Vancomycin mai juriya enterococci - asibiti

Enterococcus wata cuta ce (kwayoyin cuta). Kullum yana zaune a cikin hanji da kuma cikin al'aurar mata.

Mafi yawan lokuta, ba ya haifar da matsaloli. Amma enterococcus na iya haifar da kamuwa da cuta idan ya shiga cikin hanyoyin fitsari, hanyoyin jini, ko raunin fata ko wasu wuraren yanar gizo marasa amfani.

Vancomycin maganin rigakafi ne wanda ake amfani dashi sau da yawa don magance waɗannan cututtukan. Magungunan rigakafi magunguna ne da ake amfani dasu don kashe kwayoyin cuta.

Kwayoyin cuta na Enterococcus na iya zama tsayayya da vancomycin don haka ba a kashe su. Waɗannan ƙwayoyin cuta masu juriya ana kiransu enterococci mai tsayayyar vancomycin (VRE). VRE na da wuyar magani saboda akwai karancin maganin rigakafi wanda zai iya yaƙi ƙwayoyin cuta. Yawancin cututtukan VRE suna faruwa a asibitoci.

Cututtukan VRE sun fi yawa ga mutanen da:

• Suna asibiti kuma suna shan maganin rigakafi na dogon lokaci
• Shin sun tsufa
• Samun rashin lafiya na dogon lokaci ko raunin tsarin garkuwar jiki
• An yi muku magani ta baya tare da vancomycin, ko wasu maganin rigakafi na dogon lokaci
• Sun kasance a cikin sassan kulawa mai tsanani (ICUs)
• Shin sun kasance cikin ciwon daji ko sassan raka'a
• An yi babban tiyata
• Yi catheters don zubar da fitsari ko hanyoyin jijiya (IV) wanda zai zauna na dogon lokaci

VRE na iya shiga hannu ta taɓa mutumin da ke da VRE ko ta taɓa farfajiyar da ta gurɓata da VRE. Daga nan kwayoyin cutar suka yadu daga mutum daya zuwa wani ta hanyar tabawa.

Hanya mafi kyawu don hana yaduwar cutar VRE shine kowa ya kiyaye hannayensa.

• Dole ne maaikatan asibiti da masu ba da kiwon lafiya su wanke hannayensu da sabulu da ruwa ko kuma amfani da mai tsabtace hannu mai giya kafin da bayan kula da kowane mara lafiya.
• Marasa lafiya yakamata su wanke hannayensu idan sun zagaya daki ko asibiti.
• Baƙi kuma suna buƙatar ɗaukar matakai don hana yaɗuwar ƙwayoyin cuta.

Ana canza maɓuɓɓugan fitsari ko tub na IV akai-akai don rage haɗarin kamuwa da cutar VRE.

Ana iya sanya marasa lafiya da ke fama da cutar VRE a cikin ɗaki ɗaya ko kuma su kasance a cikin ɗaki mai zaman kansa tare da wani mai haƙuri tare da VRE. Wannan yana hana yaduwar kwayoyin cuta tsakanin ma'aikatan asibiti, sauran marasa lafiya, da maziyarta. Ma'aikata da masu samarwa na iya buƙatar:

• Yi amfani da tufafi masu dacewa, kamar gown da safar hannu lokacin shiga ɗakin mara lafiya mai cutar
• Sanya abin rufe fuska idan akwai damar fesa ruwan jikin mutum

Sau da yawa, ana iya amfani da wasu maganin rigakafi banda vancomycin don magance yawancin cututtukan VRE. Gwajin gwaje-gwaje zai faɗi wane maganin rigakafi zai kashe ƙwayoyin cuta.

Marasa lafiya tare da kwayar cutar enterococcus waɗanda ba su da alamun kamuwa da cuta ba sa buƙatar magani.

Babban-kwari; VRE; Gastroenteritis - VRE; Colitis - VRE; Asibiti ya sami kamuwa da cuta - VRE

• Kwayar cuta

Miller WR, Arias CA, Murray BE. Enterococcus nau'ikan, Streptococcus gallolyticus rukuni, da majin.bar nau'in. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 200.

Savard P, Perl TM. Cututtukan Enterococcal. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 275.

• Maganin rigakafi