Елена Самтынова
norenko.a.v / Depositphotos.com
Минздрав России опубликовал1 10 версию Временных методических рекомендаций «Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)». В новой версии скорректированы разделы по этиотропному и патогенетическому лечению. В частности, в настоящее время выделены следующие препараты, которые могут быть использованы при лечении COVID-19: фавипиравир, ремдесивир, умифеновир, гидроксихлорохин, интерферон-альфа.
Включены новые препараты для противовоспалительной и антитромботической терапии. Например, для антитромботической терапии в перечень добавлен препарат дабигатрана этексилат, но при условии отсуствия ривароксабана и апиксабана. Усовершенствованы схемы лечения в амбулаторных и стационарных условиях в зависимости от тяжести течения заболевания и подходы к интенсивной терапии пациентов с острой дыхательной недостаточностью.
В новой версии рекомендаций также обращено внимание, что антибактериальная терапия должна назначаться только при наличии убедительных признаков присоединения бактериальной инфекции (повышение ПКТ более 0,5 нг/мл, появление гнойной мокроты, лейкоцитоз > 12×109/л (при отсутствии предшествующего применения глюкокортикоидов), повышение числа палочкоядерных нейтрофилов более 10%).
Все важные документы и новости о коронавирусе COVID-19 – в ежедневной рассылке Подписаться
Добавлены рекомендации по особенностям оказания медицинской помощи пациентам с онкологическими заболеваниями и хронической болезнью почек. Так, указывается, что максимальному риску подвержены пациенты, получающие противоопухолевое лекарственное лечение, получающие лучевую терапию, пациенты с лейкопенией и/или низким уровнем иммуноглобулинов, пациенты после трансплантации костного мозга, пациенты, получающие иммуносупрессивную терапию, а также пациенты с некоторыми типами опухолей кроветворной и лимфоидной тканей. Целесообразно минимизировать сроки пребывания пациента в стационаре и рассмотреть возможность проведения противоопухолевого лекарственного лечения в амбулаторных условиях, с использованием таблетированных препаратов, если это не ухудшит течение онкологического процесса. Отмечается, что необходимо избегать назначения противоопухолевых препаратов, обладающих пульмональной токсичностью, и рассмотреть возможность временного прерывания противоопухолевого лекарственного лечения, если сокращение химиотерапии не приведет к ухудшению онкологического прогноза.
Применение лекарственных препаратов для лечения COVID-19 у пациентов с хронической болезнью почек с вероятным нефротоксическим эффектом требует постоянного мониторинга функции почек (креатинин, мочевина, концентрация калия, натрия в крови). К группе особо высокого риска отнесены пациенты получающие гемодиализ в связи с невозможностью изоляции и необходимости присутствия в диализных центрах, для получения жизнеспасающей процедуры не менее чем 12 раз в месяц. Также к особой группе относятся реципиенты трансплантированных органов, получающих химиотерапию. Для таких пациентов предусмотрена строгая маршрутизация как при подозрении на COVID-19, так и при наличии его признаков.
Кроме того, определены особенности диспансерного наблюдения за пациентами, перенесшими COVID-19. Актуализирован раздел по специфической профилактике инфекции у взрослых.
_____________________________
1 С Временными методическими рекомендациями «Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)» можно ознакомиться на официальном сайте Минздрава России (https://minzdrav.gov.ru/news/2021/02/08/16027-minzdrav-rossii-opublikoval-10-versiyu-metodrekomendatsiy-po-koronavirusu).
Russian
I didn’t know that.
Wow that was unusual. I just wrote an extremely long comment but after I clicked submit my comment didn’t show up.
Grrrr… well I’m not writing all that over again. Anyway, just
wanted to say excellent blog!
I’d forever want to be update on new articles on this internet site, bookmarked! .
Hiya, I’m really glad I’ve found this info. Nowadays bloggers publish only about gossips and web and this is really frustrating. A good website with interesting content, that’s what I need. Thanks for keeping this web site, I’ll be visiting it. Do you do newsletters? Can not find it.
