Enterococci kūpaʻa ʻo Vancomycin - haukapila

ʻO Enterococcus he germ (bacteria). Noho maʻamau ia i loko o nā ʻōpū a i nā wahi genital wahine.

ʻO ka hapa nui o ka manawa, ʻaʻole ia he pilikia. Akā hiki i ka enterococcus ke kumu i kahi maʻi inā komo ia i loko o ka maʻi mimi, ke koko, a i ʻole nā ​​ʻeha o ka ʻili a i ʻole nā ​​pūnaewele sterile ʻē aʻe.

ʻO Vancomycin kahi lāʻau antibiotic e hoʻohana pinepine ʻia e mālama i kēia mau maʻi. ʻO nā antibiotic nā lāʻau i hoʻohana ʻia e luku i nā bacteria.

Hiki i nā groc Enterococcus ke pale aku i ka vancomycin a no laila ʻaʻole pepehi ʻia. Kapa ʻia kēia mau koʻohune kūpale ʻo vancomycin-resist enterococci (VRE). Hiki i ka VRE paʻakikī ke mālama ʻana no ka mea ʻoi aku ka liʻiliʻi o nā antibiotic i hiki ke hakakā i nā bacteria. Loaʻa ka hapa nui o nā maʻi VRE i nā haukapila.

ʻOi aku ka maʻi o VRE i ka poʻe:

• Aia i ka haukapila a ke lawe nei lākou i nā lāʻau ʻaloʻalo no ka manawa lōʻihi
• He ʻelemakule
• Loaʻa i nā maʻi wā lōʻihi a i ʻole nā ​​pūnaewele pale nāwaliwali
• Ua mālama ʻia ma mua me ka vancomycin, a i ʻole nā ​​lāʻau ʻaloʻalo ʻē aʻe no kekahi manawa lōʻihi
• Ua noho i loko o nā keʻena mālama mālama (ICUs)
• Ua hele i loko o ka maʻi ʻaʻai a i ʻole nā ​​mea transplant
• Ua loaʻa i kahi ʻoki nui
• E loaʻa nā catheters e hoʻokahe i ka mimi a i ʻole nā ​​catheters intravenous (IV) e noho ana no ka manawa lōʻihi

Hiki i ka VRE ke kiʻi i nā lima ma ka hoʻopā ʻana i kahi kanaka i loaʻa iā VRE a i ʻole ke hoʻopā ʻana i kahi papa i haumia me VRE. Hoʻolahalaha ka bacteria mai kekahi kanaka a i kekahi e ka lima.

ʻO ke ala ʻoi loa e pale aku ai i ka hoʻolaha ʻana o VRE no nā mea āpau e hoʻomaʻemaʻe i ko lākou mau lima.

• Pono nā limahana o ka haukapila a me nā mea lawelawe olakino e holoi i ko lākou mau lima me ke kopa a me ka wai a hoʻohana paha i kahi mea hoʻomaʻemaʻe lima lima ʻona ma mua a ma hope o ka mālama ʻana i kēlā me kēia mea maʻi.
• Pono nā mea maʻi e holoi i ko lākou mau lima inā neʻe lākou a puni ka lumi a i ka haukapila paha.
• Pono nā mākaʻikaʻi e hana i nā hana e pale ai i ka hoʻolaha ʻana i nā g germ.

Hoʻololi ʻia nā cateter mimi a i ʻole IV tubing ma kahi manawa maʻamau e hoʻoliʻiliʻi i ka makaʻu o nā maʻi VRE.

ʻO nā mea maʻi i hoʻopili ʻia me VRE e kau ʻia i loko o kahi lumi hoʻokahi a i ʻole i loko o kahi lumi semi-pilikino me kahi mea maʻi me VRE. Pale kēia i ka pālahalaha ʻana o nā g germ i waena o nā limahana o ka haukapila, nā mea maʻi ʻē aʻe, a me nā mea kipa. Pono paha nā limahana a me nā mea hoʻolako e:

• E hoʻohana i nā lole kūpono, e like me ke kapa komo a me nā mīkina lima ke komo i kahi lumi o ka mea maʻi maʻi
• E kau i kahi pale maka ke loaʻa ka manawa o ka pīpī ʻana i nā wai o ke kino

ʻO ka manawa pinepine, hiki ke hoʻohana ʻia nā lāʻau ʻaloʻalo ʻē aʻe ma waho o ka vancomycin e mālama i ka nui o nā maʻi VRE. E haʻi ana nā hoʻokolohua lab i nā antibiotic e pepehi i ka germ.

ʻO nā mea maʻi me ka germ enterococcus i loaʻa ʻole nā ​​ʻōuli o kahi maʻi ʻaʻole pono ka lāʻau.

Nā puʻupuʻu Super-bugs; VRE; Gastroenteritis - VRE; Colitis - VRE; Ua loaʻa ka maʻi i ka haukapila - VRE

• ʻO bacteria

Miller WR, Arias CA, Murray BE. ʻO Enterococcus laha, Streptococcus gallolyticus hui, a leuconostoc ʻano laha. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 200.

ʻO Savard P, Perl TM. Nā maʻi maʻi Enterococcal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 275.

• Kūpaʻa Antibiotic