ʻO ka maʻi maʻi Candida auris

ʻO Candida auris (C auris) he ʻano hū (fungus). Hiki iā ia ke kumu i kahi maʻi nui i ka haukapila a i ʻole nā ​​mea maʻi home kahu. Maʻi pinepine kēia mau maʻi.

C auris ʻaʻole maikaʻi maikaʻi nā maʻi me nā lāʻau antifungal e mālama maʻamau i nā maʻi candida. Ke hiki mai kēia, ua ʻōlelo ʻia ka fungus e kūpaʻa i nā lāʻau antifungal. Hana paʻakikī kēia i ka mālama ʻana i ka maʻi.

C auris laha ʻole ka maʻi maʻi i ka poʻe olakino.

Hāpai kekahi poʻe maʻi C auris ma luna o ko lākou mau kino me ka ʻole o ka maʻi. Ua kapa ʻia kēia ʻo "colonization." ʻO kēia ke hiki iā lākou ke hoʻolaha maʻalahi i ka germ me ka ʻike ʻole. Eia naʻe, ka poʻe i noho kolone ʻia me C auris aia nō i ka makaʻu no ka loaʻa ʻana o ka maʻi mai ka fungus.

C auris hiki ke pālahalaha ʻia mai kahi kanaka a kanaka a mai a pili paha i nā mea a me nā lakohana. ʻO ka haukapila a i ʻole nā ​​mea maʻi home wā lōʻihi e hiki ke hoʻopaʻa ʻia me C auris. Hiki iā lākou ke pāhola aku i nā mea i loko o ka pono, e like me nā papa moe a me nā kaʻa lima. ʻO nā mea lawelawe olakino a me ke kipa ʻohana a me nā hoaaloha i launa pū me ka mea maʻi C auris hiki ke hoʻolaha aku i nā mea maʻi ʻē aʻe.

Pākahi C auris komo i loko o ke kino, hiki iā ia ke kumu i kahi maʻi nui o ke kahe o ke koko a me nā lālā. ʻOi aku paha kēia i nā poʻe me ka ʻōnaehana pale nawaliwali. ʻO ka poʻe i loaʻa ka hanu a hānai ʻana i nā paipu a i ʻole nā ​​catheters IV ka makaʻu nui loa i ka maʻi.

Nā kumu pilikia ʻē aʻe no C auris maʻiʻaʻai nā:

• Noho i loko o kahi home kahu a hana paha i nā kipa he nui i ka haukapila
• Lawe pinepine i nā lāʻau antibiotic a i ʻole antifungal
• Loaʻa i nā pilikia olakino he nui
• Loaʻa i kahi kaukana hou

C auris ua loaʻa nā maʻi i nā poʻe o nā makahiki āpau.

C auris hiki i nā maʻi ke paʻakikī ke ʻike ʻia no nā kumu aʻe:

• Nā ʻōuli o a C auris like ka maʻi maʻi me nā mea i hoʻokumu ʻia e nā maʻi fungal ʻē aʻe.
• ʻO nā mea maʻi i loaʻa ka C auris maʻi pinepine ka maʻi. He paʻakikī nā ʻōuli o ka maʻi e hoʻokaʻawale ʻia mai nā ʻōuli ʻē aʻe.
• C auris hiki ke kuhi hewa ʻia no nā ʻano fungus ʻē aʻe ke ʻole e hoʻohana ʻia nā hoʻokolohua hoʻokolohua kūikawā e hoʻomaopopo ai.

ʻO ke kuni kiʻekiʻe me nā haʻalulu e maikaʻi ʻole ma hope o ka lawe ʻana i nā lāʻau ʻalopika he hōʻailona paha ia o C auris maʻi maʻi. E haʻi koke aku i kāu mea hāʻawi inā loaʻa ʻoe a i kahi mea aloha paha i ka maʻi ʻaʻohe maikaʻi, ʻoiai ma hope o ka lāʻau.

A C auris ʻaʻole hiki ke kuhi ʻia ka maʻi ma ka hoʻohana ʻana i nā kiʻina maʻamau. Inā manaʻo kāu mea hāʻawi i kāu maʻi nā C auris, pono lākou e hoʻohana i nā hoʻokolohua hoʻokolohua kūikawā.

ʻO nā hoʻokolohua koko nā:

• CBC me ka ʻokoʻa
• Nā moʻomeheu koko
• Panela metaboliko maʻamau
• Hōʻike B-1,3 glucan (hoʻāʻo no kahi kō kō i loaʻa ma kekahi fungi)

Hōʻike paha kāu mea hāʻawi i ka hoʻāʻo inā manaʻo lākou ua kolone ʻia ʻoe me C auris, aiʻole inā ua hōʻoiaʻoe i ka maikaʻi no C auris ma mua.

C auris mālama pinepine ʻia nā maʻi me nā lāʻau antifungal i kapa ʻia ʻo echinocandins. Hiki ke hoʻohana ʻia kekahi ʻano o nā lāʻau antifungal.

Kekahi C auris ʻaʻole pane nā maʻi i kekahi o nā papa nui o nā lāʻau antifungal. I kēlā mau hihia, hiki ke hoʻohana ʻia ma mua o hoʻokahi lāʻau antifungal a i ʻoi aku nā kiʻekiʻe o kēia mau lāʻau.