Simply a smiling visitant here to share the love (:, btw great style.
I’ve been surfing on-line more than three hours these days, yet I by no means found any fascinating article like yours. It’s lovely price enough for me. In my view, if all site owners and bloggers made excellent content as you probably did, the net might be much more useful than ever before.
Hello! I know this is kinda off topic however I’d figured I’d ask. Would you be interested in exchanging links or maybe guest authoring a blog post or vice-versa? My site goes over a lot of the same subjects as yours and I believe we could greatly benefit from each other. If you’re interested feel free to send me an e-mail. I look forward to hearing from you! Fantastic blog by the way!
I really like your blog.. very nice colors & theme. Did you make this website yourself or did you hire someone to do it for you? Plz respond as I’m looking to create my own blog and would like to know where u got this from. thanks
I like what you guys are up also. Such clever work and reporting! Carry on the excellent works guys I have incorporated you guys to my blogroll. I think it will improve the value of my website :).
Can I simply say what a relief to search out someone who really knows what theyre talking about on the internet. You definitely know the way to carry a difficulty to light and make it important. More individuals must learn this and perceive this facet of the story. I cant believe youre not more in style since you positively have the gift.
Outstanding post, I conceive blog owners should larn a lot from this web blog its rattling user genial.
Hi there, You have done a great job. I will definitely digg it and personally recommend to my friends. I’m sure they’ll be benefited from this web site.
Very interesting details you have mentioned, thankyou for posting.
With havin so much content do you ever run into any problems of plagorism or copyright violation? My blog has a lot of unique content I’ve either written myself or outsourced but it seems a lot of it is popping it up all over the web without my agreement. Do you know any ways to help prevent content from being ripped off? I’d certainly appreciate it.
I am really enjoying the theme/design of your weblog. Do you ever run into any internet browser compatibility issues? A couple of my blog visitors have complained about my site not operating correctly in Explorer but looks great in Chrome. Do you have any recommendations to help fix this problem?
I think you have mentioned some very interesting points, regards for the post.
Great wordpress blog here.. It’s hard to find quality writing like yours these days. I really appreciate people like you! take care
Just wanna comment on few general things, The website design is perfect, the articles is really excellent. «In business school classrooms they construct wonderful models of a nonworld.» by Peter Drucker.
I am glad to be a visitor of this thoroughgoing weblog! , appreciate it for this rare info ! .
I will immediately snatch your rss feed as I can not in finding your email subscription link or newsletter service. Do you’ve any? Kindly allow me understand so that I may subscribe. Thanks.
Saved as a favorite, I really like your blog!
Some times its a pain in the ass to read what people wrote but this web site is very user friendly! .
I happen to be commenting to make you be aware of what a fine experience my cousin’s child encountered reading the blog. She came to find a lot of things, most notably what it’s like to possess an ideal helping spirit to let the mediocre ones completely grasp a number of specialized subject areas. You actually did more than readers’ desires. Thanks for displaying such warm and friendly, dependable, educational and as well as cool tips on that topic to Jane.
Hi, i believe that i noticed you visited my website so i got here to “return the favor”.I’m attempting to find things to enhance my site!I assume its adequate to use some of your concepts!!
I really like your writing style, wonderful information, thankyou for posting : D.
Great line up. We will be linking to this great article on our site. Keep up the good writing.
whoah this blog is fantastic i love reading your posts. Keep up the great work! You know, a lot of people are hunting around for this information, you can aid them greatly.
Good response in return of this matter with genuine arguments and describing the whole thing
on the topic of that.
naturally like your web-site however you have to take a look at the spelling on several of your posts. Many of them are rife with spelling issues and I to find it very troublesome to inform the reality however I will surely come again again.
Hey there! I could have sworn I’ve been to this site before but after browsing through some of the post I realized it’s new to me. Nonetheless, I’m definitely delighted I found it and I’ll be book-marking and checking back frequently!
