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13.01.2012 38 " 27 2005 . 549"

2013

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. 13

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C-                                ,      
              -2                                  A. baumannii  P. 
 6,4 x 10   /                             aeruginosa:              
                                                 1.            
                                              (   
                                                                 
               -8                                 
 0,86 x 10   /                               
                                                 ,  
                                       ,    
                                       ,
                                      
 20%                                          ;
                                                 ) -         
                                       , 40 - 60 /
:                                     3 - 4   
C-                                 (),     
              -2                                  2,0   ;     
 6,4 x 10   /,                            2.      
                                                  II - III   
                                           ( 
        -2                                                      
0,5 x 10   /                                    ,    
                                                    
                                                  ,      
                                                   
                                                                 
                                                    
                                                             
                                                 ;            
                                                 ) - 
                                                 15 - 20 /     
                                                 1 - 2  (), 
                                                   1,5      
                                                 ();    
                                                 3 - 5 /    1 -
                                                 2  (),   
                                                  300        
                                                 ();              
                                                 3.     
                                                 (   
                                                     
                                                           
                                                         
                                                 ,        
                                                         
                                                 ,    
                                                 - - A.      
                                                 baumannii  P.           
                                                 Aeruginosa,            
                                                     
                                                 ,         
                                                        
                                                 ,      
                                                 , , 
                                                    
                                                 ,   
                                                  -         
                                                 -, -,      
                                                 -  ) -
                                                   2,5 -
                                                 5 / (31250 - 62500   
                                                 /)    3       
                                                  (), 1  =  
                                                 12500 .                
                                                 :  1, 2, 3 
+---------------------+-----------------+-----------+-------------------------+
     :                
                          
                    ,  
                                             
                                                                 
                                                        
                                                         
                                                 ,      
                                                  A. baumannii  P. 
                                                 aeruginosa:              
                                                 1.            
                                                 (   
                                                                    
                                                  
                                                    
                                                 ,  
                                                 ,    
                                                   ,
                                                     
                                                   ;
                                                 ):          
                                                 , 40 - 60 /
                                                    3 - 4   
                                                  (),     
                                                  2,0   ;     
                                                 2.      
                                                  ,         
                                                  E. faecium,    
                                                      
                                                 (  
                                                      
                                                                
                                                         
                                                 ,  E.     
                                                 faecium,     
                                                         
                                                         
                                                 ),        
                                                  30 /      
                                                   3  ( 
                                                  12 ), 12       
                                                  - 0,6   12 
                                                 ;                   
                                                 3.      
                                                  ,         
                                                   
                                                  ,
                                                         
                                                 (   
                                                              
                                                               
                                                      
                                                         
                                                 , ,    
                                                      
                                                  Staph.aureus/      
                                                 epidermidis             
                                                       
                                                         
                                                 ,    
                                                 - - A.      
                                                 baumannii  P.           
                                                 aeruginosa): /   
                                                 , 40 - 60 /
                                                   ( )  
                                                 3 - 4  (), 
                                                   2,0 /;    
                                                 4.     
                                                 (   
                                                     
                                                           
                                                         
                                                 ,        
                                                         
                                                 ,    
                                                 - - A.      
                                                 baumannii  P.           
                                                 aeruginosa,            
                                                     
                                                 ,         
                                                        
                                                 ,      
                                                 , , 
                                                    
                                                 ,   
                                                  -         
                                                 -, -,      
                                                 -  ) -
                                                   2,5 -
                                                 5 / (31250 -         
                                                 62500 /)    3 
                                                  (), 1  =  
                                                 12500 .                
                                                 :  1, 4, 3 
                                                  2 (E. faecium), 3  4
+---------------------+-----------------+-----------+-------------------------+
     :   
                    
                                     
                                                   
                                                       
                                                             
                                                        
                                                 :               
                                                 1.            
                                                 (   
                                                                    
                                                  
                                                    
                                                 ,  
                                                 ,    
                                                   ,
                                                     
