Zvose Pamusoro peMHSA Zvirwere
MRSA inotsanangurwa nemethicillin inopikisa Staphylococcus aureus , iyo inonyorera kutaura kuti chirwere cheMRSA iS Staphylococcus aureus (bhakitiriya "staph" chirwere) icho chinopesana nevakawanda vezvirwere zvinorwisa mabhakitiriya. Hezvino zviri kuitika - vanenge 30% yevanhu vose vanobatanidzwa (paganda ravo kana mumhino dzavo) neStaphylococcus aureus .
Colonization inongoreva kuti mapapu eStaplanlococcus aureus haatambudziki pamba pedu. Hapana chibvumirano chikuru, zvakawanda zve microorganisms zviri kutambanudza kunze kwemiviri yedu, Staphylococcus aureus inongova imwe chete yavo.
Inofanira Kuverenga: Zvidzivirire kubva kuMasimba Utachiona
Staphylococcus Aureus Zvirwere, Makore Ago
Asi kana iyi Staphylococcus aureus inosvika kune iyo isingafanirwi kuva (taura pasi peganda rako kuburikidza nechironda) uye muviri wako wekuzvidzivirira hausi wekutambudzika, unogona kuguma ne "Staph" utachiona. "Staph" zvirwere zvinokonzera (nguva dzose iripo) utachiona muzvipatara . Sezvo makumi matatu kubva muzana yevanhu vakakonzerwa, zvinoreva kuti "Staph" iri pose pose. Iyo "Staph" kunze kwemuviri wako inopinda mukati kana mukoti, mushure mekubata murwere mumwe, unokanganwa kushambidza maoko ake uye kunounza mapapiro eStaphylococcus aureus murwere mujonda rako. Kunze kwenyika, yese Staphylococcus aureus haisi chinhu chikuru - isu hatina mavanga akazaruka uye masimba edu ehurumende ari kushanda zvakanaka. Asi muchipatara, vanhu vakawanda vane ganda rakazaruka (nekuda kwekuvhiyiwa, catheters inopinza, kukuvara, nezvimwewo) uye maitiro avo ezvirwere zvezvirwere zvezvirwere hazvisi 100% (nekuda kwekurwara), kuti "Staph" zvirwere zvinowanzoitika.Mishonga inorwisa mabhakitiriya inoshandiswa kuita basa rakanaka rinorwisana ne "Staph" zvirwere, kusvikira Staphylococcus aureus yakatanga kugadzirisa zvirwere.
Zvimwe zveStaphylococcus aureus , kungova nemukana wekusangana, hazvina kukuvadzwa nemishonga inorwisa mabhakitiriya sevamwe. Izvo zvipenyu zvakapona, zvakawanda uye zvakagadzira zvimwe Staphylococcus aureus sazvo -kusagadzirirwa nemishonga inorwisa mabhakitiriya. Nokufamba kwenguva, mishonga idzi dzakachenjera dzakava dzakasimba, zvokuti arsenal yedu yemishonga inorwisa mabhakitiriya haisati yashanda zvakare. Izvi zvipembenene zvitsva zvinonzi "Methicillin Resistant Staphylococcus aureus " kana MRSA. Muna 1961, mabhakitiriya ekutanga eMRSA akaonekwa. Kubvira panguva iyoyo kushungurudzika hakusi kungoenderana ne methicillin asi kuti inoridillin, penicillin, oxacillin, nemamwe mishonga inorwisa mabhakitiriya .
MRSA Utachiona Nhasi
Inofungidzirwa kuti vanenge 5 muzana yevanhu vari muU.S. vanobatanidzwa neRSASA (kureva kuti, MRSA iri paganda ravo kana mumhino dzavo, asi ivo havasi "vane utachiona" - vari kutakura mabhakitiriya aripo). Vanhu avo vakaroreswa vane mungozi yakakwirira yekuwana hutachiona hweMRSA - somuenzaniso, kana munhu weMRSA akaroreswa ane chirwere uye mabhakitiriya eMRSA paganda rake akapinda muchironda, panogona kuva nedambudziko guru.Kwete izvozvo chete, asi MRSA yakarovera uye chirwere cheMRSA chakapararira mabhakitiriya eMRSA pane zvayo muchipatara. Inofungidzirwa kuti 75% emakamuri ekurwara ane tsvina neMRSA neVRE.
Zvidzidzo zvinoratidza kuti kana mushandi wehutano anofamba achipinda muimba yevarwere uye asina hukama hwepanyama nemurwere, magirafu ake acharamba achisvibiswa 42% yenguva yacho, kubva pakubata nzvimbo munzvimbo.
Muna 2005, pakanga pane 368 600 zvipatara zvekugara kwechirwere cheMRSA. Ichi chaive katatu chiyero cheMRSA chinyorwa muna 2000 uye katatu nhamba yacho kubva muna 1995. Inenge 60% yezvose "Staph" zvirwere muzvipatara ikozvino zvirwere zveMRSA. Pasi pose, MRSA inofungidzirwa kuti inenge inenge 8% yezvipatara zvose zvakawana zvirwere.
Kukuru Kwakaita Sei Mushonga weRSASA?
