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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">antibiotics</journal-id><journal-title-group><journal-title xml:lang="ru">Антибиотики и Химиотерапия</journal-title><trans-title-group xml:lang="en"><trans-title>Antibiot Khimioter = Antibiotics and Chemotherapy</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0235-2990</issn><publisher><publisher-name>ООО «Издательство ОКИ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.37489/0235-2990-2024-69-11-12-127-135</article-id><article-id custom-type="edn" pub-id-type="custom">NGHLKV</article-id><article-id custom-type="elpub" pub-id-type="custom">antibiotics-1215</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Коморбидные инфекции при спондилоартритах: современное состояние проблемы</article-title><trans-title-group xml:lang="en"><trans-title>Comorbid Infections in Spondyloarthritis: the Current State of the Problem</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5264-337X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баранова</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Baranova</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Баранова Марина Михайловна — младший научный сотрудник лаборатории коморбидных инфекций и вакцинопрофилактики, ResearcherID: JDD0658-2023, Scopus Author ID: 57222430929.</p><p>Москва</p></bio><bio xml:lang="en"><p>Marina M. Baranova — Junior Researcher at the Laboratory of Comorbid Infections and Vaccine Prevention, ResearcherID: JDD-0658-2023, Scopus Author ID: 57222430929.</p><p>Moscow</p></bio><email xlink:type="simple">baranovamarina103@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4327-6720</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Муравьева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Muravyeva</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Муравьева Наталья Валерьевна — к. м. н., старший научный сотрудник лаборатории коморбидных инфекций и вакцинопрофилактики, ResearcherID: AAF-4853-2021. eLIBRARY SPIN-код: 8418-4469. Scopus Author ID: 57210263706.</p><p>Москва</p></bio><bio xml:lang="en"><p>Natalia V. Muravyeva — Ph. D. in Medicine, Senior Researcher at the Laboratory of Comorbid Infections and Vaccine Prevention, ResearcherID: AAF-4853-2021. eLIBRARY SPIN-code: 8418-4469. Scopus Author ID: 57210263706.</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7091-2054</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белов</surname><given-names>Б. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Belov</surname><given-names>B. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Белов Борис Сергеевич — д. м. н., заведующий лабораторией коморбидных инфекций и вакцинопрофилактики, ResearcherID: ABD-2219-2020. eLIBRARY SPIN-код: 3298-4315. Scopus Author ID: 7004592537.</p><p>Москва</p></bio><bio xml:lang="en"><p>Boris S. Belov — D. Sc. in MEdicine Head of the Laboratory of Comorbid Infections and Vaccine Prevention, ResearcherID: ABD-2219-2020. eLIBRARY SPIN-code: 3298-4315. Scopus Author ID: 7004592537.</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревмлогии им. В.А. Насоновой»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>25</day><month>12</month><year>2025</year></pub-date><volume>69</volume><issue>11-12</issue><fpage>127</fpage><lpage>135</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Баранова М.М., Муравьева Н.В., Белов Б.С., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Баранова М.М., Муравьева Н.В., Белов Б.С.</copyright-holder><copyright-holder xml:lang="en">Baranova M.M., Muravyeva N.V., Belov B.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.antibiotics-chemotherapy.ru/jour/article/view/1215">https://www.antibiotics-chemotherapy.ru/jour/article/view/1215</self-uri><abstract><p>Коморбидные инфекции (КИ) при иммуновоспалительных ревматических заболеваниях (ИВРЗ) связаны со значительной заболеваемостью и смертностью и, кроме того, сопряжены со значительными затратами в системе здравоохранения из-за необходимости дополнительного лечения и госпитализации. Развитие КИ требует временной отмены проводимой иммуносупрессивной терапии, что может приводить к обострению ИВРЗ. Существует тесная взаимосвязь между ИВРЗ и риском возникновения КИ. Причины этого многофакторны и связаны как непосредственно с самим заболеванием, так и с проводимой терапией. Особый интерес представляет изучение частоты, структуры и факторов риска КИ у больных спондилоартритами (СпА), в частности, анкилозирующим спондилитом (АС) и псориатическим артритом (ПсА), особенно в аспекте нарастающего использования генноинженерных биологических препаратов (ГИБП) и таргетных синтетических базисных противовоспалительных препаратов (тсБПВП), а также противоречивых в некоторой степени данных литературы.</p></abstract><trans-abstract xml:lang="en"><p>Comorbid infections (CI) in immuno-inflammatory rheumatic diseases (IIRDs) are associated with significant morbidity and mortality and, in addition, involve significant costs in the health care system due to the need for additional treatment and hospitalization. The development of CI requires the temporary cancellation of ongoing immunosuppressive therapy, which can lead to an exacerbation of IIRD. High activity of rheumatic disease and treatment with immunosuppressive drugs may increase the risk of CI. Of particular interest is the study of the frequency, structure and risk factors in patients with spondyloarthritis (SpA) — ankylosing spondylitis (AS) and psoriatic arthritis (PsA), especially in the aspect of the increasing use of biologics or targeted (b/tsDMARD) modifying disease agents and contradictory literature data.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>коморбидные инфекции</kwd><kwd>спондилоартрит</kwd><kwd>анкилозирующий спондилит</kwd><kwd>псориатический артрит</kwd><kwd>генно-инженерные биологические препараты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Comorbid infections</kwd><kwd>spondyloarthritis</kwd><kwd>ankylosing spondylitis</kwd><kwd>psoriatic arthritis</kwd><kwd>biologics modifying disease agents</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено в рамках научно-исследовательской работы ФГБНУ «Научно-исследовательский институт ревматологии им. В. А. 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