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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">vestim</journal-id><journal-title-group><journal-title xml:lang="ru">Известия Национальной  академии наук Беларуси. Серия медицинских наук</journal-title><trans-title-group xml:lang="en"><trans-title>Proceedings of the National Academy of Sciences of Belarus, Medical series</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1814-6023</issn><issn pub-type="epub">2524-2350</issn><publisher><publisher-name>The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.29235/1814-6023-2021-18-3-351-361</article-id><article-id custom-type="elpub" pub-id-type="custom">vestim-786</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>КЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL AND EXPERIMENTAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>Наночастицы серебра: экологичный метод синтеза, свойства и использование против антибиотикорезистентной микрофлоры</article-title><trans-title-group xml:lang="en"><trans-title>Silver nanoparticles: an ecological method of synthesis, properties and use against antibiotic resistant microflora</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>Довнар</surname><given-names>Р. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Dovnar</surname><given-names>R. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Довнар Руслан Игоревич – канд. мед. наук, доцент</p><p>ул. Горького, 80, 230009, г. Гродно</p></bio><bio xml:lang="en"><p>Ruslan I. Dovnar – Ph. D. (Med.), Associate Professor</p><p>80, Gorky Str., 230009, Grodno </p></bio><email xlink:type="simple">dr_ruslan@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васильков</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasil’kov</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Васильков Александр Юрьевич – канд. хим. наук, доцент, вед. науч. сотрудник</p><p>ул. Вавилова, 28, 119991, г. Москва</p></bio><bio xml:lang="en"><p>Alexander Yu. Vasil’kov – Ph. D. (Chem.), Associate Professor, Leading Researcher</p><p>28, Vavilov Str., 119991, Moscow </p></bio><email xlink:type="simple">alexandervasilkov@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Соколова</surname><given-names>Т. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Sakalova</surname><given-names>T. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Соколова Татьяна Николаевна – канд. мед. наук, доцент</p><p>ул. Горького, 80, 230009, г. Гродно</p></bio><bio xml:lang="en"><p>Tatsiana M. Sakalova – Ph. D. (Med.), Associate Professor</p><p>80, Gorky Str., 230009, Grodno </p></bio><email xlink:type="simple">sakalova@tut.by</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Наумкин</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Naumkin</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Наумкин Александр Васильевич – канд. физ.-мат. наук, ст. науч. сотрудник</p><p>ул. Вавилова, 28, 119991, г. Москва</p></bio><bio xml:lang="en"><p>Alexander V. Naumkin – Ph. D. (Phys. and Math.), Senior Researcher</p><p>28, Vavilov Str., 119991, Moscow </p></bio><email xlink:type="simple">naumkin@ineos.ac.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Будников</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Budnikov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Будников Александр Викторович – мл. науч. cотрудник</p><p>ул. Вавилова, 28, 119991, г. Москва</p></bio><bio xml:lang="en"><p>Alexander V. Budnikov – Junior Researcher</p><p>28, Vavilov Str., 119991, Moscow </p></bio><email xlink:type="simple">budnikow501@ineos.ac.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Довнар</surname><given-names>И. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Dovnar</surname><given-names>I. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Довнар Игорь Станиславович – канд. мед. наук, доцент</p><p>ул. Горького, 80, 230009, г. Гродно</p></bio><bio xml:lang="en"><p>Igor S. Dovnar – Ph. D. (Med.), Associate Professor</p><p>80, Gorky Str., 230009, Grodno </p></bio><email xlink:type="simple">dovigor16@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иоскевич</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Iaskevich</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Иоскевич Николай Николаевич – д-р мед. наук, профессор</p><p>ул. Горького, 80, 230009, г. Гродно</p></bio><bio xml:lang="en"><p>Nikolai N. Iaskevich – D. Sc. (Med.), Professor</p><p>80, Gorky Str., 230009, Grodno </p></bio><email xlink:type="simple">inngrno@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Гродненский государственный медицинский университет</institution></aff><aff xml:lang="en"><institution>Grodno State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Институт элементоорганических соединений имени А. Н. Несмеянова РАН</institution></aff><aff xml:lang="en"><institution>A. N. Nesmeyanov Institute of Organoelement Compounds of the Russian Academy of Sciences</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>06</day><month>09</month><year>2021</year></pub-date><volume>18</volume><issue>3</issue><fpage>351</fpage><lpage>361</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Довнар Р.