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  ()    ,                         , ,   (MB).  ,  ,         MB,          .         MB (CFF)    MB (ECFS)   -,       , ,     ,         MB.       .         PICO (/      ),         .         ,          0  9,  0    ,  9        .    80%          7  9,      .  ,            MB            .   80%             .  ,     ,     , ,        MB,            MB,  .








       

  ()           MB     ,    


.   ,     MB   1,3%,     ,   1981 


,  32,7%        40     MB   , 


.   ,      ,      986


, 1216


  1582


   MB,      13,0%, 13,7%  6,6%  .          MB ,       MB    12%


,        (0-28%)


.         MB    ,     ,    Mycobacterium avium complex (MAC) (   . avium, M. intracellular  . chimaera),      ,       72% 


.       . abscessus complex (MABSC) (  . abscessus subsp abscessus (M. a. abscessus), M. a. bolletii


  . a. massiliense





 (,   ,    . a. bolletii)).   ,           ,     MB


.      ,     MB  . simiae


, M. kansasii  . fortuitum


.  ,             ,      ,      














.         MB    ,        .  10-     10% ,      40      30% 


.

  50% ,   MB      ( ,  ),    


.               MB: MAC      25 





,   MABSC     , ,    ,        1115  


.  ,      (ATS)      (IDSA)      , ,    MABSC     (.     MB).      ,   ,    ,         


.   40       ,     MB





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,      MB,  ,                    ,   , ( ,   )       .








  

  MB (CFF)    MB (ECFS)          -.     19  (10    9   )  MB      ,       MB    ,    , , ,      MB.      2012 ,         ,       :    , , ,   .        ,   PICO (     : /      )


.        ,          .


   

         PICO          PubMed.            1984  2013 .  ,             (ATS)      (IDSA),          (CLSI)   MB  (UK CF Trust).                .   2012     ,        .  ,                    80%  -  (19).       ,     GRADE,      .              ( Survey Monkey)           .    ,            0  9,  0       ,  9   ;   80%   7  9     ,  .         ,                 .              ,      .             ,            .             -     .




  .


   .

   ,     (https://www.litres.ru/kollektiv-avtorov/soglasovannye-rekomendacii-amerikanskogo-fonda-kistoznog/)  .

      Visa, MasterCard, Maestro,    ,   ,     ,  PayPal, WebMoney, ., QIWI ,       .



notes








1


     -.       : http://dx.doi.org/10.1136/thoraxjnl-2015-207360 (http://dx.doi.org/10.1136/thoraxjnl-2015-207360).

           .     .  ,    ,  ,  , -, .  CB2 0XY, ; arf27@cam.ac.uk (mailto:arf27@cam.ac.uk)

  1  2015 ,  17  2015 ,    2  2015 .


