CHIKA Carbapenem-Resistant Enterobacteriaceae . Aya mabhakitiriya anorwisana uye anokundwa nemishonga inorwisa mabhakitiriya. Iyo mabhakitiriya anodzivisa uye anokurira ma antibiotic anoreva kutidzivirira isu. Aya mabhakitiriya anotitungamirira pedyo nenguva isati yasati yasvika antibiotic.- kana sezvatinoti, nguva inotevera-antibiotic iyo yatinotarisira kuti haizomboitike.
Ngationei Pasi
Carbapenems ikirasi remishonga inorwisa mabhakitiriya.
Iyi kirasi yemishonga inorwisa mabhakitiriya kazhinji ndiyo inopedzisira yakasimba yekudzivirirwa pamabhakitiriya asingagoni. Vanachiremba vanowanzosvika nekuda kwemishonga inorwisa mabhakitiriya apo mamwe mishonga inorwisa mabhakitiriya isingashandisi, kazhinji nekuda kwemishonga inorwisa mabhakitiriya. Izvi zvinorwisa mabhakitiriya kakawanda zvatinonzi mutsara wechipiri mishonga inorwisa mabhakitiriya. Chikoro ichi chinosanganisira meropenem, ertapenem, imipenem, uye doripenem .Varangikoti aya anobata marudzi akawanda akasiyana emabhakitiriya ( gramu yakanaka uye yakaipa , aerobic uye anaerobic) mune zvakawanda zvakasiyana zvikamu zvemuviri kubva paganda kusvika kuropa kusvika pamwoyo kusvika ku genitourinary turakiti. Sezvo zvakadaro, aya maantibayoti anowanzochengeterwa zvirwere zvakakomba zvakanyanya apo mamwe maantibayoti haazoshandi.
Mabhakitiriya anodzivisa ndeawo asingagamuchiri mishonga inorwisa mabhakitiriya zvakare. Tinosarudza mishonga inorwisa mabhakitiriya zvakananga kune rudzi rwehutachiona kana chikonzero chaicho chakaonekwa chechirwere. Dzimwe nguva mishonga inorwisa mabhakitiriya inomira kushanda, Kazhinji nokuti yakawana mazamu anovabvumira kudarika kuti mabhakitiriya anobata sei nemishonga inorwisa mabhakitiriya.
Izvi zvinoreva kuti mishonga inorwisa mabhakitiriya haigone kukuvadza mabhakitiriya - kana kuti haagoni kuita izvi zvakakwana kuti ibudirire.
Enterobacteroacae imhuri yebrigteria yegam inenge yakafanana netsvimbo. Mabhakitiriya anobva kumhuri iyi anowanzowanikwa mumaturakiti edu emukati. Icho chikamu chemuviri wedu wekugara mumvura - microbiome.
Dzimwe nguva kunyange zvazvo zvichititadzisa. Zvinogona kukonzera chero chinhu kubva pamatachiona ekuvhenekera kusvika kumucheche meningitis kusvika pineumonia kuenda kune chirwere chepachiropa kusvika kumapfupa.
Mabhakitiriya anowanzobva mumhuri iyi ndiEngobacter, Escherichia, Klebsiella, Proteus, Providencia, Salmonella, Shigella, uye Serratia.
Ndiani Anowana Mawere Aya?
CHIKARA chinowanzokonzera munhu anenge atova muchipatara, musha unochengetedza vakwegura, kana ane chirongwa mune kliniki yekunze. Vaya vane mhando ipi zvayo yemichina kana yezvigadzirwa zvemishonga inowanikwa vari pangozi. Izvi zvinoreva avo vane catheter yekuzora, yechina, kana kuti vendiri kuti vabatsire kufema vari pangozi yakawanda. Vaya vanotora mishonga yakawanda inorwisa mabhakitiriya vari pangozi yakawanda.
Kudengenyeka kunowanzobva pamaoko evashandi vehutano kana kubva kumishonga yezvokurapa iyo isina kuve yakanyatsodzivirirwa. Ikoko kwakanga kune kuputika pakati pevaya vaiva nehutachiva hwemimba dzaiva nebhakitiriya, pasinei nokuti chigadzirwa chakanga chacheneswa uye chakavharirwa mweya.
Kazhinji, vanhu vane hutano havawani CRE.
Izvi zvinoreva kuti avo vanowana CRE vanowanzotanga kurwara. Izvi zvingabatsira kubatsira pakufa kwevanhu vanoonekwa, zvichida zvakakwirira se50% yeavo vanotapukirwa.
Zvirwere izvi zvinogona kunge zvisingabviri kusvika kune mishonga yose inorwisa mabhakitiriya.
Vanhu Vakawanda Vanowana Izvi Here?
Kwete kuUnited States. Kunetseka ndechokuti kana ikatanga kupararira kuti hatingave nemishonga inorwisa mabhakitiriya kuti iite kuti irege kupararira mune zvipatara.
Iri kupi?
Aya ma Superbugs anowanikwa munyika yose kubva kuIndia kusvika kuGreece kuenda kuPuerto Rico uye kuNew York City. Hazvinyanyozivikanwi kuti madhiragi aya ndeapi mashoma zvikuru, akadai sepasi rakadzika nyika. Kune humwe hutspots munyika dzakawanda umo hutachiwana hwehutachiwana hwave huchiwedzera.
Munhu wose Anowana Buguru Anova Murwere Here?
Aiwa, vamwe vanhu vanokonzerwa. Izvi zvinoreva kuti mabhakitiriya anogara kune imwe nzvimbo mumuviri wavo pasina kukonzera utachiona.
Aya mabhakitiriya anokwanisa kugara mumatumbo pasina kukonzera matambudziko ehutano. Kunyange zvakadaro, vaigona kupfuurira kupikisa kune mamwe mabhakitiriya mudumbu uye ivo, munguva yemberi, vanokonzera utachiona, hwakadai sehutachiona hwehutachiona.
Mabhakiteriya Anova Sei Anoramba?
Dzimwe nguva dzimwe shanduko dzinokura. Kazhinji, plasmids, iyo ine bits yemafuta, inopedza kukonzera kubva kune rimwe bhakitiriya kune rimwe.
Kune Marudzi Akasiyana Here?
Kune marudzi akawanda . Vanachiremba vanoziva nezveKlebsiella pneumoniae carbapenemase (KPC), New Delhi metallo-β-lactamase (NDM), Verona integron encoded metallo-β-lactamase (VIM), imipenemase metallo-β-lactamase (IMP), uye oxacillinase-48 (OXA- 48).
MuUnited States, KPC inowanikwa. Iko kunoita kuti sero remadziro risapfuurire nyore nyore.
Zvimwe zvinotyisa zvakange zviri iyo carbapenemase inobereka maronda (KPC, NDM, VIM, IMP, andOXA- 48). Izvi zvakatanga kupararira zvizhinji pasi rose.
Izvi Zvakasiyana Sei Nezvimwe Zvipembenene?
Aya mabhakitiriya rudzi rwehutachiona hunodanwa mabhakitiriya e gram. Izvi zvinoita kuti CRE yakasiyana nedzimwe dzakawanda zveSuppbugs dzakadai seMRSA neVRE, iyo inonzi gram positive mabhakitiriya. Gram rakanaka mabhakitiriya anopindura kune maitiro anorwisa mabhakitiriya asingagoni kubata chirwere chegamu chakaipa. Kune dzimwe mishonga inorwisa mabhakitiriya inogona kubata vose.