Vancomycin manganga enterococci - sepetlele

Enterococcus ke kokoana-hloko (baktheria). Ka tloaelo e phela ka maleng le kaharatseng ea bosali.

Boholo ba nako, ha e bake mathata. Empa enterococcus e ka baka ts'oaetso haeba e kena kaharong ea mali, mali, kapa maqeba a letlalo kapa libaka tse ling tse nyopa.

Vancomycin ke lithibela-mafu tse atisang ho sebelisoa ho phekola mafu ana. Lithibela-mafu ke meriana e sebelisetsoang ho bolaea libaktheria.

Likokoana-hloko tsa Enterococcus li ka hanela vancomycin ka hona ha li bolaoe. Libaktheria tsena tse hanyetsanang li bitsoa vancomycin-resistant enterococci (VRE). Ho ka ba thata ho phekola VRE hobane ho na le lithibela-mafu tse fokolang tse ka loantšang baktheria. Matšoao a mangata a VRE a etsahala lipetlele.

Matšoao a VRE a atile haholo ho batho ba:

• Ba sepetlele mme ba ntse ba nka lithibela-mafu nako e telele
• Ba baholo
• Ho ba le mafu a nako e telele kapa boits'ireletso ba mmele bo fokolang
• O kile oa alafshoa ka vancomycin, kapa lithibela-mafu tse ling nako e telele
• Ke bile likarolong tsa tlhokomelo e matla (ICUs)
• Ke bile ka mofetše kapa likarolo tsa phetisetso
• Ke bile le opereishene e kholo
• E-ba le li-catheters ho tsoa metsi kapa li-catheters tse kenang ka nako e telele

VRE e ka fihla matsohong ka ho ama motho ea nang le VRE kapa ka ho ama bokaholimo bo silafalitsoeng ke VRE. Joale baktheria e namela ho tloha ho motho e mong ho ea ho e mong.

Mokhoa o motle oa ho thibela ho hasana ha VRE ke hore motho e mong le e mong a boloke matsoho a hloekile.

• Basebetsi ba sepetlele le ba fanang ka tlhokomelo ea bophelo ba tlameha ho hlapa matsoho ka sesepa le metsi kapa ba sebelise setlolo sa letsoho se nang le joala pele le kamora ho hlokomela mokuli e mong le e mong.
• Bakuli ba lokela ho hlapa matsoho haeba ba tsamaea ka phapusing kapa sepetlele.
• Baeti le bona ba hloka ho nka mehato ea ho thibela ho hasana ha likokoana-hloko.

Li-catheters tsa Urinary kapa li-tubing tsa IV li fetoloa khafetsa ho fokotsa kotsi ea tšoaetso ea VRE.

Bakuli ba tšoaelitsoeng ke VRE ba ka beoa ka kamoreng e le 'ngoe kapa ba ba ka phapusing e ikemetseng le mokuli e mong ea nang le VRE. Sena se thibela ho ata ha likokoana-hloko har'a basebetsi ba sepetlele, bakuli ba bang le baeti. Basebetsi le bafani ba ka hloka ho:

• Sebelisa liaparo tse loketseng, tse kang marikhoe le litlelafo ha u kena ka kamoreng ea mokuli ea nang le tšoaetso
• Apara mask ha ho na le monyetla oa ho fafatsa maro a 'mele

Hangata, lithibela-mafu tse ling ntle le vancomycin li ka sebelisoa ho alafa mafu a mangata a VRE. Liteko tsa Lab li tla bolela hore na ke lithibela-mafu life tse tla bolaea kokoana-hloko.

Bakuli ba nang le kokoana-hloko ea enterococcus ba se nang matšoao a tšoaetso ha ba hloke kalafo.

Likokoana-hloko tse kholo; VRE; Gastroenteritis - VRE; Colitis - VRE; Sepetlele se fumane tšoaetso - VRE

• Baktheria

Miller WR, Arias CA, Murray BE. Enterococcus mefuta, Streptococcus gallolyticus sehlopha, le leuconostoc mefuta. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 200.

Mosebetsi Savard P, Perl TM. Tšoaetso ea Enterococcal. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 275.

• Khanyetso ea Lithibela-mafu