                                                   ;
                                                 ) -         
                                                 , 40 - 60 /
                                                    3 - 4   
                                                  (),     
                                                  2,0   ;     
                                                 2.   ,    
                                                  E. faecium,    
                                                      
                                                 (  
                                                      
                                                                
                                                         
                                                 ,  E.     
                                                 faecium,     
                                                         
                                                         
                                                 ) -       
                                                  30 /      
                                                   3  ( 
                                                  12 ), 12       
                                                  - 0,6   12 
                                                 ;                   
                                                 3.   ,    
                                                   
                                                  ,
                                                         
                                                 (   
                                                              
                                                               
                                                      
                                                         
                                                 , ,    
                                                      
                                                                     
                                                 Staph.aureus/epidermidis 
                                                      
                                                         
                                                 ,    
                                                 - - A.      
                                                 baumannii  P.           
                                                 aeruginosa):             
                                                 /, 40 -
                                                 60 /   (     
                                                 )  3 - 4       
                                                  (),     
                                                  2,0   ;     
                                                 4.     
                                                    
                                                       
                                                        
                                                  
                                                 ,        
                                                         
                                                 ,    
                                                 - - A.      
                                                 baumannii  P.           
                                                 aeruginosa,            
                                                     
                                                 ,         
                                                        
                                                 ,      
                                                 , , 
                                                    
                                                 ,   
                                                  -         
                                                 -, -,      
                                                 -  .  
                                                   2,5 -
                                                 5 / (31250 -         
                                                 62500 /)    3 
                                                  (), 1  =  
                                                 12500 ;                
                                                 5.   A.      
                                                 baumannii       
                                                      
                                                  - 100 /    
                                                      
                                                   ( 4  
                                                 ,    
                                                 )             
                                                  (  1 
                                                   2 ,     
                                                  1   2 - 4  
                                                 ).               
                                                 :  1, 3, 4 
                                                  5  2 (E. faecium),  
                                                 3, 4  5                 
+---------------------+-----------------+-----------+-------------------------+
 ,                       
                                 
                                                  ,  
                                                    
                                                                 
                                                        
                                                         
                                                 ,      
                                                  A. baumannii  P. 
                                                 aeruginosa:              
                                                 1.            
                                                 (   
                                                                    
                                                  
                                                    
                                                 ,  
                                                 ,    
                                                   ,
                                                     
                                                   ;
                                                 ):          
                                                 , 40 - 60 /
                                                    3 - 4   
                                                  (),     
                                                  2,0   ;     
                                                 2.          
                                                 (  
                                                      
                                                                
                                                         
                                                 ,  E.     
                                                 faecium,     
                                                         
                                                         
                                                 ):        
                                                  30 /      
                                                   3  ( 
                                                  12 ), 12       
                                                  - 0,6   12 
                                                 ;                   
                                                 3.     
                                                    
                                                       
                                                        
                                                  
                                                 ,        
                                                         
                                                 ,    
                                                 - - A.      
                                                 baumannii  P.           
                                                 aeruginosa,            
                                                     
                                                 ,         
                                                        
                                                 ,      
                                                 , , 
                                                    
                                                 ,   
                                                  -         
                                                 -, -,      
                                                 -  .  
                                                   -    
                                                 2,5 - 5 / (31250 -   
                                                 62500 /)    3 
                                                  (), 1  =  
                                                 12500 ;                
                                                 4.             
                                                 (   
                                                              
                                                               
                                                      
                                                         
                                                 , ,    
                                                      
                                                                     
                                                 Staph.aureus/epidermidis 
                                                      
                                                         
                                                 ,    
                                                 - - A.      
                                                 baumannii  P.           
                                                 aeruginosa): *  
                                                 , 40 - 60 /
                                                   ( )  
                                                 3 - 4  (), 
                                                   2,0 /  
                                                  15 / 2 
                                                  ,    
                                                            
                                                  ,     
                                                   
                                                   -  
                                                 Kl.pneumonia, E.Coli    
                                                                    
                                                 5.          
                                                 (           
                                                     
                                                    
                                                  -               
                                                         
                                                 ,         
                                                   ):
                                                  7,5 /   
                                                  8  ( 
                                                 ). *     
                                                       
