Vancomycin zosagwira enterococci - chipatala

Enterococcus ndi nyongolosi (mabakiteriya). Nthawi zambiri amakhala m'matumbo komanso mumatumbo azimayi.

Nthawi zambiri, sizimayambitsa mavuto. Koma enterococcus imatha kuyambitsa matenda ngati amalowa mkodzo, magazi, kapena zilonda pakhungu kapena malo ena osabala.

Vancomycin ndi mankhwala omwe amagwiritsidwa ntchito nthawi zambiri kuchiza matendawa. Maantibayotiki ndi mankhwala omwe amagwiritsidwa ntchito kupha mabakiteriya.

Majeremusi a Enterococcus amatha kugonjetsedwa ndi vancomycin motero samaphedwa. Mabakiteriya omwe sagonjetsedwa amatchedwa vancomycin-resistant enterococci (VRE). VRE ikhoza kukhala yovuta kuchiza chifukwa pali maantibayotiki ochepa omwe amatha kulimbana ndi mabakiteriya. Matenda ambiri a VRE amapezeka muzipatala.

Matenda a VRE amapezeka kwambiri mwa anthu omwe:

• Ali kuchipatala ndipo akumwa maantibayotiki kwa nthawi yayitali
• Ndi achikulire
• Khalani ndi matenda a nthawi yayitali kapena chitetezo chofooka chamthupi
• Analandiridwapo ndi vancomycin, kapena maantibayotiki ena kwa nthawi yayitali
• Wakhala mgulu la anthu odwala mwakayakaya (ICUs)
• Wakhala ali ndi khansa kapena magawo oyika
• Ndakhala ndikuchitidwa opaleshoni yayikulu
• Khalani ndi catheters kukhetsa mkodzo kapena ma intravenous (IV) omwe amakhala nthawi yayitali

VRE imatha kulowa mmanja ndikumakhudza munthu yemwe ali ndi VRE kapena kukhudza malo omwe ali ndi VRE. Mabakiteriyawo amafalikira kuchokera kwa munthu wina kupita kwa wina.

Njira yabwino yopewera kufalikira kwa VRE ndiyoti aliyense azisamba m'manja.

• Ogwira ntchito kuchipatala komanso othandizira azaumoyo ayenera kusamba m'manja ndi sopo kapena kumwa mankhwala oledzeretsa m'manja asanamwalire komanso pambuyo pake.
• Odwala ayenera kusamba m'manja ngati azungulira mchipinda kapena kuchipatala.
• Alendo amafunikiranso kuchitapo kanthu popewa kufalitsa tizilombo toyambitsa matenda.

Mankhwala opangira mkodzo kapena ma tubing a IV amasinthidwa pafupipafupi kuti muchepetse chiopsezo cha matenda a VRE.

Odwala omwe ali ndi VRE atha kuyikidwa mchipinda chimodzi kapena kukhala mchipinda chayekha ndi wodwala wina yemwe ali ndi VRE. Izi zimalepheretsa kufalikira kwa majeremusi pakati pa ogwira ntchito mchipatala, odwala ena, komanso alendo. Ogwira ntchito ndi opereka ndalama angafunike:

• Gwiritsani ntchito zovala zoyenera, monga malaya amkati ndi magolovesi polowa mchipinda cha wodwalayo
• Valani chigoba pakakhala mwayi wothapira madzi amthupi

Nthawi zambiri, maantibayotiki ena kupatula vancomycin amatha kugwiritsidwa ntchito pochiza matenda ambiri a VRE. Mayeso a labu adzanena kuti ndi maantibayotiki ati omwe angapha majeremusi.

Odwala omwe ali ndi kachilombo ka enterococcus omwe alibe zizindikiro za matenda safuna chithandizo.

Zinyama zazikulu; VRE; Gastroenteritis - VRE; Colitis - VRE; Chipatala chidapeza matenda - VRE

• Mabakiteriya

[Adasankhidwa] Miller WR, Arias CA, Murray BE. Enterococcus mitundu, Streptococcus gallolyticus gulu, ndi alireza zamoyo. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chaputala 200.

(Adasankhidwa) Savard P, Perl TM. Matenda a Enterococcal. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 275.

• Kukaniza kwa Maantibayotiki