I like the valuable information you supply for your articles.
I’ll bookmark your weblog and check again right here regularly.
I am quite certain I’ll be told lots of new stuff right right here!
Best of luck for the following!
I believe other website proprietors should take this website as an model, very clean and fantastic user genial style and design.
Right here is the right blog for everyone who really wants to understand this topic.
You know a whole lot its almost tough to argue with you (not
that I actually will need to…HaHa). You certainly put a fresh
spin on a topic that’s been discussed for decades. Wonderful stuff, just excellent!
I think the admin of this web site is in fact working hard in favor of his website, because here every information is quality based
stuff.
Article writing is also a excitement, if you know then you
can write or else it is difficult to write.
Some really good blog posts on this internet site, regards for contribution.
Hello! I just would like to give a huge thumbs up for the great info you have here on this post. I will be coming back to your blog for more soon.
I like this web blog very much, Its a rattling nice office to read and incur info . «If at first you don’t succeed, you’re running about average.» by M. H. Alderson.
It’s really a great and useful piece of info. I’m glad that you just shared this useful information with us. Please keep us informed like this. Thank you for sharing.
Oh my goodness! an incredible article dude. Thanks Nevertheless I’m experiencing concern with ur rss . Don’t know why Unable to subscribe to it. Is there anyone getting identical rss downside? Anybody who is aware of kindly respond. Thnkx
I simply wanted to thank you so much all over again. I do not know the things I might have sorted out in the absence of the actual creative ideas discussed by you over such a concern. It had been a very scary matter for me, however , viewing this specialised manner you dealt with it made me to jump over happiness. I’m thankful for the service and even believe you really know what a great job that you are accomplishing training most people by way of your webpage. I am certain you haven’t got to know all of us.
I like what you guys are up also. Such intelligent work and reporting! Carry on the superb works guys I have incorporated you guys to my blogroll. I think it’ll improve the value of my website :).
I blog quite often and I really thank you for your
information. This article has truly peaked my interest. I will
bookmark your blog and keep checking for new details about once a week.
I opted in for your RSS feed too.
Rattling excellent visual appeal on this website , I’d value it 10 10.
Howdy would you mind stating which blog platform you’re using?
I’m going to start my own blog soon but I’m having a difficult time choosing between BlogEngine/Wordpress/B2evolution and Drupal.
The reason I ask is because your design and style seems different then most
blogs and I’m looking for something unique. P.S Apologies for getting off-topic but
I had to ask!
Since the admin of this web site is working, no question very soon it will be renowned, due to its quality contents.
Woh I enjoy your blog posts, saved to fav! .
Great article, just what I needed.
Thank you, I have just been searching for info approximately this subject for a long time and yours is the greatest I’ve discovered so far. But, what concerning the conclusion? Are you sure in regards to the supply?
F*ckin’ tremendous things here. I’m very glad to see your post. Thanks a lot and i am looking forward to contact you. Will you please drop me a e-mail?
I haven’t checked in here for some time as I thought it was getting boring, but the last few posts are great quality so I guess I will add you back to my everyday bloglist. You deserve it my friend 🙂
I got what you intend, appreciate it for putting up.Woh I am delighted to find this website through google. «The test and use of a man’s education is that he finds pleasure in the exercise of his mind.» by Carl Barzun.
What i do not understood is in fact how you are no longer really much more smartly-favored than you may be right now. You are so intelligent. You know therefore significantly when it comes to this subject, made me in my view consider it from numerous varied angles. Its like women and men aren’t fascinated except it is one thing to accomplish with Girl gaga! Your own stuffs nice. All the time maintain it up!
Attractive section of content. I just stumbled upon your web site and in accession capital to assert that I acquire in fact enjoyed account your blog posts. Any way I will be subscribing to your feeds and even I achievement you access consistently fast.
I’ve recently started a web site, the information you offer on this website has helped me tremendously. Thanks for all of your time & work.
great post.Ne’er knew this, thanks for letting me know.
