CRKP ndi Matenda ena Achidakwa-Resistant Hospital-Acquired Infections
Monga ngati odwala, opereka thandizo ndi mabungwe othandizira zaumoyo sadali okhutira nazo ndi MRSA, C.Diff. komanso matenda ena omwe amapezeka kuchipatala. Tsopano, wothandizira wina wotchedwa neocomial wodwalayo wapanga ma chipatala ku US: Klebsiella pneumoniae ( CRKP) yosagonjetseka ya Carbapenem. CRKP ndi mtundu wa mabakiteriya omwe amagwiritsa ntchito magalamu omwe apanga ma antibayotiki kukana gulu la antibiotics lotchedwa carbapenems, ndipo amatha kuyambitsa matenda opatsirana monga chibayo, matenda a magazi, zilonda kapena matenda opatsirana, ndi matenda a meningitis.
CRKP imaonedwa kuti ndiyo yaikulu matenda owopsya kwa chitetezo cha odwala. Ngakhale kuti chiwerengero cha odwala omwe ali ndi kachilombo si ochuluka kwambiri monga chiwerengero cha odwala omwe amadziwika bwino monga MRSA, C.Diff, VRE ndi ena , kumayambiriro kwa chaka cha 2011 CRKP idadziwika kale muzipatala m'mayiko 36. (Onani mapu ofotokoza milandu ya CRKP.)
CRKP ndi matenda ena monga iwo (NDM-1, OXA, VIM, onse omwe amadziwika bwino kwambiri monga CREs) sagonjetsedwa ndi maantibayotiki, ndipo odwala omwe ali nawo ali pangozi ya imfa, kawirikawiri mkati mwa masiku 30. Imfa ya chiwerengero chatsopano ichi chakhalapo pakati pa 30 peresenti ndi 44 peresenti.
Pakadali pano, matenda a CRKP amawoneka ngati atsekedwa ndi zipatala zachipatala - zipatala zapamwamba komanso malo osamalira nthawi yaitali. Okalamba komanso ena omwe sadzimva kuti ali ndi kachilombo ka HIV ndi omwe amakhala pachiopsezo chachikulu chotengera. Popeza sichiwerengedwa ngati matendawa ndi CDC, chiŵerengero cha odwala ndi imfa ndizochepa.
Kuchiza kwa Matenda a CRKP
CRKP sichitha kuphedwa mosavuta ngakhale mankhwala omwe apangidwa kuti aphe matenda ena osadziwika a nosocomial MRSA, C.Diff kapena VRE.
Mankhwala amodzi, makamaka mankhwala achikulire omwe amatchedwa colistin, agwiritsidwa ntchito moperewera kwa odwala omwe apeza CRKP. Vuto ndilokuti mankhwalawa ali ndi zotsatira zoopsa za poizoni zomwe zimawononga impso.
Okalamba ndi odwala ena omwe amadzimva osasokonezeka akhoza kuvulazidwa makamaka ndi zotsatirazi.
Mankhwala ena otchedwa tigecycline, anakhazikitsidwa mu 2005, koma ali ochepa kwambiri chifukwa sagwira ntchito bwino m'magulu onse.
Kupewa CRKP Infection
Njira yabwino yothetsera kusamutsidwa kwa CRKP ndi kutsatira malangizo omwe amathandiza kupewa matenda ena: kutsuka m'manja ndi kusamba m'manja. Odwala ndi osamalira ayenera kutsatira njira yabwino yothetsera kufalikira kwa matenda aliwonse m'chipatala: onetsetsani kuti aliyense amene akhudza wodwala wodwalayo asambe manja ake bwinobwino. Odwala sayenera kulola wothandizira zaumoyo kupereka zitsimikizo za zizolowezi zawo zosamba m'manja: M'malo mwake, ayenera kupempha kuti awonetse wothandizirayo akusamba m'manja.
Palinso zofunikira zina zomwe mungachite kuti muteteze matenda opatsirana kuchipatala omwe ali ndi zinthu zoti azikanyamula, ndi zomwe muyenera kuchita mukadzafika kuchipatala. Chifukwa chakuti matendawa akufalikira muzipatala, ndipo chifukwa zipatala zocheperako zimatenga njira zofunikira kuti zisawateteze, odwala ayenera kutenga udindo wopewa matenda. Ophunzira anzeru amaphunzira njira zomwe angatenge pofuna kupewa chipatala chomwe chinapezedwa matenda .
Kodi inuyo kapena wokondedwa wanu watenga kachilombo ka CRKP, MRSA, C.Diff, VRE kapena matenda ena osokoneza bongo? Tikukupemphani kuti mugawane nkhani yanu ndi ena .
Phunzirani za odwala ena opatsirana kuchipatala ayenera kukhala okhudzidwa ndi:
- Mchinji wa resistant staphylococcus aureus (MRSA)
- Clostridium difficile (C.Diff)
- Vanocycin-resistant enterococci (VRE)
- Necrotizing fasciitis , matenda odya nyama
- Komanso - Matenda a Pakati Pakati - izi sizithunzithunzi zapamwamba, koma ndizo njira imodzi yolowera odwala opatsiranawa.
- Sepsis ndi Septicemia ya magazi
- Malangizo ena okhudza kuteteza matenda opatsirana , komanso.
Zotsatira:
Zomwe Zimayambitsa Matenda.
CDC's Public Health Update pa CRE.