И., Васильков А.Ю., Соколова Т.Н., Наумкин А.В., Будников А.В., Довнар И.С., Иоскевич Н.Н., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Довнар Р.И., Васильков А.Ю., Соколова Т.Н., Наумкин А.В., Будников А.В., Довнар И.С., Иоскевич Н.Н.</copyright-holder><copyright-holder xml:lang="en">Dovnar R.I., Vasil’kov A.Y., Sakalova T.M., Naumkin A.V., Budnikov A.V., Dovnar I.S., Iaskevich N.N.</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://vestimed.belnauka.by/jour/article/view/786">https://vestimed.belnauka.by/jour/article/view/786</self-uri><abstract><p>Проведена количественная оценка антибактериального влияния наночастиц серебра на полиантибиотикорезистентные грамположительные и грамотрицательные микроорганизмы. Наночастицы серебра синтезированы экологически допустимым методом металло-парового синтеза. Размер и электронное состояние наночастиц исследованы методами просвечивающей электронной и рентгеновской фотоэлектронной спектроскопии. Оценка антибактериальных свойств наноматериалов выполнена на двух клинических патогенных штаммах грамположительных и четырех штаммах грамотрицательных микроорганизмов. Типирование и оценка устойчивости бактерий к антибиотикам проведены на микробиологическом анализаторе. Количественная оценка антибактериального влияния наночастиц выполнена с использованием метода разведений и путем определения минимальных ингибирующей и бактерицидной концентраций.Установлено, что размер изучаемых наночастиц серебра составляет от 5 до 24 нм, средний диаметр ‒ 10,8 нм. Показано, что для всех использованных в исследовании клинических штаммов микроорганизмов характерна множественная антибактериальная устойчивость (процент антибиотикорезистентности для них составляет от 12,5 до 93,3 %). Установлено, что для исследованных микроорганизмов значения минимальной ингибирующей концентрации (МИК) находятся в интервале от 7,81 до 31,25 мкг/мл, а минимальной бактерицидной концентрации (МБК) – в пределах от 31,25 до 62,50 мкг/мл.Полученные по МИК и МБК данные могут быть использованы при создании перспективных антимикробных препаратов и изделий медицинского назначения следующего поколения.</p></abstract><trans-abstract xml:lang="en"><p>A quantitative assessment of the antibacterial effect of silver nanoparticles on polyantibiotic-resistant grampositive and gram-negative microorganisms was carried out. Silver nanoparticles were synthesized by the environmentally friendly metal-steam synthesis method. The size and electronic state of nanoparticles were investigated by transmission electron and X-ray photoelectron spectroscopy. The antibacterial properties of nanomaterials were assessed on two clinical pathogenic strains of gram-positive and four strains of gram-negative microorganisms. The typing and assessment of bacterial resistance to antibiotics were carried out on a microbiological analyzer. The antibacterial effect of nanoparticles was quantitatively assessed using the dilution method and the determination of the minimum inhibitory and minimum bactericidal concentrations.It was found that the studied silver nanoparticles have sizes in the range from 5 to 24 nm with an average diameter of 10.8 nm. It was shown that all clinical strains of microorganisms used in the study are characterized by multiple antibacterial resistance; the percentage of their antibiotic resistance ranges from 12.5 to 93.3 %. It was found that for the studied microorganism, the values of the minimum inhibitory concentration (MIC) are in the range from 7.81 to 31.25 μg/ml, and the minimum bactericidal concentration (MBC) is in the range from 31.25 to 62.50 μg/ml. The obtained MIC and MBC data can be used to create promising antimicrobial drugs and medical next generation devices.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>наночастицы серебра</kwd><kwd>антибиотики</kwd><kwd>резистентность</kwd><kwd>микроорганизмы</kwd><kwd>минимальная ингибирующая концентрация</kwd><kwd>минимальная бактерицидная концентрация</kwd></kwd-group><kwd-group xml:lang="en"><kwd>silver nanoparticles</kwd><kwd>antibiotics</kwd><kwd>resistance</kwd><kwd>microorganisms</kwd><kwd>minimum inhibitory concentration</kwd><kwd>minimum bactericidal concentration</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена при финансовой поддержке Белорусского республиканского фонда фундаментальных исследований (проект M20P-086) и Российского фонда фундаментальных исследований (грант № 20-53-00030 Бел-a). Исследования методом ПЭМ и РФЭС проведены при поддержке Министерства науки и высшего образования Российской Федерации с использованием научного оборудования Центра исследования строения молекул Института элементоорганических соединений имени А. Н. Несмеянова РАН.</funding-statement><funding-statement xml:lang="en">This work was financially supported by the Belarusian Republican Foundation for Basic Research (project M20P-086) and RFBR (project No. 20-53-00030). TEM and XPS studies were financially supported by the Ministry of Science and Higher Education of the Russian Federation using the equipment of the Center for Molecular Composition Studies of the A. N. 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