IVocomyomy-resistant enterococci - isibhedlela

I-Enterococcus yigciwane (amagciwane). Imvamisa ihlala emathunjini nasesigabeni sangasese sowesifazane.

Isikhathi esiningi, akubangeli izinkinga. Kodwa i-enterococcus ingadala ukutheleleka uma ingena emgudwini wokuchama, egazini, noma emanxebeni esikhumba noma kwezinye izingosi eziyinyumba.

IVancomycin iyi-antibiotic evame ukusetshenziselwa ukwelapha lezi zifo. Ama-antibiotic yimithi esetshenziselwa ukubulala amagciwane.

Amagciwane e-Enterococcus angamelana ne-vancomycin ngakho-ke awabulawa. Lawa mabhaktheriya amelana nawo abizwa ngokuthi i-vancomycin-resistant enterococci (VRE). I-VRE ingaba nzima ukuyelapha ngoba mancane ama-antibiotic akwazi ukulwa namagciwane. Ukutheleleka okuningi kwe-VRE kwenzeka ezibhedlela.

Ukutheleleka kwe-VRE kuvame kakhulu kubantu:

• Basesibhedlela futhi bathatha ama-antibiotic isikhathi eside
• Badala
• Yiba nezifo zesikhathi eside noma amasosha omzimba abuthakathaka
• Wake welashwa phambilini nge-vancomycin, noma amanye ama-antibiotic isikhathi eside
• Ngibe sezindaweni zokunakekelwa kwabagula kakhulu (ama-ICU)
• Kade waba kumayunithi womdlavuza noma wokufakelwa kabusha
• Ngibe nokuhlinzwa okukhulu
• Yiba nama-catheters wokukhipha umchamo noma ama-catheters we-intravenous (IV) ahlala isikhathi eside

I-VRE ingangena ezandleni ngokuthinta umuntu one-VRE noma ngokuthinta indawo engcoliswe yi-VRE. Amagciwane abe esesakazeka esuka komunye umuntu aye komunye ngokuthinta.

Indlela enhle yokuvimbela ukusabalala kwe-VRE ukuthi wonke umuntu agcine izandla zakhe zihlanzekile.

• Abasebenzi basesibhedlela nabahlinzeki bezempilo kumele bageze izandla zabo ngensipho namanzi noma basebenzise i-sanitizer yezandla enotshwala ngaphambi nangemva kokunakekela sonke isiguli.
• Iziguli kufanele zigeze izandla uma zihambahamba egumbini noma esibhedlela.
• Izivakashi nazo zidinga ukuthatha izinyathelo ukuvimbela ukusabalala kwamagciwane.

Ama-catheters e-Urinary noma i-IV tubing ishintshwa njalo ukunciphisa ubungozi bokutheleleka nge-VRE.

Iziguli ezitheleleke nge-VRE zingafakwa egumbini elilodwa noma zisegumbini elizimele nelinye isiguli esine-VRE. Lokhu kuvimbela ukusakazeka kwamagciwane kubasebenzi besibhedlela, ezinye iziguli, kanye nezivakashi. Abasebenzi nabahlinzeki bangadinga uku:

• Sebenzisa izingubo ezifanele, ezifana nezingubo zokugqoka kanye namagilavu ​​lapho ungena egumbini lesiguli esinegciwane
• Gqoka imaski lapho kunethuba lokuchiza uketshezi lomzimba

Imvamisa, amanye ama-antibiotic ngaphandle kwe-vancomycin angasetshenziswa ukwelapha ukutheleleka okuningi kwe-VRE. Ukuhlolwa kwelebhu kuzotshela ukuthi imaphi ama-antibiotic azobulala igciwane.

Iziguli ezinegciwane le-enterococcus ezingenazo izimpawu zokutheleleka azidingi ukwelashwa.

Izimbungulu ezinkulu; VRE; I-Gastroenteritis - i-VRE; I-Colitis - i-VRE; Isibhedlela sithole ukutheleleka - i-VRE

• Amagciwane

UMiller WR, u-Arias CA, uMurray BE. I-Enterococcus izinhlobo, I-Streptococcus gallolyticus group, futhi leuconostoc izinhlobo. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 200.

USavard P, uPerl TM. Ukutheleleka kwe-Enterococcal. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 275.

• Ukumelana Nemithi Elwa Namagciwane