CRKP nedzimwe Drug-Resistant Hospital-Inowanikwa Infections
Sezvo kana varwere, vateresi uye masangano ezvehutano vasina hutano vasina kukwana nazvo neRSASA, C.Diff. uye imwe chipatara-yakawana zvirwere. Iye zvino, imwe nhengo inosangana neocomial inotapukira yakaita zviratidzo muzvipatara zveUnited States: Carbapenem-resistant Klebsiella pneumoniae ( CRKP). CRKP chirwere chebhakitiriya chegam-negative chakakonzera maantibiotic kushorwa kwekirasi remishonga inorwisa mabhakitiriya inonzi carbapenems, uye inogona kukonzera kutapurirwa mune zvirongwa zvehutano zvakadai sepneumonia, ropastream zvirwere, mavanga kana chirwere chekuita chirwere, uye meningitis.
CRKP inoonekwa sehutachiwana hutachiona hwehutano hwekuchengeteka kwevarwere. Kunyange zvazvo nhamba dzevarwere vane hutachiwana dzisingasviki sehuwandu hwevarwere vanowana zvipfeko zvinonyanyozivikanwa seMRSA, C.Diff, VRE nevamwe , kutanga kwegore 2011 CRKP yakanga yatoonekwa muzvipatara mumasangano makumi matatu nematanhatu. (Ona mapeji enyika inotaura nyaya dze CRKP.)
CRKP nedzimwe zvirwere zvakafanana nazvo (NDM-1, OXA, VIM, yose inonyatsozivikanwa seC CREs) inopesana nemishonga inorwisa mabhakitiriya, uye varwere vanozviwana vari pangozi yekufa, kazhinji mukati memazuva makumi matatu. Rufu rwekufa kubva kuno hutsva hutsva hwakataurwa huri pakati pe30 muzana uye 44 muzana.
Kusvika ikozvino, zvirwere zveRCKP zvinoratidzika zvakachengetwa kune zvivako zvehutano - zvose zvipatara zvakanyanya uye zvivako zvekugara kwenguva refu. Vaya vakwegura uye vamwe vasingazivikanwi vari pangozi yakakura yekuitenga. Sezvo zvisingaoneki sehutachiona hunopomerwa neCDC, nhamba yevarwere nevakafa inogona kunge isingatauri.
Mishonga yeRCK Infections
CRKP haigoni kuurayiwa nyore nyore kunyange nemishonga yakagadzirirwa yakagadzirirwa kuuraya mamwe maitiro ekuzivikanwa nesocomial MRSA, C.Diff kana VRE.
Imwe mishonga, chaizvoizvo antibiotic yakwegura inonzi colistin, yakashandiswa kubudirira kubudirira kune varwere vakawana CRKP. Dambudziko nderokuti mishonga ine mishonga inotyisa inoparadza zvipi.
Vakwegura uye vamwe varwere vasina zvirwere zvisingabvumirwi zvinogona kunyanya kukuvadzwa nemigumisiro iyi.
Imwe mishonga inonzi tigecycline, yakagadzirwa muna 2005, asi inogumira mukubudirira kwayo nokuti haina kushanda zvakanaka mumatumbu ose.
Kudzivirira kweRCK Infection
Nzira yakanakisisa yekudzivirira kutengesa kweRCK ndeyokutevera maitiro ekudzivirira ekudzivirira chero hutachiona: kushamba maoko uye sanitizing. Varwere nevatarisiri vanofanira kutevera zvakanakisisa prototi yekudzivirira kupararira kwehupi hutachiona muchipatara: tsanangurira kuti ani nani anobata murwere ane utachiona anoshambidza maoko ake zvakakwana. Varwere havafaniri kutendera mupi wehutano wehutano kupa vimbiso pamusoro pemabasa avo ekugeza-maoko: Pane kudaro, vanofanira kukumbira kupupurira uyo anopa mupiro anoshambidza maoko ake.
Kune mamwe matanho anokosha aunofanira kutora kuti udzivirire zvirwere zvinowanikwa kuchipatara izvo zvinosanganisira zvinhu zvokutakura, uye mabasa ekuita kana uchisvika kuchipatara. Nokuti zvipembenene zvakapararira muzvipatara, uye nokuti zvipatara zvishomanana zvakare zvinotora matanho anodiwa kudzivirira, varwere vanofanira kutora basa rekudzivirira zvirwere ivo pachavo. Varwere vakangwara vanodzidza matanho ekutora kutora chipatara chakawana zvirwere .
Iwe iwe kana mudiwa wako wakatapukirwa neRCKP, MRSA, C.Diff, VRE kana chimwe chetachiona chescope? Tinokukoka iwe kuti ugovere nyaya yako nevamwe .
Dzidza nezvevamwe vatachipatara varwere vechipatara vanofanira kunge vaine hanya ne:
- Methicillin-resistant staphylococcus aureus (MRSA)
- Clostridium difficile (C.Diff)
- Vancomycin-resistant enterococci (VRE)
- Necrotizing fasciitis , nyama-kudya bhakitiriya chirwere
- Uyewo - Central Line Infections - idzi haisi mashubuti, asi ndeimwe nzira yekupinda kune idzi zvinotapukira.
- Sepsis uye Septicemia yeropa
- Dzimwe mazano pamusoro pokudzivirira zvipatara zvirwere , zvakare.
Sources:
ICentral for Disease Control.
CDC's Public Health Update pamusoro peC CRE.