I am glad to be one of the visitants on this great site (:, thankyou for posting.
Regards for all your efforts that you have put in this. very interesting info .
Hello there, just became aware of your blog through Google, and found that it’s really informative. I am going to watch out for brussels. I will be grateful if you continue this in future. Many people will be benefited from your writing. Cheers!
Can I just say what a relief to find someone who actually knows what theyre talking about on the internet. You definitely know how to bring an issue to light and make it important. More people need to read this and understand this side of the story. I cant believe youre not more popular because you definitely have the gift.
WONDERFUL Post.thanks for share..extra wait .. …
Renew is a nutritional supplement launched in 2024 to help anyone lose weight.
Usually I don’t read article on blogs, but I would like to say that this write-up very compelled me to check out and do it! Your writing style has been amazed me. Thank you, quite great post.
Renew: An OverviewRenew is a dietary supplement that is formulated to help in the weight loss process.
I’ve learn some good stuff here. Certainly price bookmarking for revisiting. I surprise how so much attempt you put to make this sort of magnificent informative website.
It is in reality a great and useful piece of information. I¦m happy that you simply shared this useful information with us. Please keep us informed like this. Thank you for sharing.
Enjoyed reading this, very good stuff, thankyou.
I was very pleased to find this web-site.I wanted to thanks for your time for this wonderful read!! I definitely enjoying every little bit of it and I have you bookmarked to check out new stuff you blog post.
I have been exploring for a little bit for any high quality articles or weblog posts in this kind of area . Exploring in Yahoo I finally stumbled upon this website. Studying this info So i¦m satisfied to show that I’ve a very just right uncanny feeling I found out just what I needed. I so much undoubtedly will make certain to don¦t omit this website and provides it a look on a constant basis.
Hi, Neat post. There is an issue with your web site in web explorer, might test this?K IE nonetheless is the marketplace chief and a big component of people will omit your excellent writing due to this problem.
Hello there! I know this is somewhat off topic but I was wondering which blog platform are you using for this website? I’m getting fed up of WordPress because I’ve had problems with hackers and I’m looking at alternatives for another platform. I would be fantastic if you could point me in the direction of a good platform.
Outstanding post, I think people should learn a lot from this site its real user friendly.
I’ve been browsing online greater than 3 hours lately, but I never found any attention-grabbing article like yours. It is lovely value sufficient for me. In my view, if all web owners and bloggers made just right content material as you probably did, the internet might be much more useful than ever before.
Generally I do not read post on blogs, however I wish to say that this write-up very compelled me to take a look at and do so! Your writing taste has been amazed me. Thanks, quite nice article.
I couldn’t resist commenting
It’s perfect time to make a few plans for the longer term and it is time to be happy. I’ve read this submit and if I could I wish to suggest you some fascinating issues or tips. Maybe you can write subsequent articles regarding this article. I wish to learn even more things approximately it!
Outstanding post, you have pointed out some great points, I likewise conceive this s a very great website.
Good site! I truly love how it is simple on my eyes and the data are well written. I’m wondering how I could be notified whenever a new post has been made. I’ve subscribed to your RSS which must do the trick! Have a great day!
I saw a lot of website but I think this one holds something special in it in it
Wonderful website. Plenty of useful info here. I’m sending it to several friends ans also sharing in delicious. And naturally, thanks for your effort!
Howdy! I know this is kind of off topic but I was wondering which blog platform are you using for this site? I’m getting tired of WordPress because I’ve had problems with hackers and I’m looking at options for another platform. I would be fantastic if you could point me in the direction of a good platform.
I think other site proprietors should take this site as an model, very clean and wonderful user genial style and design, let alone the content. You’re an expert in this topic!
I was suggested this web site by my cousin. I am now not sure whether or not this submit is written by means of him as no one else realize such precise about my trouble. You are amazing! Thank you!
