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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">riri</journal-id><journal-title-group><journal-title xml:lang="ru">Раны и раневые инфекции. Журнал имени проф. Б.М. Костючёнка</journal-title><trans-title-group xml:lang="en"><trans-title>Wounds and wound infections. The prof. B.M. Kostyuchenok journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2408-9613</issn><issn pub-type="epub">2500-0594</issn><publisher><publisher-name>Regional non-governmental organization “Surgical society - Wounds and wound infections”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25199/2408-9613-2026-13-1-32-38</article-id><article-id custom-type="elpub" pub-id-type="custom">riri-362</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>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL RESEARCH</subject></subj-group></article-categories><title-group><article-title>Дифференциальная диагностика морфологических форм бактерий рода Klebsiella pneumonia в осадке мочи методом световой микроскопии</article-title><trans-title-group xml:lang="en"><trans-title>Differential diagnostics of morphological forms of Klebsiella pneumonia in urine sediment by light microscopy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3187-4408</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Демидова</surname><given-names>В. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Demidova</surname><given-names>V. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Демидова Валентина Семеновна – доктор биологических наук, заведующая клинико-диагностической лабораторией</p><p>117997, Москва, ул. Большая Серпуховская, д. 27 </p></bio><bio xml:lang="en"><p>Valentina S. Demidova – MD, Dr. Sci. (Biol.), head of the clinic and diagnostic laboratory </p><p>27 Bolshaya Serpukhovskaya Str., Moscow, 117997 </p></bio><email xlink:type="simple">demidova@ixv.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1598-7894</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алхимова</surname><given-names>Л. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Alkhimova</surname><given-names>L. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алхимова Людмила Генадьевна – врач клинической лабораторной диагностики первой категории клинико-диагностической лабораторией </p><p>117997, Москва, ул. Большая Серпуховская, д. 27 </p></bio><bio xml:lang="en"><p>Liudmila G. Alkhimova – MD, physician of clinical laboratory diagnostics of the first category </p><p>27 Bolshaya Serpukhovskaya Str., Moscow, 117997 </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/0000-0002-2733-708X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Демченко</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Demchenko</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Демченко Мария Александровна – врач клинической лабораторной диагностики</p><p>117997, Москва, ул. Большая Серпуховская, д. 27 </p></bio><bio xml:lang="en"><p>Maria A. Demchenko – MD, physician of clinical laboratory diagnostics </p><p>27 Bolshaya Serpukhovskaya Str., Moscow, 117997 </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/0000-0002-4622-1429</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Терехова</surname><given-names>Р. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Terekhova</surname><given-names>R. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Терехова Раиса Петровна – кандидат медицинских наук, заведующая лабораторией профилактики и лечения бактериальных инфекций отдела ран и раневых инфекций</p><p>117997, Москва, ул. Большая Серпуховская, д. 27 </p></bio><bio xml:lang="en"><p>Raisa P. Terekhova – MD, Cand. Sci. (Med.), head of the laboratory of prevention and treatment of bacterial infections at the department of wounds and wound infections </p><p>27 Bolshaya Serpukhovskaya Str., Moscow, 117997 </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 хирургии им. А. В. Вишневского» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A. V. Vishnevsky National Medical Research Center of Surgery</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>23</day><month>04</month><year>2026</year></pub-date><volume>13</volume><issue>1</issue><fpage>32</fpage><lpage>38</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Демидова В.С., Алхимова Л.Г., Демченко М.А., Терехова Р.П., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Демидова В.С., Алхимова Л.Г., Демченко М.А., Терехова Р.П.</copyright-holder><copyright-holder xml:lang="en">Demidova V.S., Alkhimova L.G., Demchenko M.A., Terekhova R.P.</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.riri.su/jour/article/view/362">https://www.riri.su/jour/article/view/362</self-uri><abstract><p>В статье представлен опыт дифференциальной диагностики морфологических форм бактерий вида Klebsiella рneumoniae при световой микроскопии в осадке мочи у хирургических пациентов ожогового отделения, в терапии которых используют β-лактамные антибиотики в субингибирующих концентрациях. Материалом для исследования служила моча пациентов Ожогового отделения Центра. Общеклинический анализ мочи проводили методом «сухой химии» с использованием тест-полосок, на мочевом полуавтоматическом анализаторе LabUReader Plus2, Венгрия. Бактериологическое (культуральное) исследование проводили методом посева мочи на микрофлору и чувствительность к антибиотикам на питательные среды. Микроскопическое исследование осадка мочи выполняли методом оптической световой микроскопии на бинокулярном микроскопе со светодиодной подсветкой MICROS МС100(ХР), Австрия.</p></abstract><trans-abstract xml:lang="en"><p>The article presents the experience of differential diagnosis of morphological forms of Klebsiella pneimoniae by light microscopy in urine sediment from surgical patients of the burn department, whose therapy uses beta–lactam antibiotics in sub-inhibitory concentrations. The urine of patients from the Burn Department of the Center served as the material for the study. General clinical urine analysis was performed using the "dry chemistry" method using test strips on a LabUReader Plus2 urinary semi–automatic analyzer, Hungary. A bacteriological (cultural) study was performed by seeding urine for microflora and antibiotic sensitivity. Microscopic examination of urine sediment was performed by optical light microscopy on a binocular microscope with LED illumination MICROS MS100(XP), Austria. This publication may be of interest to doctors of various specialties, as well as to novice specialists in clinical laboratory diagnostics involved in the study of urine sediment using optical microscopy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>Klebsiella pneumoniae</kwd><kwd>энтеробактерии</kwd><kwd>ESKAPE</kwd><kwd>анитибиотикорезистентность</kwd><kwd>β-лактамные антибиотики</kwd><kwd>субингибирующие концентрации</kwd><kwd>оптическая световая микроскопия</kwd><kwd>внутрибольничная инфекция</kwd><kwd>устойчивость к антибиотикам</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Klebsiella pneumoniae</kwd><kwd>enterobacteria</kwd><kwd>ESKAPE</kwd><kwd>anitibiotic resistance</kwd><kwd>beta–lactam antibiotics</kwd><kwd>sub-inhibitory concentrations</kwd><kwd>optical light microscopy</kwd><kwd>nosocomial infection</kwd><kwd>antibiotic resistance</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">Friedlaender C. 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