Iziphathimandla zezempilo zaseCosta Rican ziyaphenya a Ukuqubuka kwe-Ralstonia mannitolilytica itholakale ezibhedlela eziningi kuleli. Kuze kube manje, bahlonziwe iziguli eziyishumi ezithintekile -abesilisa abayisikhombisa nabesifazane abathathu-abaneminyaka esukela ezinganeni ezisanda kuzalwa kuye kwabadala, bonke bangaphansi kokulandelelwa komtholampilo.
Kuyibhaktheriya yemvelo, ekhona amanzi nomhlabathi, okungenzeka ukuthi ezilungiselelweni zesibhedlela ziziphathe njenge-pathogen engosomathuba. Nakuba kungavamile ukubangela izinkinga kubantu abanempilo, kubantu abane izivikelo ezisengozini kungaholela ezifweni ezihambisana nokunakekelwa kwezempilo futhi, njengaku ezinye izifo ze-nosocomial ezifana ne-Candida auris, indlela yayo ingaba yinkimbinkimbi yi ukumelana ne-antimicrobial.
Okwaziwayo ngalesi sifo
Umnyango Wezempilo kanye ne-Costa Rican Social Security Fund (CCSS) benze amaphrothokholi asebenze ukuphepha kwe-biosecurity, ukuhlanza kanye nokubhekwa kwe-epidemiological kuzo zonke izikhungo ezingaphansi kwenethiwekhi yayo. Lolu cwaningo ludidiyelwe neCosta Rican Institute of Research and Teaching in Nutrition and Health (Inciensa), ngokunaka okukhethekile ezindaweni ezibucayi njenge I-ICU kanye ne-neonatology.
Izibhedlela ezinamacala atholakele
I-CCSS ikuqinisekisile ukuba khona kwamacala ku izibhedlela zikahulumeni eziyisikhombisa, lapho izinyathelo zokulawula ziye zaqiniswa ukunqamula iketanga lokudlulisela nokuvikela izifo ezintsha.
- UDkt. Rafael Ángel Calderón Guardia Hospital
- Isibhedlela saseSan Rafael sase-Alajuela
- Isibhedlela saseSan Juan de Dios
- Isibhedlela Sabesifazane (Adolfo Carit Eva)
- Isibhedlela i-Nacional de Niños
- Isibhedlela sase-Liberia (Enrique Baltodano)
- Isibhedlela saseMexico
Ngokwemibiko, ku Isibhedlela saseMexico Bekunamarekhodi ahlukene amagciwane kusukela ngo-2023, angahlobene nomcimbi wamanje kodwa awusizo kuwo landelela amaphethini ukubhekwa kanye nempendulo.
Indlela eziphatha ngayo ezilungiselelweni zokunakekelwa kwezempilo
I-Ralstonia mannitolilytica inganamathela amapulasitiki kanye nemishini yezokwelapha (ama-catheter, ama-probes) ngenxa yokwakheka kwama-biofilms, okwenza ukususwa kwawo kube nzima. Ngaphezu kwalokho, iveza ukubekezelelana kumakhemikhali athile futhi ingaqhubeka uma izixazululo noma izibulala-magciwane ulahlekelwe ukugxilisa ingqondo noma uhlale uvule isikhathi eside kakhulu.
Ekuqubukeni okubhalwe emhlabeni jikelele, ukungcoliswa kwe izixazululo zezokwelapha esetshenziswa kakhulu. E-Costa Rica, imibono ecatshangelwayo yomthombo okwabelwana ngawo phakathi kwezikhungo iyaphathwa, ngakho iyenziwa isibhamu nokuhlaziya kwamanzi, izibulala-magciwane, insipho, izinto zokusebenza kanye nezixazululo zomtholampilo ukuze kutholakale umthombo.
Izimpawu, ukuxilongwa kanye nokwelashwa
Uma ingena egazini, leli gciwane lingabangela imfiva, amakhaza futhi, uma iqhubeka, i-sepsis noma izifo ezithweni ezahlukene. Nabo baye bachazwa meningitis kanye bacterium ezigulini ezinezimo ezingaphansi.