                                                   ,
                                                   .       
                                                     
                                                  (        
                                                     
                                                            
                                                       
                                                 );                 
                                                 6.        
                                                   -
                                                   
                                                          
                                                 (           
                                                 , ,
                                                  ,     
                                                 ,         
                                                 , ,  
                                                 ).               
                                                      
                                                  * 15 - 
                                                 25 /    2 - 4 
                                                             
                                                 ,      
                                                 2,0   4  -     
                                                 ;                
                                                 7.   
                                                  (,    
                                                        
                                                  -,  
                                                              
                                                    
                                                      
                                                   
                                                        
                                                 ,  A. 
                                                 baumannii).     
                                                      
                                                  100 /      
                                                      
                                                   ( 4  
                                                 ,    
                                                 )             
                                                  (  1 
                                                   2 ,     
                                                  1   2 - 4  
                                                 ).               
                                                    :    
                                                  1 + 3  2 +  
                                                 3.                       
                                                        
                                                  (*)  : 4,
                                                 5, 6, 7      
                                                 :                 
                                                 *       
                                                              
                                                   
                                                  ,   
                                                          
                                                  -         
                                                 Kl.pneumonia, E.Coli,    
                                                 S.enteritidis     
                                                 ;         
                                                 *   
                                                          
                                                 -      
                                                          
                                                  ,        
                                                   -   
                                                  ;        
                                                 *    
                                                      
                                                   ,  
                                                  A. baumannii,  
                                                    A.     
                                                 baumanii        
                                                        
---------------------+-----------------+-----------+--------------------------


. - .



4 ()

----------------------+-----------+----------------------------------------------------------------------------+------------
                                                                  
      +-------------------+-------------------+---------------------+--------------+   
 (                                          
-10)                            (    ,                      
                                (         )                                  
                                                                                                 
                                                                                                   
                                                                                                       
                                                                                                             
                                                                                                                
                                                                                                            
                                                                                                        
                                                                                                          
                                )                                                                            
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
          1               2              3                  4                   5                6              7        
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
                                                                                                               
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
      ..,                                                                 
        ..,                                                                
,      ..                                                            
                                 "                                    
(C22)                            02.12.2009                         ,                                         
                                N 1124.                                                                      
                                 "                         "                                       
                                                                                                       
                                                                                                                  
                                                                                                         
                                                                                                        
                                                                                                              
                                -                                                                          
                                                                                                         
                                                                                                             
                                ".                                                                                 
                                 1                                                                             
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
                                                                                                         
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
      ..     -              ""                 
 .                  (1  -  : ,.        18               
,                 1   3 , 2 - ,       18-                    
            3  - 1     ,                           
(C22)                           6 , 5      ,                        
                                  - ,                                      
                                1   )  -,                                    
                                .                                                                        
                                   .                                                         
                                                                                                    
                                                                                                   
                                ,                                                                    
                                       .                                                      
                                ,  (1                                                             
                                 - 1   3    ,                                                        
                                , 2 - 3       .                                                          
                                 - 1   6                                                                
                                , 5                                                                   
                                  - .                                                           
                                1   )                                                           
                                .         .                                                    
                                                                                       
                                 (1  - 1  .                                                              
                                 3 , 2 - 3   .                                                           
                                 - 1   6                                                       
                                , 5        .                                                         
                                  -                                                       
                                1   )  .                                                         
                                .                                                            
                                                                                              
                                 :                                                            
                                        .                                                         
                                                                                       
                                , ,                                                             
                                ,                                                                 
                                , K, Na, ,                                                             
                                Mg, Ca, Cl, P,                                                              
                                , , ,                                                       
                                , ,  (1                                                          
                                 - 1   3    -                                                      
                                , 2 - 3                                                                            
                                 - 1   6                                                                         
                                , 5                                                                              
                                  -                                                                       
                                1   )                                                                        
                                .                                                                              
                                                                                                            