I gotta bookmark this internet site it seems very helpful extremely helpful
I have recently started a web site, the info you offer on this site has helped me tremendously. Thank you for all of your time & work.
You completed several good points there. I did a search on the subject and found most persons will go along with with your blog.
What does the Lottery Defeater Software offer? The Lottery Defeater Software is a unique predictive tool crafted to empower individuals seeking to boost their chances of winning the lottery.
Lottery Defeater Software: What is it? Lottery Defeater Software is a completely automated plug-and-play lottery-winning software. The Lottery Defeater software was developed by Kenneth.
I just could not go away your site before suggesting that I really enjoyed the usual information an individual provide for your guests? Is going to be back frequently in order to investigate cross-check new posts.
I couldn’t resist commenting
Having read this I thought it was very informative. I appreciate you taking the time and effort to put this article together. I once again find myself spending way to much time both reading and commenting. But so what, it was still worth it!
I got good info from your blog
Greetings! Very helpful advice on this article! It is the little changes that make the biggest changes. Thanks a lot for sharing!
I truly value your work, Great post.
Hello! Quick question that’s entirely off topic. Do you know how to make your site mobile friendly? My blog looks weird when browsing from my apple iphone. I’m trying to find a theme or plugin that might be able to resolve this issue. If you have any recommendations, please share. With thanks!
Would love to forever get updated outstanding weblog! .
great post, very informative. I wonder why the other specialists of this sector don’t notice this. You must continue your writing. I’m sure, you’ve a huge readers’ base already!
Undeniably believe that which you stated. Your favorite justification appeared to be on the net the easiest thing to be aware of. I say to you, I definitely get irked while people think about worries that they just don’t know about. You managed to hit the nail upon the top as well as defined out the whole thing without having side effect , people can take a signal. Will probably be back to get more. Thanks
Valuable information. Lucky me I found your web site by accident, and I am shocked why this accident did not happened earlier! I bookmarked it.
I do love the way you have presented this specific situation plus it really does offer me some fodder for thought. Nevertheless, through just what I have witnessed, I simply trust when other responses stack on that people today remain on issue and in no way embark upon a tirade regarding some other news of the day. Still, thank you for this excellent piece and even though I can not go along with this in totality, I respect the standpoint.
I haven?¦t checked in here for some time as I thought it was getting boring, but the last few posts are good quality so I guess I?¦ll add you back to my daily bloglist. You deserve it my friend 🙂
After study a few of the blog posts on your website now, and I truly like your way of blogging. I bookmarked it to my bookmark website list and will be checking back soon. Pls check out my web site as well and let me know what you think.
It’s hard to find knowledgeable people on this topic, but you sound like you know what you’re talking about! Thanks
Hello my family member! I want to say that this article is awesome, great written and include almost all important infos. I’d like to look extra posts like this.
Undeniably believe that which you stated. Your favorite reason seemed to be on the net the easiest thing to be aware of. I say to you, I definitely get annoyed while people consider worries that they just don’t know about. You managed to hit the nail upon the top as well as defined out the whole thing without having side-effects , people could take a signal. Will probably be back to get more. Thanks
It?¦s actually a cool and helpful piece of info. I am satisfied that you just shared this helpful information with us. Please stay us up to date like this. Thanks for sharing.
Regards for all your efforts that you have put in this. very interesting information.
Thanks for the sensible critique. Me & my neighbor were just preparing to do a little research on this. We got a grab a book from our area library but I think I learned more clear from this post. I am very glad to see such wonderful info being shared freely out there.
I’m still learning from you, as I’m improving myself. I absolutely love reading everything that is posted on your website.Keep the tips coming. I liked it!
Hello! I could have sworn I’ve been to this blog before but after reading through some of the post I realized it’s new to me. Nonetheless, I’m definitely glad I found it and I’ll be book-marking and checking back often!
Thanks for this post, I am a big big fan of this web site would like to keep updated.
Very nice layout and superb subject matter, hardly anything else we want : D.