KPC (superbug): kuyini, izimpawu kanye nokwelashwa

-Delile

• Ukwelashwa kwamagciwane e-KPC
• Izimpawu zokutheleleka nge-KPC
• Ukudluliswa kwenzeka kanjani

I-KPC UKlebsiella pneumoniae I-carbapenemase, eyaziwa nangokuthi i-superbug, uhlobo lwama-bacteria, amelana nemithi eminingi yama-antibiotic, okuthi uma ingena emzimbeni ikwazi ukukhiqiza izifo ezinzima, njenge-pneumonia noma i-meningitis, ngokwesibonelo.

Ukutheleleka nge UKlebsiella pneumoniae I-carbapenemase yenzeka endaweni yesibhedlela, iba yinsakavukela ezinganeni, asebekhulile noma kubantu abanamasosha omzimba abuthakathaka futhi abahlala esibhedlela isikhathi eside, bathathe imijovo ngqo emthanjeni isikhathi eside, baxhumene nezinto zokuphefumula noma benze ukwelashwa okuningi ngama-antibiotic, isibonelo.

Ukutheleleka nge Amagciwane e-KPC ayelaphekakodwa-ke, kungaba nzima ukukufeza njengoba kukhona ama-antibiotics ambalwa akwazi ukubhubhisa le microorganism. Ngakho-ke, ngenxa yokumelana kwayo nemithi eminingi, kubalulekile ukuthi kwamukelwe izindlela zokuvimbela esibhedlela futhi ezidinga ukwamukelwa ngabasebenzi bezempilo kanye nezivakashi zesibhedlela.

Ukwelashwa kwamagciwane e-KPC

Ukwelashwa kwamagciwane UKlebsiella pneumoniae I-carbapenemase ivame ukwenziwa esibhedlela ngomjovo wemithi elwa namagciwane, njengePolymyxin B noma iTigecycline, ngqo emthanjeni. Kodwa-ke, ngenxa yokuthi lolu hlobo lwamabhaktheriya luyamelana nemithi eminingi elwa namagciwane, kungenzeka ukuthi udokotela azowushintsha umuthi ngemuva kokwenza ukuhlolwa kwegazi okusiza ukukhomba uhlobo olufanele lwama-antibiotic, noma inhlanganisela yawo. Amanye amacala angelashwa ngenhlanganisela yama-antibiotic ahlukene angaphezu kwayishumi, izinsuku eziyi-10 kuya kweziyi-14.

Ngaphezu kwalokho, ngesikhathi sokulaliswa esibhedlela, isiguli kufanele sihlale egumbini elingalodwa ukugwema ukutheleleka okuvela kwezinye iziguli noma amalungu omndeni, ngokwesibonelo. Ukuthinta umuntu onegciwane, kufanele kugqokwe izingubo ezifanele, imaski namagilavu. Abantu ababuthaka kakhulu, njengabadala nezingane, kwesinye isikhathi abakwazi ukuthola izivakashi.

Bona: Izinyathelo ezi-5 zokuzivikela kwi-KPC Superbacterium.

Izimpawu zokutheleleka nge-KPC

Izimpawu zegciwane le-KPC I-Klebsiella pneumoniae carbapenemase kungafaka:

• Imfiva engaphezu kuka-39ºC,
• Ukunyuka kwenhliziyo;
• Kunzima ukuphefumula;
• Inyumoniya;
• Ukutheleleka kwe-Urinary tract, ikakhulukazi ekukhulelweni.

Ezinye izimpawu, ezifana nomfutho wegazi ophansi, ukuvuvukala okujwayelekile kanye nokuhluleka okuthile komzimba nakho kuvamile ezigulini ezinesifo esibi segciwane UKlebsiella pneumoniae carbapenemase noma lapho ukwelashwa kungenziwa kahle.

Ukutholakala kokutheleleka kwe-KPC kungenziwa ngokuhlolwa okubizwa nge-antibiotic, okukhomba ibhaktheriya elikhombisa imishanguzo engalwa naleli gciwane.

Ukudluliswa kwenzeka kanjani

Ukudluliswa kwamagciwane UKlebsiella pneumoniae I-carbapenemase ingenziwa ngokuxhumana ngqo namathe nezinye izimfihlo ezivela esigulini esinegciwane noma ngokwabelana ngezinto ezingcolile. Leli gciwane selivele litholakale ezikhumulweni zamabhasi nasezindaweni zokuphumula zomphakathi, futhi njengoba lingasakazeka kalula ngokuthintana nesikhumba noma emoyeni, noma ngubani angangcoliswa.

Ngakho-ke, ukuvimbela ukudluliswa kwamagciwane UKlebsiella pneumoniae I-carbapenemase incoma:

• Geza izandla ngaphambi nangemva kokuxhumana neziguli esibhedlela;
• Gqoka amagilavu ​​nesifihla-buso sokuvikela ukuxhumana nesiguli;
• Ungabelani ngezinto nesiguli esinegciwane.

Ngaphezu kwalokho, kubalulekile ukuthi ochwepheshe bezempilo baqeqeshelwe ukubukeka kwamagciwane amelana nezimo eziningi esibhedlela, futhi kubalulekile ukuthi umkhuba wokuhlanzeka ngesandla nokuhlanza indawo nokuhlanza amagciwane kuhlonishwe yilaba basebenzi.

Izinyathelo zenhlanzeko njengokugeza izandla ngaphambi nangemva kokuya endlini yangasese, noma nini lapho upheka noma udla futhi noma nini lapho ufika ekhaya uvela emsebenzini kungasiza ekuvimbeleni ukungcoliswa yileli namanye amagciwane angaba yingozi. Ukusetshenziswa kwe-gel alcohol nakho kusiza ekugcineni izandla zakho zihlanzekile, kepha kuphela uma izandla zakho zingabonakali zingcolile.

Kukholakala ukuthi ukwanda kwamacala okutheleleka yi-superbug kwenzeka ngenxa yokusetshenziswa ngokungakhethi kwama-antibiotic, okungaba umphumela wokutheleleka okuphindaphindayo komchamo yilesi microorganism kanye nokwelashwa okuphindaphindiwe ngama-antibiotic, ngokwesibonelo, okubangela ukuthi la ma-microorganisms athuthukise ukumelana emithini ekhona.

Ngakho-ke, ukugwema ubhadane lomhlaba wonke, ama-antibiotic kufanele athathwe kuphela lapho ekhonjiswa ngudokotela, isikhathi esinqunywe nguye, futhi aqhubeke nokudla umuthi noma ngabe izimpawu zesifo ziyancipha ngaphambi kosuku olulindelekile. Funda ukuthi ungazivikela kanjani izifo ezithinta nosocomial.