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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">tbjournal</journal-id><journal-title-group><journal-title xml:lang="ru">Туберкулез и социально значимые заболевания</journal-title><trans-title-group xml:lang="en"><trans-title>Tuberculosis and socially significant diseases</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2413-0346</issn><issn pub-type="epub">2413-0354</issn><publisher><publisher-name>ООО «Ин-Тренд</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">tbjournal-470</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>ЛЕКАРСТВЕННАЯ ЧУВСТВИТЕЛЬНОСТЬ МИКРООРГАНИЗМОВ</subject></subj-group></article-categories><title-group><article-title>Сравнительное изучение лекарственной чувствительности медленнорастущих микобактерий (М. kansasii и М. xenopi)</article-title><trans-title-group xml:lang="en"><trans-title>A COMPARATIVE STUDY OF DRUG SUSCEPTIBILITY OF SLOW-GROWING MYCOBACTERIA (M. kansasii and M. xenopi)</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>Макарова</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Makarova</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Макарова Марина Витальевна – ведущий научный сотрудник отдела проблем лабораторной диагностики туберкулеза и патоморфологии ГБУЗ города Москвы «Московский городской научно-исследовательский центр борьбы с туберкулезом Департамента здравоохранения города Москвы», доктор биологических наук</p><p>107014, г. Москва, ул. Стромынка, д. 10Тел.: 8 (916) 688-98-25</p></bio><email xlink:type="simple">makarova75@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кудлай</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kudlay</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кудлай Дмитрий Анатольевич – ведущий научный сотрудник лаборатории персонализированной медицины и молекулярной иммунологии ФГБУ «ГНЦ Институт иммунологии» ФМБА России, доктор медицинских наук</p><p>115478, г. Москва, Каширское шоссе, д. 24, стр. 2Тел.: 8 (499) 311-67-78</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хачатурьянц</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Khachaturiants</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хачатурьянц Елена Николаевна – врач-бактериолог Централизованной бактериологической лаборатории ГБУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»</p><p>107014, г. Москва, ул. Стромынка, д. 10Тел.: 8 (915) 302-15-43</p></bio><email xlink:type="simple">hen65b@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гунтупова</surname><given-names>Л. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Guntupova</surname><given-names>L. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гунтупова Лидия Доржиевна – заведующая отделением легочного туберкулеза клинико-диагностического центра ГБУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулёзом Департамента здравоохранения города Москвы», кандидат медицинских наук</p><p>107014, г. Москва, ул. Стромынка, д. 10Тел.: 8 (499) 267-57-92</p></bio><email xlink:type="simple">mnpcbtlv@yandex.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Михайлова</surname><given-names>Ю. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikhailova</surname><given-names>Yu. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Михайлова Юлия Дмитриевна – ведущий научный сотрудник отдела проблем лабораторной диагностики туберкулеза и патоморфологии ГБУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы», кандидат биологических наук</p><p>107014, г. Москва, ул. Стромынка, д. 10Тел.: 8 (499) 268-70-33</p></bio><email xlink:type="simple">juliaisaeva81@rambler.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фрейман</surname><given-names>Г. Е.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Фрейман Георгий Ефимович – заведующий Централизованной бактериологической лаборатории ГБУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы», кандидат медицинских наук</p><p>107014, г. Москва, ул. Стромынка, д. 10Тел.: 8 (499) 268-70-33</p></bio><email xlink:type="simple">g.freiman@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Литвинов</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Litvinov</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Литвинов Виталий Ильич – научный руководитель ГБУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы», доктор медицинских наук, профессор, академик РАН</p><p>107014, г. Москва, ул. Стромынка, д. 10Тел.: 8 (495) 268-04-15</p></bio><email xlink:type="simple">mnpcbtlv@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ГБУЗ «Московский городской научно-исследовательский центр борьбы с туберкулезом Департамента здравоохранения города Москвы»</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-2"><institution>ФГБУ «ГНЦ Институт иммунологии» ФМБА России</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-3"><institution>ГБУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-4"><institution>ГБУЗ «Московский городской научно-практический центр борьбы с туберкулёзом Департамента здравоохранения города Москвы»</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>05</day><month>02</month><year>2025</year></pub-date><volume>0</volume><issue>1</issue><fpage>25</fpage><lpage>31</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Макарова М.В., Кудлай Д.А., Хачатурьянц Е.Н., Гунтупова Л.Д., Михайлова Ю.Д., Фрейман Г.Е., Литвинов В.И., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Макарова М.В., Кудлай Д.А., Хачатурьянц Е.Н., Гунтупова Л.Д., Михайлова Ю.Д., Фрейман Г.Е., Литвинов В.И.</copyright-holder><copyright-holder xml:lang="en">Makarova M.V., Kudlay D.A., Khachaturiants E.N., Guntupova L.D., Mikhailova Y.D., Фрейман Г.Е., Litvinov V.I.</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://www.tb-journal.ru/jour/article/view/470">https://www.tb-journal.ru/jour/article/view/470</self-uri><abstract><p>Метод серийных микроразведений (Sensititre® SlowMyco) позволяет получить количественные данные о степени чувствительности/устойчивости микобактерий. При изучении лекарственной чувствительности M. kansasii и M. xenopi установлено, что большинство культур этих видов были устойчивы к противотуберкулезным и чувствительны к другим антибактериальным препаратам, применяющимся для лечения патологии, вызываемой этими нетуберкулезными микобактериями. Вместе с тем M. kansasii были более устойчивыми к триметоприм/сульфаметоксазолу и ципрофлоксацину, а M. xenopi – к этамбутолу и этионамиду. При этом следует подчеркнуть, что ко многим исследованным антибактериальным препаратам определена значительная часть (&gt; 10%) штаммов M. kansasii и M. xenopi с промежуточной чувствительностью, что создает определенный резерв для использования этих препаратов в терапии микобактериоза при высокой степени лекарственной устойчивости возбудителя.</p></abstract><trans-abstract xml:lang="en"><p>The broth microdilution method (Sensititre® SlowMyco) allows to obtain quantitative data of the degree of susceptibility/resistance of mycobacteria strains. In the study of the drug sensitivity of M. kansasii and M. xenopi, most cultures of these species were found to be resistant to antituberculosis and to other antibacterial drugs used for the treatment of diseases caused by these non-tuberculosis mycobacteria. However, M. kansasii was more resistant to trimetho-Prim/ sulfamethoxazole and ciprofloxacin, and M. xenopi to ethambutol and ethionamide. It should be emphasized that a significant part (&gt; 10%) of the strains of M. kansasii and M. кopi with intermediate sensitivity to many studied antibacterial drugs, which creates a certain reserve for the use of these drugs in the treatment of mycobacteriosis with a high degree of drug resistance of the pathogen.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>лекарственная чувствительность</kwd><kwd>M. kansasii и M. xenopi</kwd><kwd>Sensititre</kwd><kwd>метод серийных микроразведений</kwd></kwd-group><kwd-group xml:lang="en"><kwd>drug sensitivity</kwd><kwd>M. kansasii and M. xenopi</kwd><kwd>Sensititre</kwd><kwd>serial method</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">Андреевская С.Н., Ларионова Е.Е., Смирнова Т.Г. и др. 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