                                                                                                         
                                (1  - 1   3                                                                       
                                , 2 - 3                                                                            
                                 - 1   6                                                                         
                                , 5                                                                              
                                  -                                                                       
                                1   )                                                                        
                                .                                                                              
                                                                                                        
                                                                                                          
                                                                                                             
                                                                                                       
                                 (1  - 1                                                                      
                                  3 , 2 -                                                                      
                                3  - 1   6                                                                       
                                , 5                                                                              
                                  -                                                                       
                                1   )                                                                        
                                .                                                                              
                                                                                                           
                                                                                                           
                                 (1  - 1                                                                       
                                  3 , 2 -                                                                      
                                3  - 1   6                                                                       
                                , 5                                                                              
                                  -                                                                       
                                1   )                                                                        
                                .                                                                              
                                                                                                         
                                 ( 1 - 2                                                                         
                                                                                                           
                                 1                                                                       
                                 6 ,                                                                        
                                 ),                                                                          
                                                                                                           
                                                                                                           
                                                                                                              
                                                                                                                 
                                .                                                                             
                                 (1 - 4  - 1                                                                      
                                  6 , 5                                                                       
                                 - 1   )                                                                       
                                  .                                                                       
                                 -                                                                      
                                 (1 - 5                                                                         
                                 - 1   )                                                                      
                                  .                                                                       
                                 -                                                                      
                                 (                                                                        
                                                                                                                   
                                 - 1                                                                         
                                  ).                                                                              
                                                                                                             
                                 (1 - 5                                                                         
                                 - 1   )                                                                      
                                                                                                          
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
                                                                                                               
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
 . ..,                                                                 
         ..,                                                                      
(C40 - 41)           ..                                                                  
                                                                                         
                                 02.12.2009                         "                                       
                                N 1124.                               ,                                         
                                 "                                                                
                                                    "                                       
                                                                                                                  
                                                                                                         
                                                                                                        
                                                                                                              
                                -                                                                          
                                                                                                         
                                                                                                             
                                ".                                                                                 
                                 1                                                                             
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
                                                                                                         
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
 . ..     -              ""                 
                     (1  - 1: ,.           18               
(C40 - 41)                        3 , 2 -,                                  
                                3  - 1   6 ,     18-                      
                                , 5        ,                         
                                  - ,                                          
                                1   )  -,                                    
                                .                                                         
                                   .                                                         
                                                                                                    
                                                                                                   
                                ,                                                                    
                                       .                                                      
                                ,  (1                                                             
                                 - 1   3    ,                                                        
                                , 2 - 3       .                                                          
                                 - 1   6                                                                
                                , 5                                                                   
                                  - .                                                           
                                1   )                                                           
                                .         .                                                    
                                        .                                                   
                                 :                                                     
                                        .                                                              
                                  .                                                           
                                , ,                                                     
                                ,          .                                                         
                                , K, Na,                                                       
                                Mg, Ca, Cl, P,     .                                                         
                                , , ,                                                      
                                , ,  (1                                                         
                                 - 1   3                                                                
                                , 2 - 3      .                                                         
                                 - 1   6                                                         
                                , 5                                                                    
                                  -                                                        
                                1   )  ,                                                             
                                .                                                                 
                                                                                       
                                 (1  - 1                                                          
                                  3 , 2 --                                                      
                                3  - 1   6                                                                       
                                , 5                                                                              
                                  -                                                                       
                                1   )                                                                        
                                .                                                                              
                                                                                                        
                                                                                                          
                                                                                                             
                                                                                                       
                                 (1  - 1                                                                      
                                  3 , 2 -                                                                      
                                3  - 1   6                                                                       
                                , 5                                                                              
                                  -                                                                       
                                1   )                                                                        
                                .                                                                              
                                                                                                           
                                                                                                           
                                 (1  - 1                                                                       
                                  3 , 2 -                                                                      
                                3  - 1   6                                                                       
                                , 5                                                                              
                                  -                                                                       
                                1   )                                                                        
                                .                                                                              
                                                                                                         
