Авторы
Земляной А.Б.1, 2, Афиногенова А.Г.3, Матвеев С.А.1
1 ФГБУ «Национальный медико-хирургический Центр имени Н.И. Пирогова» Минздрава России, Москва
2 ФКУЗ «ГКГ МВД России», Москва
3 ФБУН НИИ эпидемиологии и микробиологии имени Пастера, Санкт-Петербург
Аннотация
Антисептика ран претерпела ренессанс благодаря внедрению высокоэффективных антимикробных препаратов для лечения ран и распространению полирезистентных микроорганизмов. Очевидна необходимость формулирования строгих показаний для применения этих препаратов. Инфицированная или критически колонизированная рана требует обработки антисептиками. Кроме того, в случае распространения инфекции необходима системная антибиотикотерапия. Превентивное использование шкалы WАR (Wounds-at-Risk Score шкала оценки риска инфицирования раны в баллах) позволяет по результирующему баллу оценить риск инфицирования и, следовательно, целесообразность назначений антисептиков. Содержание этой обновленной консенсусной рекомендации по-прежнему сводится, в основном, к обсуждению свойств октенидина дигидрохлорида (OКT), полигексанида и йодофоров.
Ключевые слова: антисептика ран, шкала риска инфицирования раны (WАR), антисептики, медицинские препараты, изделия медицинского назначения, октенидин, полигексанид, гипохлорит, йодофоры, тауролидин, ионы серебра, сульфадиазин серебра, красители, ртуть-содержащие вещества, перекись водорода.
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