Amaqembu engcuphe ephezulu ahlanganisa izingane ezisanda kuzalwa (ikakhulukazi izingane ezizalwa ngaphambi kwesikhathi), abantu asebekhulile ababuthaka, iziguli ezinesifo sikashukela noma ezinye izifo ezingamahlalakhona, nalabo abatholayo ukwelashwa kwe-immunosuppressive ngenxa yomdlavuza noma ukufakelwa kabusha. Kubantu abanempilo, amathuba okutheleleka aphansi kakhulu.
Amalabhorethri angakwazi ukubona ngokunembile i-microorganism futhi asebenzise ukuhlolwa kokuzwela ukuqondisa ukwelashwa. Nakuba ukumelana nama-antibiotic avamile kuye kwabonwa, akubhekwa "njenge-superbug"; bangu izinketho zokwelapha ezisebenza uma ukuxilongwa kusenesikhathi futhi uhlelo lulungiswa ngokuvumelana ne-antibiogram.
Izinyathelo ezithathwe ezibhedlela
Ukuze kuqukethwe umcimbi, i-CCSS kanye noMnyango Wezempilo bakhiphe izinyathelo zoku ukuhlanza okujulile, ukukhipha amagciwane kanye nokulawula ukutheleleka, kuphinde kuqinise ukubhekwa nokuqeqeshwa kwabasebenzi bezempilo.
- Ukuhlanza okujulile nokubulala amagciwane ezindaweni ezibucayi (ICU kanye ne-neonatology).
- Ukuqapha ukusetshenziswa kwe izibulala-magciwane, izibulala-magciwane nezinsipho.
- Ukugada okusebenzayo ukuze kutholwe amacala kusenesikhathi kanye nokunqamula amaketango okudlulisela.
- Ukusetshenziswa kwe ukugxila ezigulini ezithintekile kanye nabathintwayo ngokuvumelana nephrothokholi.
- Isampula kanye nokuhlaziywa kwezemvelo kanye nokwelashwa okudidiyelwe ne-Inciensa.
- Ukuqeqeshwa ku inhlanzeko yesandla, i-asepsis kanye nokusetshenziswa kwe-PPE.
Ngaphezu kwalokho, ukuvakashelwa kwezobuchwepheshe kugcinwa futhi ukugadwa ngokuhlanganyela ezikhungweni ezithintekayo ukuze kuqinisekiswe ukuthotshelwa kwezivumelwano. Iziphathimandla ziyakugcizelela ukuthi azikho izivumelwano ezidingekayo. izinyathelo ezingavamile ngaphandle kwendawo yesibhedlela.
Izincomo zezakhamizi
Kulabo abaya ezibhedlela noma abanakekela abantu abasengozini, kugcizelelwa ukugeza izandla njalo ngensipho namanzi, ikakhulukazi ngaphambi kokudla, ngemva kokusebenzisa indlu yangasese, nalapho uvakashele izindawo eziboshiwe. Le mikhuba inciphisa ubungozi boku izifo ezihlobene ekunakekelweni kwezempilo.
Isimo socwaningo
Umcimbi usalokhu ungaphansi ukulawula nokugada, neziguli ezithuthuka kahle futhi ngaphandle kokufa okuhlobene. Isaziso kanye nokulandelela kwenziwa ngokuhambisana ne- Imithetho Yezempilo Yamazwe Ngamazwe, futhi ukuxhumana kuzobuyekezwa njengoba kuvela okusha.
Nge ukuxhumana phakathi kwezikhungo Okuqhubekayo, okubalulekile wukuthola umthombo, ukugcina ukusuleleka kude ezibhedlela eziyisikhombisa ezithintekile futhi kuqiniswe izinqubo zokuhlanzeka, kuyilapho amalabhorethri elungisa ukwelashwa okuhlosiwe ecaleni ngalinye.