Melńikova V M, Belikov G P, Shcherbakova E G, Blatun L A, Rastunova G A
TsITO of NN Priorov, Moscow.
Vestn Ross Akad Med Nauk. 1997(3):26-9.
Dysbacteriosis is an important pathogenetic condition in the development of endogenous infection whose treatment and prevention are among the most topical and challenging problems. The common cause of dysbacteriosis is antibiotic therapy and prevention of surgical infection. Antibiotic therapy should be performed in accordance to strict indications, with compliance of rational regimens and methods for using drugs. Adequate local and parenteral drugs should be given in wound infection. To prevent endogenous infection, selective gastrointestinal decontamination (SD) that requires bacteriological surveillance of the patient's intestinal microflora and the environment, as well as the use of eubiotics. In critically ill patients with multiple injuries, in patients on artificial pulmonary ventilation, other individuals at risk SD is highly effective, in which oral of intragastric antibiotics which are intestinally unabsorbable and active against only anaerobic opportunistic microbes were added by the same agents for the oral cavity and by lactic acid bifidumbacterin. The new biological drug Bifilys that contains the optimum balanced ratio of bifidobacteria and lysozyme and provides a prompt correction of microbiocenosis, local immunity, and intestinal function is highly effective in the treatment and prevention of dysbacteriosis. Electrochemically activated solutions are also promising in treating dysbacteriosis and digestive infections. There are available original Russian antiviral synthetic and natural agents to make drug therapy and prevention of viral infections frequently complicating the status of weak patients.
菌群失调是内源性感染发展过程中的一种重要致病状态,其治疗和预防是最热门且具有挑战性的问题之一。菌群失调的常见原因是抗生素治疗和外科感染的预防。抗生素治疗应严格按照适应症进行,遵循合理的用药方案和方法。对于伤口感染,应给予足够的局部和胃肠外用药。为预防内源性感染,需要对患者肠道微生物群和环境进行细菌学监测,并使用益生菌进行选择性胃肠道去污(SD)。在重症多发伤患者、人工肺通气患者以及其他有风险的个体中,SD非常有效,即在口服或胃内给予肠道不吸收且仅对厌氧机会性微生物有活性的抗生素的同时,对口腔使用相同药物,并给予乳酸双歧杆菌素。新型生物药物Bifilys含有最佳平衡比例的双歧杆菌和溶菌酶,能迅速纠正微生物群落、局部免疫和肠道功能,在治疗和预防菌群失调方面非常有效。电化学活化溶液在治疗菌群失调和消化感染方面也很有前景。有俄罗斯原装抗病毒合成和天然药物可用于药物治疗和预防病毒感染,这些感染常使虚弱患者的病情复杂化。