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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">tiblj</journal-id><journal-title-group><journal-title xml:lang="ru">Туберкулез и болезни легких</journal-title><trans-title-group xml:lang="en"><trans-title>Tuberculosis and Lung Diseases</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2075-1230</issn><issn pub-type="epub">2542-1506</issn><publisher><publisher-name>Медицинские знания и технологии</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21292/2075-1230-2020-98-1-54-61</article-id><article-id custom-type="elpub" pub-id-type="custom">tiblj-1388</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>ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Лекарственная устойчивость M. tuberculosis (исторические аспекты, современный уровень знаний)</article-title><trans-title-group xml:lang="en"><trans-title>Drug resistance of M. tuberculosis (historical aspects, current level of knowledge)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бурмистрова</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Burmistrova</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бурмистрова Ирина Александровна - врач-фтизиатр.</p><p>127473, Москва, ул. Достоевского, д. 4</p></bio><bio xml:lang="en"><p>Irina A. Burmistrova - Phthisiologist.</p><p>4, Dostoevsky St., Moscow, 127473</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Самойлова</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Samoylova</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Самойлова Анастасия Геннадьевна - доктор медицинских наук, заместитель директора по научной работе.</p><p>127473, Москва, ул. Достоевского, д. 4</p></bio><bio xml:lang="en"><p>Anastasiya G. Samoylova - Doctor of Medical Sciences, Deputy Director for Research.</p><p>4, Dostoevsky St., Moscow, 127473</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тюлькова</surname><given-names>Т. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Tyulkova</surname><given-names>T. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тюлькова Татьяна Евгеньевна - доктор медицинских наук.</p><p>127473, Москва, ул. Достоевского, д. 4</p></bio><bio xml:lang="en"><p>Tatyana E. Tyulkova - Doctor of Medical Sciences.</p><p>4, Dostoevsky St., Moscow, 127473</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ваниев</surname><given-names>Э. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vaniev</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ваниев Эдуард Владимирович - кандидат медицинских наук, заведующий амбулаторно-консультационным отделением.</p><p>127473, Москва, ул. Достоевского, д. 4</p></bio><bio xml:lang="en"><p>Eduard V. Vaniev - Candidate of Medical Sciences, Head of Out-Patient Consulting Department.</p><p>4, Dostoevsky St., Moscow, 127473</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баласанянц</surname><given-names>Г. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Balasanyants</surname><given-names>G. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Баласанянц Гоар Сисаковна - доктор медицинских наук, профессор.</p><p>194044, г. Санкт-Петербург, ул. Академика Лебедева, д. 6</p></bio><bio xml:lang="en"><p>Goar S. Balasanyants - Doctor of Medical Sciences, Professor.</p><p>6, Akademika Lebedeva St., St. Petersburg, 194044</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васильева</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasilyeva</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Васильева Ирина Анатольевна - доктор медицинских наук, профессор, директор.</p><p>127473, Москва, ул. Достоевского, д. 4</p></bio><bio xml:lang="en"><p>Irina A. Vasilyeva - Doctor of Medical Sciences, Professor, Director.</p><p>4, Dostoevsky St., Moscow, 127473</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр фтизиопульмонологии и инфекционных заболеваний» МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center of Phthisiopulmonology and Infectious Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБ ВОУ ВПО «ВМА им. С. М. Кирова» МО РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>S. M. Kirov Military Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>12</day><month>02</month><year>2020</year></pub-date><volume>98</volume><issue>1</issue><fpage>54</fpage><lpage>61</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Бурмистрова И.А., Самойлова А.Г., Тюлькова Т.Е., Ваниев Э.В., Баласанянц Г.С., Васильева И.А., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Бурмистрова И.А., Самойлова А.Г., Тюлькова Т.Е., Ваниев Э.В., Баласанянц Г.С., Васильева И.А.</copyright-holder><copyright-holder xml:lang="en">Burmistrova I.A., Samoylova A.G., Tyulkova T.E., Vaniev E.V., Balasanyants G.S., Vasilyeva I.A.</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.tibl-journal.com/jour/article/view/1388">https://www.tibl-journal.com/jour/article/view/1388</self-uri><abstract><p>В обзоре приведены данные о частоте выявления микобактерий туберкулеза (МБТ) с лекарственной устойчивостью (ЛУ), а также об изменении спектра ЛУ в России и за рубежом с середины 50-х годов XX в. до настоящего времени. Наряду с известными механизмами формирования ЛУ МБТ, представлены новые исследования с описанием мутаций, сопряженных с наличием ЛУ.</p></abstract><trans-abstract xml:lang="en"><p>The review presents data on the frequency of detection of drug resistant (DR) tuberculosis mycobacteria (MTB) as well as on the change in DR patterns in Russia and abroad from the mid-50s of the 20th century till the present. Along with the well-known mechanisms for DR MTB development, it tells about new research describing mutations associated with drug resistance.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>туберкулез</kwd><kwd>микобактерии туберкулеза</kwd><kwd>лекарственная устойчивость</kwd><kwd>противотуберкулезные препараты</kwd><kwd>генетические мутации</kwd></kwd-group><kwd-group xml:lang="en"><kwd>tuberculosis</kwd><kwd>mycobacterium tuberculosis</kwd><kwd>drug resistance</kwd><kwd>anti-tuberculosis drugs</kwd><kwd>genetic mutations</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Воробьева О. А. Лекарственная устойчивость микобактерий туберкулеза современный взгляд на проблему // Сибирский медицинский журнал. 2008. – № 2. – С. 5-8.</mixed-citation><mixed-citation xml:lang="en">Vorobieva O.А. Drug resistance of Mycobacterium tuberculosis – current views on the problem. 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