KPC (superbug): yintoni, iimpawu kunye nonyango

Umxholo

• Unyango lwebacteria ye-KPC
• Iimpawu zosulelo lwe-KPC
• Ngaba kwenzeka njani ukuhambisa

I-KPC UKlebsiella pneumoniae I-carbapenemase, ekwabizwa ngokuba yi-superbug, luhlobo lweebhaktiriya, ezinganyangekiyo kuninzi lweziyobisi ezibulala iintsholongwane, ethi xa ingena emzimbeni ikwazi ukuvelisa usulelo olubi, njenge-pneumonia okanye i-meningitis, umzekelo.

Usulelo kunye UKlebsiella pneumoniae I-carbapenemase yenzeka esibhedlele, ihlala rhoqo ebantwaneni, abantu abadala okanye abantu abanamajoni omzimba abuthathaka kwaye bahlala esibhedlele ixesha elide, bathathe inaliti ngqo emthanjeni ixesha elide, banxibelelana nezixhobo zokuphefumla okanye benze Unyango oluninzi olunamayeza okubulala iintsholongwane, umzekelo.

Usulelo ngo Iibhaktheriya ze-KPC ziyanyangekaNangona kunjalo, kunokuba nzima ukufezekisa njengoko zimbalwa i-antibiotics ezinakho ukutshabalalisa le ntsholongwane. Ke, ngenxa yokuchasana nokusetyenziswa gwenxa kweziyobisi, kubalulekile ukuba kwamkelwe amanyathelo othintelo esibhedlele kwaye afuna ukwamkelwa ngoochwephesha kunye nabakhenkethi.

Unyango lwebacteria ye-KPC

Unyango lweebhaktheriya UKlebsiella pneumoniae I-carbapenemase ihlala isenziwa esibhedlele ngenaliti yamachiza e-antibiotic, njengePolymyxin B okanye iTigecycline, ngqo emthanjeni. Nangona kunjalo, ngenxa yokuba olu hlobo lweebhaktheriya luyanyangeka kuninzi lwee-antibiotics, kunokwenzeka ukuba ugqirha uya kulitshintsha iyeza emva kokwenza uvavanyo lwegazi olunceda ukufumanisa uhlobo oluchanekileyo lwe-antibiotic, okanye indibaniselwano yazo. Ezinye iimeko zinokunyangwa ngokudityaniswa kwee-antibiotics ezahlukeneyo, ngaphezulu kweentsuku ezili-10 ukuya kwezi-14.

Ukongeza, ngexesha lokulaliswa esibhedlele, isigulana kufuneka sihlale kwigumbi elizimeleyo ukunqanda ukosuleleka kwezinye izigulana okanye amalungu osapho, umzekelo. Ukuchukumisa umntu osulelekileyo, iimpahla ezifanelekileyo, imaski kunye neiglavu kufuneka zinxitywe. Abona bantu baethe-ethe, njengabantu abadala nabantwana, ngamanye amaxesha abakwazi ukwamkela iindwendwe.

Bona: Amanyathelo ama-5 okuzikhusela kwi-KPC Superbacterium.

Iimpawu zosulelo lwe-KPC

Iimpawu zebacteria ye-KPC I-Klebsiella pneumoniae carbapenemase ingaquka:

• Umkhuhlane ongaphezu kwama-39ºC,
• Ukunyuka kwentliziyo;
• Ubunzima bokuphefumla;
• Ukukrala kwemiphunga;
• Usulelo lwe-Urinary tract, ngakumbi xa ukhulelwe.

Ezinye iimpawu, ezinje ngoxinzelelo lwegazi oluphantsi, ukudumba ngokubanzi kunye nokusilela komzimba kuqhelekile kwizigulana ezinesifo esosulelayo sebhaktiriya UKlebsiella pneumoniae carbapenemase okanye xa unyango lungenziwanga ngokufanelekileyo.

Ukuchongwa kosulelo lwe-KPC kunokwenziwa ngovavanyo olubizwa ngokuba yintsholongwane, echaza ibhaktiriya ebonisa iziyobisi ezinokulwa nale ntsholongwane.

Ngaba kwenzeka njani ukuhambisa

Ukuhanjiswa kwebhaktheriya UKlebsiella pneumoniae I-carbapenemase inokwenziwa ngokunxibelelana ngokuthe ngqo namathe kunye nezinye izinto ezifihlakeleyo ezivela kwisigulana esosulelekileyo okanye ngokwabelana ngezinto ezingcolisekileyo. Le bhaktiriya sele ifunyenwe kwizitishi zebhasi kunye nakwizindlu zangasese zikawonke-wonke, kwaye kuba inokusasazeka ngokulula ngokudibana nolusu okanye emoyeni, nabani na angangcoliseka.

Ke, ukuthintela ukuhanjiswa kweentsholongwane UKlebsiella pneumoniae I-carbapenemase icebisa:

• Hlamba izandla ngaphambi nasemva kokudibana nezigulana esibhedlele;
• Nxiba iiglavu kunye nemaski yokukhusela ukunxibelelana nesigulana;
• Musa ukwabelana ngezinto nomguli osulelekileyo.

Ukongeza, kubalulekile ukuba iingcali zezempilo ziqeqeshelwe ukubonakala kweebhaktiriya ezinganyangekiyo kwisibhedlele, kwaye kubalulekile ukuba isenzo sokucoceka kwezandla nokucoca umphezulu kunye nokubulala iintsholongwane kuyahlonitshwa zezi ngcali.

Amanyathelo ezempilo afana nokuhlamba izandla ngaphambi nasemva kokuya kwindlu yangasese, nanini na upheka okanye usitya naxa ubuya emsebenzini unganceda ukuthintela ukungcoliseka ngale nto kunye nezinye iintsholongwane ezinokubulala. Ukusetyenziswa kwe-gel alcohol kuyanceda ukugcina izandla zakho zicocekile, kodwa kuphela ukuba izandla zakho azibonakali zimdaka.

Kukholelwa ukuba ukonyuka kwamatyala osulelo lwenzeka ngenxa yokusetyenziswa ngokungakhethiyo kwee-antibiotics, ezinokuthi zibe sisiphumo sosulelo oluphindaphindayo lomchamo yile ntsholongwane kunye nonyango oluphindaphindiweyo ngamachiza okubulala iintsholongwane, umzekelo, obangela ukuba ezi ntsholongwane zikhule zichasane kumayeza akhoyo.

Ke, ukunqanda ubhubhane wehlabathi, amayeza okubulala iintsholongwane kufuneka athathwe kuphela xa kubonisiwe ngugqirha, ixesha elimiselwe nguye, kwaye aqhubeke nokuthatha iyeza nokuba iimpawu zesi sifo ziyancipha ngaphambi komhla obulindelwe. Funda ngendlela yokuthintela usulelo lwe-nosocomial.