I-CRKP kunye nezinye izifo ezithintela izibhedlele zeZibhedlele
Njengokuba izigulane, ababoneleli kunye nemibutho yokunakekelwa kwempilo ayinalo ngokwaneleyo ukukhathazeka malunga ne-MRSA, C.Diff. kunye nezinye izifo ezifakwe esibhedlele. Ngoku, enye i-agent ye- neocomial echaphazelayo isenzele izibhedlele zase-US: I- Klebsiella pneumoniae ( CRKP) engamelana ne-Carbapenem. I-CRKP luhlobo lweebhaktiriya ezingenayo i-gram-negative eziye zavelisa ukuchasana kwama-antibiotic eklasini yamayeza okubizwa ngokuba yi-carbapenems, kwaye ingabangela ukusuleleka kwizicwangciso zonyango ezifana ne-pneumonia, i-bloodstream infections, isilonda okanye izifo zogqirha zokuhlinzwa, kunye ne-meningitis.
I-CRKP ithathwa njengengozi enkulu yentsholongwane yokhuseleko lomguli. Nangona iinani lezigulane ezinegciwane azininzi njengezibalo zezigulane ezifumana ama- superbugs awaziwayo kangcono njenge- MRSA, i-C.Diff, i-VRE nabanye , ngo-2011 i-CRKP sele ichongiwe kwizibhedlele ezingama-36. (Jonga imephu yeemeko zokubika iingxelo ze CRKP.)
I-CRKP kunye nezinye izifo ezinjenge-NDM-1, i-OXA, i-VIM, yonke into eyaziwa ngokuba yi-CREs) ayixhatshali kwii-antibiotics, kwaye izigulane ezithobayo zisengozini yokufa, ngokuqhelekileyo zingadlulanga iintsuku ezingama-30. Ukufa kweendleko ezivela kule nkunkuma entsha kuthiwa ziphakathi kwama-30 ekhulwini kunye ne-44 ekhulwini.
Kuze kube ngoku, ukusuleleka kwe-CRKP kubonakala kubanjelwe kumaziko okunakekelwa kwezempilo-zombini izibhedlele ezizinzileyo kunye nezibonelelo zonyango lwangexesha elide. Abantu asebekhulile kunye nabanye abangenakuxhatshazwa kweso sikhulu banomngcipheko omkhulu wokuthenga. Ekubeni kungabonwa ngosulelo lwe-CDC, izibalo zezigulane kunye nokufa zibonakala ziphantsi kwengxelo.
Unyango lwee-CRKP Infections
I-CRKP ayikwazi ukubulawa ngokukhawuleza kwanezidakamizwa ezizodwa eziphuhlisiwe ukubulala ezinye iintsholongwane eziziwayo ze-nosocomial MRSA, C.Diff okanye i-VRE.
Esinye isiyobisi, ngokwenene i-antibiotic endala ebizwa ngokuba yi-colistin, isetyenziswe ngempumelelo emfutshane kwizigulane ezithe zafumana i-CRKP. Ingxaki kukuba iziyobisi zineziphumo ezichaphazelayo ezinobungozi ezonakalisa izintso.
Abantu asebekhulile kunye nezinye izigulane ezingenakuxhatshazwa ngokungazenzisiyo zingaxhatshazwa kakhulu kwezi ziphumo.
Esinye isiyobisi esibizwa ngokuthi i-tigecycline, saqulunqwa ngo-2005, kodwa silinganiselwe ekusebenzeni kwayo kuba ayisebenzi kakuhle kuzo zonke iifom.
Ukuthintela ukukhuselwa kwe-CRKP
Indlela efanelekileyo yokukhusela ukuhanjiswa kwe-CRKP kukulandela ukuphakanyiswa kokunciphisa ukukhutshwa kwanoma yiphina intsholongwane: ukuhlamba izandla nokuhlanjululwa. Izigulane kunye nabanonophelo kufuneka balandele inkqubo efanelekileyo yokuthintela ukusasazeka kwanoma yiphina intsholongwane esibhedlele: gxi ninisa ukuba nabani na ochaphazela isigulane esiphelelekileyo uhlamba izandla zakhe kakuhle. Izigulane akufanele zivumele umboneleli wezempilo ukuba anikezele ukuqinisekiswa ngemikhwa yabo yokuhlamba izandla: Endaweni, kufuneka bacele ukumbona umboneleli uhlamba izandla zakhe.
Kukho amanye amanyathelo abalulekileyo okuthintela ukukhusela izifo ezifakwe esibhedlele ezibandakanya izinto zokupakisha, kunye nemisebenzi ekufuneka iyenze xa ufika esibhedlele. Ngenxa yokuba izifo zixhaphake kwizibhedlele, kwaye ngenxa yokuba zimbalwa izibhedlele zithatha amanyathelo afanelekileyo ukukhusela, izigulane kufuneka zithwale uxanduva lokukhusela izifo ngokwazo. Izigulane ezizilumko zifunda amanyathelo okuthatha ukukhusela izibhedlele ezifunyenweyo .
Ngaba wena okanye othandekayo unentsholongwane ye-CRKP, i-MRSA, i-C.Diff, i-VRE okanye nayiphina intsholongwane ye-nosocomial? Sikumema ukuba wabelane ngebali lakho nabanye .
Funda malunga nezigulane ezongezelelweyo kwizigulane zezibhedlele kufuneka uzikhathalele malunga:
- I-staphylococcus aureus yamaMethicillin (MRSA)
- Clostridium difficile (C.Diff)
- I-entococci engena-Vancomycin (VRE)
- I-necrotizing fasciitis , isifo sokutya se-bacterial
- Kwakhona-IiNtsholongwane zoMgca weeNdawo ezi- Central - ezi ziyi-superbugs, kunoko ziyimodeli enye yokungena kula mayeza asulelayo.
- I-Sepsis neSepticemia yegazi
- Olunye isiluleko malunga nokukhusela izifo zesibhedlele , nazo.
Imithombo:
Amaziko okuLawula izifo.
Ukuhlaziywa kwezeMpilo zikaRhulumente kwi-CRE.