引起的原发性心内膜炎占主导、疾病诊断延迟、抗菌治疗不足等。还考虑了克服治疗耐药的方法。