OPPORTUNITIES FOR APPLICATION OF THE NEURAMINIDASE INHIBITORS IN TREATMENT AND PREVENTION OF THE FLU

Flu viruses cause yearly epidemics with the lesion of approximately 20% of population. during the increase of the flu sickness rate, it is necessary to take urgent anti epidemic and treatment steps aimed to reduce the spread of an infection as soon as possible and incorporating the application of th...

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Bibliographic Details
Main Authors: Yu.B. Belan, M.V. Starikovich, Ю.Б. Белан, М.В. Старикович
Format: Article in Journal/Newspaper
Language:Russian
Published: Издательство «ПедиатрЪ» 2015
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Online Access:https://www.pedpharma.ru/jour/article/view/700
Description
Summary:Flu viruses cause yearly epidemics with the lesion of approximately 20% of population. during the increase of the flu sickness rate, it is necessary to take urgent anti epidemic and treatment steps aimed to reduce the spread of an infection as soon as possible and incorporating the application of the specific antiviral medications. The major aims for prescription of the specific antiviral medications in flu treatment are to reduce the duration and severity of the leading disease symptoms, risks of complications, as well as to prevent the lethal out comes. There were developed medications, effectively inhibiting the replication of B flu virus. At present, there are the 1st generation medications available — adamantane derivatives (amantadine and rimantadine) and the 2nd generation medications — neuraminidase inhibitors (oseltamivir and zanamivir). The fast increase of the flu virus resistance towards adamantanes determine the necessity of a wider application of neuraminidase inhibitors, which are highly effective in respect flu viruses of A and B, as well as avian flu virus (h5n1).Key words: neuraminidase inhibitors, adamantanes, oseltamivir, zanamivir, h3n2, h5n1. Вирусы гриппа вызывают ежегодные эпидемии с поражением около 20% популяции. В период подъема заболеваемости гриппом необходимо проведение экстренных противоэпидемических и лечебных мероприятий, направленных на скорейшее купирование распространения инфекции и включающих применение специфических противовирусных средств. Основная цель назначения специфических противовирусных препаратов для лечения гриппа заключается в уменьшении продолжительности и тяжести ведущих симптомов заболевания, снижении риска развития осложнений, а также предотвращении летальных исходов. Это определило создание препаратов эффективно ингибирующих репликацию вируса гриппа. В настоящее время существуют препараты первого поколения – производные адамантана (amantadine и rimantadine) и препараты второго поколения – ингибиторы нейраминидазы (осельтамивир и занамивир). Быстрое ...