Iwe zvichida wakamboona mamwe mashoko pamusoro pezvinetso zveRSASA uye kuti zvakakura zvakadini. Handidi kutambanudza manzwiro, asi zvichida zvakakura kudarika iwe unofunga. Heano zvimwe zvipingamupinyi pamusoro peMMSA kukupa pfungwa yakanaka yehukuru hwehutachiona hweMRSA:MRSA Infection, US Statistics
- Nhamba MRSA inotapukirwa gore roga roga: 880,000 (2007 nhamba)
- % yezvipatara vachiporesa MRSA vanotapukirwa gore rimwe nerimwe: 2.4%
- Zvimwe mari yehutachiona hweMSASA: inenge $ 10 000
- Mari yose yeRSASA yehutachiona gore: inenge madhora 8 bhiriyoni
- Avhareji yakawedzerwa urefu hwekugara: 6 mamwe mazuva echipatara
- % yevanhu vane chirwere cheMRSA vanofa kubva kwavari: 5%
- Nhamba yeMRSA yekutapukirwa nekufa kwegore: 20,000 kusvika ku 40,000
MRSA Infection, Munyika Yose
Mamiriro ezvinhu epasi rose eMMSA yakaoma zvakaoma kuti atorere. MuEurope, chinetso hachiratidzika sechakaipa sezvakaitwa muU.S., zvichida nekuda kwekusiyana kwekugadziriswa kwema antibioitics uye pamwe nekuda kwekugadzirisa maitiro akaiswa munzvimbo (zvakadai sekugadziriswa MRSA kuongorora kwevamwe vose vari mune zvimwe zvirongwa ). Izvozvo zvakati, chirwere ichi chiri kubereka uye sezvo MRSA inofamba ichibva kuUnited States kusvika kuEurope, inotarisira kuona iyo inowedzera kuwedzera ikoko zvakare.Izvi Zvakaitika Sei?
Kune zvikonzero zvakasiyana-siyana tine dambudziko reRSASA nhasi. Chikonzero chinonyanya kukosha ndechokuti mabhakitiriya eStaph akashandura kurwisa methicillin nemamwe maantibayoti. Sei? Mishonga inorwisa mabhakitiriya inoshanduka kuburikidza nechisarudzo chekuita uye kushanduka kwezvinhu zvisina kumira. Kunyange zvazvo mabhakitiriya ari kudzokorora, chikamu cheavo vanobudiswa (nengozi) vanogona kunge vari mutevedzeri uye vanokwanisa kupona kunyange pamberi pezvirwere zvinorwisa mabhakitiriya. Izvo zvinopona zvingave zvakakwanira zvakakwana kuti zvirambe zvichibereka uye zvinokonzera chirwere. Panewo deta yakawandisa iyo kushandiswa kwemishonga inorwisa mabhakitiriya kwemaakumi emakore yakabatisa dambudziko. Nokuti takashandisa mishonga inorwisa mabhakitiriya kwemakumi emakore. Somuenzaniso, mishonga inorwisa mabhakitiriya inowanzonyorerwa mavirusi (sekunge vanhu vane chando kana chirwere), izvi zvinokonzera kuoma mabhakitiriya. Panojekeswa kune mishonga inorwisa mabhakitiriya, mamwe mabhakitiriya nenzira yakajeka ari "akaoma" kune vamwe. Aya mabhakitiriya anorarama (zvikurukuru apo varwere vasingatori mishonga yavo yakazara yemishonga inorwisa mabhakitiriya). Vanopona, vanozvara uye vanogadzira vana vasingagoni. Rambai mhirizhonga kwemakumi emakumi emakore uye mutsva mutsva webhakitiriya unoratidzika kuti haunorwi nemishonga inorwisa mabhakitiriya.Asi haisi kungoshandisa zvinodhaka mishonga iyo inetso, pane kushandiswa kwakawanda kwemishonga inorwisa mabhakitiriya mumakambani emhuka. Izvozvo zvinorwisa mabhakitiriya zvinopedzisira zvava kudya uye mumvura, zvichipa miviri shoma yemishonga inorwisa mabhakitiriya inobatsira kugadzira mabhakitiriya asingagoni.
Chii Chinonzi Ramangwana?
Zvimwe zvakafanana, zvakawanda zvakawanda. Izvo hazvina zviratidzo zvekuti MRSA nezvimwe zvirwere zvinopera. Kamwe kamwe kana hutachiona humwe hunova pasi pesimba, hunoratidzika kuti pane maviri kuti atore. Kunyange zvazvo MRSA inoramba ichinetseka zvikuru (isina zviratidzo zvekudzikira), mbiri dzakawanda dzakawanda dzatove dzakagadzirirwa kuidzikisa: C. Kusiyana . uye A. Baumannii.Unofanira Kuverenga: Zvidzivirire Kubva kuMasana Utachiona
Sources:
CDC peji yeMSASA
John L. Zeller, MD, PhD, Munyori; Alison E. Burke, MA, Illustrator; Richard M. Glass, MD, Editor. Journal of the American Medical Association. Vol. 298 Nha. 15, October 17, 2007.
Kuvhiringidza Methicillin-Kurwisana Staphylococcus aureus Zvirwere muUnited States. R. Monina Klevens, Melissa A. Morrison, Joelle Nadle, Susan Petit, Ken Gershman, Susan Ray, Lee H. Harrison, Ruth Lynfield, Ghinwa Dumyati, John M. Townes, Allen S. Craig, Elizabeth R. Zell, Gregory E Fosheim, Linda K. McDougal, Roberta B. Carey, Scott K. Fridkin, uye nokuda kweBacter Active Bacterial Core surveillance (ABCs) MRSA Investigators. JAMA. 2007; 298 (15): 1763-1771.
National Institutes of Health. Medline Plus. MRSA.
Nhepfenyuro Nyaya # 35. Project Health Cost and Use Project (HCUP). Nyamavhuvhu 2007. Sangano reEalthcare Research uye Quality, Rockville, MD. www.hcup-us.ahrq.gov/reports/statbriefs/sb35.jsp.