I-CRKP kanye nezinye izifo ezithathelwanayo ezibhedlela
Njengokuthi iziguli, abahlinzeki nezinhlangano zokunakekelwa kwempilo abangekho okwanele ukukhathazeka nge-MRSA, C.Diff. kanye nezinye izifo ezitholakale esibhedlela. Manje, enye i- neocomial agent esebenzayo isenzele izibhedlela zase-US: I- Klebsiella pneumoniae ( CRKP) engamelana ne-Carbapenem. I-CRKP uhlobo lwama-bacteria ag gram-negative ayenze ukuphikiswa kwama-antibiotic ekilasini lama-antibiotic owaziwa ngokuthi yi-carbapenems, futhi kungabangela ukutheleleka kwezilungiselelo zokunakekelwa kwezempilo njenge-pneumonia, izifo zegazi, izilonda noma izifo zesifo sokuhlinza, kanye ne-meningitis.
I-CRKP ibhekwa njengengozi enkulu yokutheleleka kokuphepha kwesiguli. Ngenkathi izinombolo zeziguli ezinegciwane aliyona enkulu njengoba izinombolo zeziguli ezithola ama-superbugs awaziwa kangcono njenge- MRSA, i-C.Diff, i-VRE nabanye , ekuqaleni kuka-2011 i-CRKP isivele ibonwe ezibhedlela ezingu-36. (Bheka ibalazwe lokubika amacala we-CRKP.)
I-CRKP nezinye izifo ezifana nayo (i-NDM-1, i-OXA, i-VIM, yonke eyaziwa kakhulu njenge-CREs) ayimelana nemithi elwa namagciwane, kanti iziguli ezitholayo ziyingozi yokufa, ngokuvamile zingakapheli izinsuku ezingu-30. Amanani okufa okuvela kule nsimu entsha ibikwe ukuthi iphakathi kwamaphesenti angu-30 namaphesenti angu-44.
Kuze kube manje, ukutheleleka kwe-CRKP kubonakala kuvinjelwe ezindaweni zokunakekelwa kwezempilo - izibhedlela zokunakekelwa eziphuthumayo nezindawo zokunakekela isikhathi eside. Abantu asebekhulile nalabo abangenakuzivikela bangengozi enkulu yokuthola isivumelwano. Njengoba kungabhekwa njengokutheleleka kwe-CDC, izinombolo zeziguli nokufa cishe zibikiwe.
Ukwelashwa kwezifo ze-CRKP
I-CRKP ayikwazi ukubulawa kalula ngisho nezidakamizwa ezikhethekile ezakhiwe ukubulala ezinye izifo eziseziwa nosocomial MRSA, C.Diff noma i-VRE.
Isidakamizwa esisodwa, empeleni i-antibiotic endala okuthiwa i-colistin, isetshenziswe ngempumelelo emkhakheni kwiziguli ezitholile i-CRKP. Inkinga yukuthi izidakamizwa zinemiphumela emibi engozini eyonakalisa izinso.
Abantu asebekhulile kanye nezinye iziguli ezingazivikeli kahle zingase zibhekiswe ikakhulukazi ngalezi zinkinga.
Esinye isidakamizwa esibizwa ngokuthi i-tigecycline, sakhiwe ngo-2005, kodwa sinciphise ukusebenza kwayo ngoba asisebenzi kahle kuzo zonke izicubu.
Ukuvimbela ukutheleleka kwe-CRKP
Indlela engcono kakhulu yokuvimbela ukudluliswa kwe-CRKP ngokulandela izincomo zokuvimbela okujwayelekile okunye ukutheleleka: ukugeza izandla nokuhlanza. Iziguli nabanakekeli kufanele balandele indlela ehamba phambili yokuvimbela ukusabalala kwanoma yikuphi ukutheleleka esibhedlela: gcizelela ukuthi noma ubani othinta isiguli esinegciwane ahlanze izandla zakhe. Iziguli akufanele zivumele umhlinzeki wezempilo ukuthi ahlinzeke ngokuqinisekiswa ngemikhuba yabo yokuhlanza ngesandla. Esikhundleni salokho, kufanele bacele ukufakaza umhlinzeki ukugeza izandla zakhe.
Kunezinye izinyathelo ezibalulekile okufanele zizithathele ukuvimbela izifo ezitholakale esibhedlela ezifaka izinto zokupakisha, nemisebenzi okufanele iyenze uma ufika esibhedlela. Ngenxa yokuthi izifo zande kakhulu ezibhedlela, futhi ngenxa yokuthi izibhedlela ezimbalwa zithatha izinyathelo ezidingekayo zokuzivimbela, iziguli kufanele zithwale umthwalo wokuvimbela izifo ngokwazo. Iziguli ezihlakaniphile zifunda izinyathelo okumelwe zizithathele ukuvimbela izifo ezitholakale esibhedlela .
Ingabe wena noma othandekayo usulelekile nge-CRKP, MRSA, C.Diff, i-VRE noma ngabe yikuphi ukutheleleka kwe-nosocomial? Sikumema ukuthi wabelane ngendaba yakho nabanye .
Funda ngeziguli ezibhedlela ezibhedlela ezengeziwe kumele zikhathazeke ngalokhu:
- I-staphylococcus aureus engamelana ne-Methicillin (MRSA)
- I-Clostridium difficile (C.Diff)
- I-entococci engena-vancomycin (VRE)
- I-fasciitis ene-Necrotizing , isifo sokudla inyama
- Futhi - Izifo Zengaphakathi Ephakathi - lezi akuzona ama-superbugs, kunalokho yiyindlela eyodwa yokungena kula ma-agent aphephile.
- I-Sepsis ne-Septicemia yegazi
- Olunye iseluleko mayelana nokuvimbela izifo zesibhedlela , futhi.
Imithombo:
Izikhungo Zokulawulwa Izifo.
Ukubuyekezwa kweMpilo kaHulumeni ka-CDC ku-CRE.