Ukutheleleka okuqhelekileyo kweBhakterial Potentially Deadly in People with HIV
I-Salmonella septicemia yimeko apho ubukho be- Salmonella bactteria egazini bubangela ukuba usongela ubomi, ukuphendula ngokuvuvukala komzimba. I- Salmonella septicemia ephindaphindiweyo ikwahlulelwa njenge- AIDS-defining condition yi-US Centers for Control and Prevention (CDC) yeZifo.
Ngokuza kwe- antiretroviral therapy (ART) , i- Salmonella septicemia ithathwa njengeyinqabileyo kubantu abaphila ne-HIV kwihlabathi eliphuhlisiweyo, kunye novavanyo olubonisa kuphela iziganeko ezingama-22 kwizigulane ezingama-9,000 ezigcinwe ngaphaya kweminyaka engama-9.
Ngokwahlukileyo, i- Salmonella engeyiyo-typhoidal i- Salmonella iye yavela njengengxaki enkulu yempilo kumazwe asakhulayo, ngakumbi i-Afrika yase-Sahara.
Sibanzi
I-Salmonella iququzelelwe yintsapho enkulu yebhaktiriya eyenzeka ngokuqhelekileyo okanye i-pathogenically emathumbu abantu kunye nezinye izilwanyana. Kuye kwachongwa i- Salmonella engaphezu kwama-2,500.
Yintoni eyahlula i-salmonellosis (ekuthiwa yi- Salmonella isetyhefu) ephuma kwi- Salmonella septicemia yinto yokuba i-salmonellosis isecaleni lesisu . Xa i- Salmonella endotoxins isasazeka emathunjini ukuya kwigazi kunye nakwezinye iziza zomzimba, ibhaktheriya inokubangela impendulo ekhuselekileyo yokuzivikela ngomzimba, leyo leyo, ukuba ingashiywanga ingathobeli, ingaba yingozi.
Iimodeli zoTshintshelo
Ukuthunyelwa kwe- Salmonella ngokuqhelekileyo kuvela kwindlela yokuthetha ngomlomo . Izilwanyana zinokusuleleka ngohlobo lokutya, amanzi, okanye udibaniso olusondeleyo nomninimzi ogulayo.
Iibhaktheriya zinokudluliselwa kubantu ngenxa yenyama ehlambulukileyo okanye iimveliso zezilwanyana ezingazange ziphekwe ngokupheleleyo (145 ° -160 ° F).
I-Salmonella inokudluliselwa ngezityalo ezihlambulukileyo kunye nemifuno, kwizilwanyana / ezifuywayo kubantu, nakubantu kubantu.
Ngaphandle kwentsholongwane, abantu bangakwazi ukuhlala besasazeka emva kweenyanga emva kokuphulukana.
Ucoceko olufanelekileyo (kuquka ukucoceka kokutya) lunconywa, ngakumbi kulabo abaneengxelo ze- CD4 ngaphantsi kweeseli ezingama-200 / μL.
Iimpawu
Ukongeza kwi-diarrhea, ukuhlanza nokuxinwa kwesisu ngokuqhelekileyo kuhlotshaniswa ne-salmonellosis, iimpawu zingabandakanywa izikhukhula eziphezulu, ukubola, ukuvuvukala, isikhumba esikhulayo, ukwanda kwentliziyo, ukudideka, ukuxhatshazwa kwegazi kunye nokunyuswa kwegazi.
Ukuxilongwa
I-Salmonella septicemia iyaqinisekiswa ngokuhlolwa kwegazi, eyongezwa yinkcubeko yesitulo.
Unyango
Izigulane ezinegciwane lesandulela-ngculazi ezine-severe salmonella septicemia, i-antibiotics ebanzi iya kulawulwa kwangaphakathi, ngokukhawuleza xa ixilongwa. Ipropyro (ciprofloxacin) , i-fluoroquinolone-class class antibiotic, ixhaswa ngokubanzi. Xa kwenzeka ukunyanzelwa kwe-fluoroquinolone, i-cephalosporins nayo iyaziwa ukuba iyasebenza.
Ixesha lokunyanga lingahlala phi ukususela kwiintsuku ezisixhenxe ukuya kwi-10, kuxhomekeke kwisibandezelo. Ukusetyenziswa kwamanzi okuxhamla kuzo kulawulwa ukujongana naluphi na ukulahleka kwamanzi.
Ulwaphulo lwesondlo lufanele luqhubeke kwiinyanga ezintandathu ukuya kwezibhozo emva kokupheliswa kwonyango. Ngokuphunyezwa kwe-ART, ingozi yokuphindaphinda iyancitshiswa kakhulu.
Ukubizwa: i- sal-muh-NEL-uh se--h-SEE-mee-uh
Kwaziwa njenge:
- Salmonella sepsis
- I-non-typhoidal Salmonella septicemia
- I-typhoid Salmonella septicemia
- I-Typhi Salmonella septicemia
- NTS Salmonella septicemia
- I- Salmonella septicemia engeyiyo-typhoidal
- I-invalid non-typhoid Salmonella septicemia
- I-Invasive non-Typhi Salmonella septicemia
- iNTS Salmonella septicemia
Ezinye iipellings: Salmonella septicemia
Imithombo:
Amaziko e-US for Control and Prevention (CDC) yeZifo. "Isihlomelo se-A-AIDS Defining Conditions." Atlanta, Georgia; gqibela ukuhlaziywa ngoNovemba 20,2008.
Burckhardt, B .; Sendi, P .; Ukufakela, D .; okqhubekayo. "I-AIDS-Defining Diseases in Study in the Swiss HIV Cohort Study." I-European Journal ye-Clinical Microbiology kunye nezifo ezithintekayo. NgoJulayi 1999, 18 (6): 399-402.
Morpeth, S .; Ramadhani, H .; kunye ne-Crump, J. "Izifo ezingenayo iTyphi Salmonella eAfrika." Izifo ezithathelwanayo. Agasti 15, 2009, 49 (4): 606-611.
Dhanoa, A. kunye noFatt, Q. "I-non-typhoidal Salmonella bacteraemia: i-Epidemiology, iimpawu zekliniki kunye 'nokudibanisa kunye nokuxilongwa kwe-immunosuppression'. Amanqaku e-Clinical Microbiology kunye neeAntimicrobials. Matshi 18, 2009; 8 (15): e1-15.
Celum, C; Chaisson, R .; kunye noRutherford, G. "Ingozi ye-salmonellosis izigulane ezine-AIDS." I-Journal of Infectious Diseases. Disemba 1987; 156 (6); 998-1002.
I-Hung, iC .; Hlala, M .; kunye neHseuh, P. "Ingozi ye-Nontyphoid Salmonella Bacteremia eNgqungquthela kwi-HIV-Infected Patients kwi-Era ye-Antilytic Antiretroviral Treatment kunye ne-Trending Trend of Fluoroquinolone Resistance." Izifo ezithathelwanayo. NgoJulayi 19, 2007, 45 (5): e60-e67.