                                 ( 1 - 2                                                                         
                                                                                                           
                                 1                                                                       
                                 6 ,                                                                        
                                 ),                                                                          
                                                                                                           
                                                                                                           
                                                                                                              
                                                                                                                 
                                .                                                                             
                                 (1 - 4  - 1                                                                      
                                  6 , 5                                                                       
                                 - 1   )                                                                       
                                  .                                                                       
                                 -                                                                      
                                 (1 - 5                                                                         
                                 - 1   )                                                                      
                                  .                                                                       
                                 -                                                                      
                                 (                                                                        
                                                                                                                   
                                 - 1                                                                         
                                  ).                                                                              
                                                                                                             
                                 (1 - 5                                                                         
                                 - 1   )                                                                      
                                                                                                          
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
                                                                                                               
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
      ..,                                                                 
()                ..,                                                                    
(C45 - 49)           ..                                                                
                                                    "                                       
                                 02.12.2009                         ,                                         
                                N 1124.                                                                      
                                 "                         "                                       
                                                                                                       
                                                                                                                  
                                                                                                         
                                                                                                        
                                                                                                              
                                -                                                                          
                                                                                                         
                                                                                                             
                                ".                                                                                 
                                 1                                                                             
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
                                                                                                         
+---------------------+-----------+-------------------+-------------------+---------------------+--------------+----------------+
      ..     -              ""                 
()                            (1  - 1: ,.           18               
(C45 - 49)                        3 , 2 - 3 ,                                  
                                 - 1   6   ,     18-                      
                                , 5        ,                         
                                  - ,                                          
                                1   )  -,                                    
                                .                                                         
                                   .                                                         
                                                                                                    
                                                                                                   
                                ,                                                                    
                                       .                                                      
                                ,  (1                                                             
                                 - 1   3    ,                                                        
                                , 2 - 3       .                                                          
                                 - 1   6                                                                
                                , 5                                                                   
                                  - .                                                           
                                1   )                                                           
                                .         .                                                    
                                        .                                                   
                                 :                                                     
                                        .                                                              
                                  .                                                           
                                , ,                                                     
                                ,          .                                                         
                                , K, Na,                                                       
                                Mg, Ca, Cl, P,     .                                                         
                                , , ,                                                      
                                , ,  (1                                                         
                                 - 1   3                                                                
                                , 2 - 3      .                                                         
                                 - 1   6                                                         
                                , 5                                                                    
                                  -                                                        
                                1   )  ,                                                             
                                .                                                                 
                                                                                          
                                                                                                 
                                  -                                                      
                                                                                                           
                                (1 - 4  - 2                                                                          
                                  , 5  -                                                                      
                                1 )                                                                              
                                .                                                                              
                                                                                                        
                                 (1  - 1                                                                       
                                  3 , 2 -                                                                      
                                3  - 1   6                                                                       
                                , 5                                                                              
                                  -                                                                       
                                1   )                                                                        
                                .                                                                              
                                                                                                        
                                                                                                          
                                                                                                             
                                                                                                       
                                 (1  - 1                                                                      
                                  3 , 2 -                                                                      
                                3  - 1   6                                                                       
                                , 5                                                                              
                                  -                                                                       
                                1   )                                                                        
                                .                                                                              
                                                                                                           
                                                                                                           
                                 (1  - 1                                                                       
                                  3 , 2 -                                                                      
                                3  - 1   6                                                                       
                                , 5                                                                              
                                  -                                                                       
                                1   )                                                                        
                                .                                                                              
                                                                                                         
                                 ( 1 - 2                                                                         
                                                                                                           
                                 1                                                                       
                                 6 ,                                                                        
                                 ),                                                                          
                                                                                                           
                                                                                                           
                                                                                                              
                                                                                                                 
                                .                                                                             
                                 (1 - 4  - 1                                                                      
                                  6 , 5                                                                       
                                 - 1   )                                                                       
                                  .                                                                       
                                 -                                                                      
                                 (1 - 5                                                                         
                                 - 1   )                                                                      
                                  .                                                                       
                                 -                                                                      
                                 (                                                                        

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