Vancomycin-resistant enterococci - chipatara

Enterococcus utachiona (hutachiona). Inowanzo gara mumatumbu uye mune yevakadzi genital turakiti.

Kazhinji yenguva, haina kukonzera matambudziko. Asi enterococcus inogona kukonzeresa hutachiona kana ikapinda munzira yekuvhenekera, muropa, kana maronda eganda kana dzimwe nzvimbo dzisina kuchena.

Vancomycin inorwisa mabhakitiriya iyo inowanzo shandiswa kurapa utachiona uhu. Mishonga inorwisa mabhakitiriya mishonga inoshandiswa kuuraya hutachiona.

Enterococcus utachiona hunogona kuramba husingawirirane ne vancomycin uye nekudaro hauurayiwe. Aya mabhakitiriya anodzivirira anonzi vancomycin-resistant enterococci (VRE). VRE inogona kuoma kurapa nekuti kune mashoma maantibayoti anogona kurwisa mabhakitiriya. Kazhinji hutachiona hweVRE hunoitika muzvipatara.

VRE zvirwere zvinowanzoonekwa kune vanhu avo:

• Vari muchipatara uye vari kutora mishonga inorwisa mabhakitiriya kwenguva yakareba
• Vakura
• Iva nezvirwere zvenguva refu kana zvisina simba immune immune
• Wakamborapwa kare nevancomycin, kana mamwe maantibhakitiriya kwenguva yakareba
• Wanga uri munzvimbo dzekuchengetedza zvakanyanya (ICUs)
• Wanga uri mune kenza kana kupaza zvikamu
• Wakave nekuvhiyiwa kukuru
• Iva ne catheters kudhonza weti kana intravenous (IV) catheters ayo anogara mukati kwenguva refu

VRE inogona kupinda pamaoko nekubata munhu ane VRE kana nekubata iyo yakasvibiswa neVRE. Mabhakitiriya anobva apararira kubva kumunhu kuenda kune mumwe nekubata.

Nzira yakanakisa yekudzivirira kupararira kweVRE ndeyekuti munhu wese achenese maoko avo.

• Vashandi vemuzvipatara nevanoona nezvehutano vanofanirwa kugeza maoko avo nesipo nemvura kana kushandisa chinodhaka chinochenesa ruoko pamberi uye mushure mekuchengetedza murwere wese.
• Varwere vanofanirwa kugeza maoko kana vakatenderera mumba kana muchipatara.
• Vashanyi vanodawo kutora matanho ekudzivirira kuparadzira utachiona.

Urinary catheters kana IV tubing zvinoshandurwa nguva nenguva kudzikisa njodzi yehutachiona hweVRE.

Varwere vane hutachiona hweVRE vanogona kuiswa mune imwe kamuri kana kuve mune yemukati-yega kamuri ine mumwe murwere ane VRE. Izvi zvinodzivirira kupararira kwehutachiona pakati pevashandi vemuzvipatara, vamwe varwere, uye vashanyi. Vashandi nevatapi vangangoda ku:

• Shandisa mbatya dzakakodzera, dzakadai sehembe uye magirovhosi paunopinda mukamuri remurwere ane hutachiona
• Pfeka chifukidzo kana paine mukana wekusasa mvura yemuviri

Kazhinji, mamwe maantibhakitiriya kunze kwevancomycin anogona kushandiswa kurapa hutachiona hwakawanda hweVRE. Miedzo yeLab ichataura kuti ndeapi maantibayoti anouraya utachiona.

Varwere vane enterococcus germ vasina zviratidzo zvehutachiona havadi kurapwa.

Super-notupukanana; VRE; Gastroenteritis - VRE; Colitis - VRE; Chipatara chakawana hutachiona - VRE

• Hutachiona

Miller WR, Arias CA, Murray BE. Enterococcus marudzi, Streptococcus gallolyticus boka, uye leuconostoc mhando. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsama 200.

Savard P, Perl TM. Enterococcal hutachiona. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 275.

• Mishonga inorwisa mabhakitiriya