: he aha ia, nā pilikia a pehea ka mālama ʻana
Anter
KA Leclercia adecarboxylata he bacteria ia he ʻāpana o ka microbiota kanaka, akā hiki ke loaʻa i nā wahi like ʻole, e like me ka wai, nā meaʻai a me nā holoholona. ʻOiai ʻaʻole pili nui ʻia me ka maʻi, aia kekahi mau hihia o Leclercia adecarboxylata i nā haukapila, ʻo ia hoʻi i nā keiki hānau hou i ʻae ʻia i ka Neonatal Intensive Care Unit, ma muli o ka meaʻai makua, hiki ke hoʻokaʻawale ʻia mai ke koko.
Maʻi kīnā me Leclercia adecarboxylata ʻoi aku ka pinepine i nā mea maʻi immunocompromised, ʻo wai kēlā mau mea i loli i ka ʻōnaehana pale, eia nō naʻe aia nā hihia o ka hoʻokaʻawale ʻana o kēia koʻohune i ka poʻe i loaʻa ʻole ka hōʻino ʻia o ka ʻōnaehana pale.
Nā kumu pilikia no ka maʻi maʻi e Leclercia adecarboxylata
Maʻi kīnā me Leclercia adecarboxylata ʻoi aku ka maʻamau i nā poʻe i nāwaliwali nā ʻōnaehana pale pale, e like me nā keiki hānau hou a i ʻole nā poʻe e noho ana i ka haukapila no kahi wā lōʻihi, no ka laʻana. Hoʻohui ʻia, nui aʻe ka makaʻi o ka maʻi i nā poʻe e mālama nei i ka meaʻai makua, hoʻohana i ka catheter urinary, i loaʻa i ka venous kikowaena a i ʻole ma lalo o ka ea ea.
I ka poʻe me ka ʻōnaehana pale pale maikaʻi, ka Leclercia adecarboxylata ʻike pinepine ʻia me nā microorganism ʻē aʻe a ʻaʻole i loaʻa iā ia ka lapaʻau kūpono. Eia nō naʻe, inā nāwaliwali ka ʻōnaehana pale, ʻoi aku ka maʻamau o ka ʻike ʻia ʻana o ke koʻohune i loko o ke koko, a he mea nui ia e hoʻokō i ka lapaʻau kūpono. Hoʻomaopopo pehea e ʻike ʻia ai ke kuhi o ka maʻi koko.
Pehea e hana ai i ka lāʻau
Lapaʻau no ka maʻi maʻi e Leclercia adecarboxylata maʻalahi ia, ʻoiai ua hōʻike kēia bacteria i ka nui o ka noʻonoʻo i nā lāʻau ʻaloʻalo. No laila, e like me ke kūlana olakino o ke kanaka a me ke kiʻekiʻe o ka hōʻino ʻana o ka ʻōnaehana pale, e hōʻike paha ke kauka i ka hoʻohana ʻana o Gentamycin, Ceftazidime a i ʻole Glycopeptides, e like me Vancomycin a i ʻole Teicoplanin, e laʻa me.
ʻOiai ka hapa nui o nā kaʻawale mai Leclercia adecarboxylata ʻike ʻia i kēia manawa i nā lāʻau ʻalopika, ua hōʻoia ʻia nā ʻano lāʻau kū i ka beta-lactam antibiotics, no ka mea hiki iā lākou ke hana i nā enzymes e pale ai i ka hana o kēia mau lāʻau ʻino, a hiki i ka paʻakikī ke hoʻomaʻamaʻa i kekahi mau hanana.