Nā maʻi maʻi me C auris hiki ke paʻakikī e mālama ma muli o ke kūpaʻa ʻana i nā lāʻau antifungal. Maikaʻi ka hilinaʻi ʻana o ke kanaka:

• Pehea ka nui o ka maʻi
• Inā ua pālahalaha ka maʻi i ke kahe o ke koko a me nā lālā
• ʻO ke olakino olakino o ke kanaka

C auris nā maʻi i hohola i ke kahe o ke koko a me nā mea i loko o ka poʻe maʻi hiki pinepine i ka make.

Kāhea i kāu mea hāʻawi inā:

• He kuni kou a me ka haʻalulu e hoʻomaikaʻi ʻole ai, ʻoiai ma hope o ka mālama ʻana i nā lāʻau antibiotic
• Loaʻa iā ʻoe kahi maʻi fungal e hoʻomaikaʻi ʻole ai, ʻoiai ma hope o ka mālama antifungal
• Hoʻomaopopo ʻoe i ke kuni a me ka haʻalulu ma hope koke iho o ka launa ʻana me kahi kanaka i loaʻa iā ia C auris maʻi maʻi

E hāhai i kēia mau kaʻina hana e pale i ka hoʻolaha ʻana o C auris:

• E holoi pono i kou mau lima me ke kopa a me ka wai. A i ʻole, e hoʻohana i kahi hoʻomaʻemaʻe lima lima wai paʻa. Hana i kēia ma mua a ma hope o ka launa ʻana me ka poʻe i loaʻa i kēia maʻi a ma mua a ma hope hoʻi o ka hoʻopā ʻana i nā lako pono i ko lākou lumi.
• E hoʻomaʻemaʻe i nā mea lawelawe olakino e holoi i ko lākou mau lima a hoʻohana i ka hoʻomaʻemaʻe lima a komo i nā mīkina lima a me nā lole ke hui pū me nā mea maʻi. Mai makaʻu e kamaʻilio inā ʻike ʻoe i kekahi hala i ka hoʻomaʻemaʻe maikaʻi.
• Inā loaʻa kahi mea aloha i C auris maʻi, pono e hoʻokaʻawale ʻia lākou mai nā mea maʻi ʻē aʻe a mālama ʻia i loko o kahi keʻena kaʻawale.
• Inā ʻoe e kipa aku nei i kāu mea aloha i hoʻokaʻawale ʻia mai nā mea maʻi ʻē aʻe, e ʻoluʻolu e hāhai i nā ʻaoʻao a nā limahana olakino e pili ana i ke kaʻina hana e komo a puka i waho o ka lumi e hoʻoliʻiliʻi i ka manawa o ka hoʻolaha ʻana i ka fungus.
• Pono e hoʻohana i kēia mau hoʻomalu no ka poʻe i kolone ʻia me C auris a hiki i ka mea a ko lākou mea nāna e hoʻoholo ʻaʻole hiki iā lākou ke hoʻolaha i ka fungus.

Kāhea koke aku i kāu mea hāʻawi inā manaʻo ʻoe ʻo ʻoe a ʻo kekahi mea āu e ʻike nei ua loaʻa i kēia maʻi.

Candida auris; Candida; C auris; Fungal - auris; Fungus - auris

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻO Candida auris. www.cdc.gov/fungal/candida-auris/index.html. Hoʻohou ʻia ʻApelila 30, 2019. Loaʻa ʻia Mei 6, 2019.

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻO Candida auris: ʻO kahi mikena kūpaʻa lāʻau e hoʻolaha i nā keʻena mālama ola. www.cdc.gov/fungal/candida-auris/c-auris-drug-resistant.html. Hoʻohou: December 21, 2018. Loaʻa iā Mei 6, 2019.

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻO Candida auris noho aupuni ʻana. www.cdc.gov/fungal/candida-auris/fact-sheets/c-auris-colonization.html. Hoʻohou: December 21, 2018. Loaʻa iā Mei 6, 2019.

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻO Candida auris ka ʻike no nā mea maʻi a me nā lālā o ka ʻohana. www.cdc.gov/fungal/candida-auris/patients-qa.html. Hoʻohou: December 21, 2018. Loaʻa iā Mei 6, 2019.

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Kāohi a me ka mālama ʻana i ka maʻi ʻO Candida auris. www.cdc.gov/fungal/candida-auris/c-auris-infection-control.html. Hoʻohou: December 21, 2018. Loaʻa iā Mei 6, 2019.

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Ka mālama a me ka mālama ʻana i nā maʻi a me ka noho ʻana. www.cdc.gov/fungal/candida-auris/c-auris-treatment.html. Hoʻohou: December 21, 2018. Loaʻa iā Mei 6, 2019.

Cortegiani A, Misseri G, Fasciana T, Giammanco A, Giarratano A, Chowdhary A. Epidemiology, ʻano pilikino, kūʻē, a me ka mālama ʻana i nā maʻi e ʻO Candida auris. J Mālama Nui. 2018; 6:69. PMID: 30397481 www.ncbi.nlm.nih.gov/pubmed/30397481.

Jeffery-Smith A, Taori SK, Schelenz S, et al. ʻO Candida auris: he loiloi i nā puke. ʻO Clin Microbiol Rev.. 2017; 31 (1). PMID: 29142078 www.ncbi.nlm.nih.gov/pubmed/29142078.

ʻO Sears D, ʻo Schwartz BS. ʻO Candida auris: he pathogen kūpaʻa multidrug kū i waho. ʻO Int J Infect Dis. 2017; 63: 95-98. PMID: 28888662 www.ncbi.nlm.nih.gov/pubmed/28888662.