ПРИМЕНЕНИЕ ПЛЕОТРОПНЫХ ЭФФЕКТОВ АНТИБИОТИКОВ ПРИ ЛЕЧЕНИИ SARS-COV-2

Получена: 10.03.2023 / Принята: 07.08.2023 / Опубликована online: 31.08.2023
УДК 615.015; 615.035.4; 615.281; 615.035.1/.9
DOI 10.53511/PHARMKAZ.2023.51.32.017

Александр Е. Гуляев1, Зарина Т. Шульгау1, Татьяна Н. Криворучко1, Жаныбек Т. Бокебаев 2 , Ерлан М. Раманкулов1
1ТОО «Национальный центр биотехнологии», г. Астана, Казахстан
2НАО «Медицинский университет Астана», г. Астана, Казахстан

ПРИМЕНЕНИЕ ПЛЕОТРОПНЫХ ЭФФЕКТОВ АНТИБИОТИКОВ
ПРИ ЛЕЧЕНИИ SARS-COV-2

Резюме: Пандемия COVID-19 резко обострила вопрос рациональности и обоснованности антбиотикотерапии в ситуациях, когда у врачей нет полной уверенности в решающей значимости бактериального фактора в развитии патологии. Именно широта использования антибиотиков в лечении пациентов
с Covid-19, даже без явных признаков присоединения вторичной бактериальной инфекции, явилась
побудительным мотивом попытки описать плеотропные свойства антибиотиков. В широкой медицинской практике под плейотропией понимают множественность эффектов одного и того же лекарственного средства. Помимо, безусловного антибактериального эффекта, антибиотики обладают некоторыми противовирусными свойствами.
Цель: Рассмотреть дополнительные эффекты антибиотиков и попытаться показать, что формально есть основания для рассмотрения возможности применения плеотропных свойств антибиотиков
при инфекции SARS-CoV-2.
Стратегия поиска: Проведен обзор литературы ― публикаций отечественных и зарубежных исследователей, посвященных антибактериальной терапии при COVID-19 с использованием научных поисковых библиотечных баз данных PubMed, Web of science, Medline, Cochrane, Elibrary. Основной отбор
материалов осуществлялся по ключевым словам с учетом критериев включения и исключения. Всего было отобрано 97 литературных источников, в которых рассматривались данные о плеотропных
свойствах различных групп антибиотиков. Также проанализирированы публикации о применении антибиотиков при пандемии COVID-19.
Обсуждение: В настоящем обзоре, предприняты попытались показать, что некоторые антибиотики,
помимо их антибиотической активности, обладают плеотропными свойствами, среди которых выделяется антивирусный эффект, иммуномодулирующие и противовоспалительные свойства. По мнению
авторов, есть определенные и особые основания выделять некоторые антибиотики в качестве кандидатных соединений для исследования на активность против инфекции SARS-CoV-2 и в качестве
кандидатных соединений, препятствующих развитию и формированию легочного фиброза при вирусных пневмониях.
Ключевые слова: пандемия, антибактериальная терапия, доказательная база, плеоторопный эффект, противовирусная активность.

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