IVancomycin-resistant enterococci - isibhedlele

I-Enterococcus yintsholongwane (iintsholongwane). Ihlala ihlala emathunjini nakwindlela yobufazi.

Amaxesha amaninzi, ayibangeli ngxaki. Kodwa i-enterococcus inokubangela usulelo ukuba ingena kumchamo, igazi, okanye amanxeba esikhumba okanye ezinye iindawo eziyinyumba.

IVancomycin yintsholongwane eqhele ukusetyenziselwa ukunyanga ezi zifo. Amayeza okubulala iintsholongwane ngamayeza asetyenziselwa ukubulala iintsholongwane.

Iintsholongwane ze-Enterococcus ziyakwazi ukumelana ne-vancomycin kwaye ke azibulawa. Ezi bhaktheriya zinganyangekiyo zibizwa ngokuba yi-vancomycin-resistant enterococci (VRE). I-VRE kunokuba nzima ukunyanga kuba zimbalwa i-antibiotics ezinokulwa neebhaktheriya. Uninzi lwezifo ze-VRE zenzeka kwizibhedlele.

Usulelo lwe-VRE luxhaphake kubantu:

• Basesibhedlele kwaye bathatha i-antibiotics ixesha elide
• Badala
• Unesifo sexesha elide okanye amajoni omzimba abuthathaka
• Ukhe wanyangwa ngaphambili nge-vancomycin, okanye ezinye ii-antibiotics ixesha elide
• Babe kwiiyunithi zononophelo olunzulu (ICUs)
• Ukhe waba nomhlaza okanye iiyunithi zokutshintsha
• Ndenziwe utyando olukhulu
• Ngaba unayo i-catheters yokukhupha umchamo okanye i-intravenous (IV) ezihlala ixesha elide

I-VRE inokungena ezandleni ngokuchukumisa umntu one-VRE okanye ngokuchaphazela umphezulu ongcoliswe yi-VRE. Iintsholongwane zisasazeka zisuka komnye umntu ziye komnye ngokuchukumisa.

Eyona ndlela yokuthintela ukusasazeka kwe-VRE yeyokuba wonke umntu agcine izandla zakhe zicocekile.

• Abasebenzi besibhedlele kunye nabanonophelo lwempilo kufuneka bahlambe izandla zabo ngesepha namanzi okanye basebenzise isicoci sezandla esinotywala ngaphambi nasemva kokukhathalela isigulana ngasinye.
• Izigulana kufuneka zihlambe izandla zazo xa zijikeleza igumbi okanye esibhedlele.
• Abatyeleli kufuneka bathathe amanyathelo okuthintela ukusasazeka kweentsholongwane.

Ii-catheters ze-Urinary okanye i-IV tubing ziguqulwa rhoqo ukunciphisa umngcipheko wosulelo lwe-VRE.

Izigulana ezine-VRE zinokufakwa kwigumbi elinye okanye kwigumbi labucala elinesinye isigulana esine-VRE. Oku kuthintela ukusasazeka kweentsholongwane phakathi kwabasebenzi basesibhedlele, ezinye izigulana, kunye neendwendwe. Abasebenzi kunye nababoneleli banokufuna:

• Sebenzisa iimpahla ezifanelekileyo, ezinje ngeengubo kunye neiglavu xa ungena kwigumbi lesigulana esosulelekileyo
• Nxiba imaski xa kukho ithuba lokutshiza ulwelo lomzimba

Rhoqo, ezinye ii-antibiotics ngaphandle kwe-vancomycin zinokusetyenziselwa ukunyanga uninzi losulelo lwe-VRE. Uvavanyo lwelebhu luya kuxela ukuba zeziphi i-antibiotics eziza kubulala intsholongwane.

Izigulana ezineentsholongwane ze-enterococcus ezingenazimpawu zosulelo azidingi unyango.

Iincukuthu ezinkulu VRE; Isifo sesisu - VRE; IColitis - VRE; Isibhedlele sifumene usulelo-i-VRE

• Iintsholongwane

UMiller WR, uArias CA, uMurray BE. I-Enterococcus iintlobo, IStreptococcus gallolyticus group, kunye leuconostoc iintlobo. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 200.

USavard P, uPerl TM. Usulelo lwe-Enterococcal. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 275.

• Ukuchasana neAntibiotic