Cov kab mob tiv thaiv: nws yog dab tsi, vim li cas nws tshwm sim thiab yuav ua li cas kom zam dhau nws

Zoo Siab

• Ua li cas cov tshuaj tiv thaiv ho tshwm sim
• Cov kab mob tseem ceeb tiv thaiv
• Yuav ua li cas kom tsis txhob muaj cov tshuaj tua kab mob tiv thaiv

Cov kab mob tsis kam cuam tshuam txog kev muaj peev xwm ntawm cov kab mob los tiv thaiv kev ua ntawm qee yam tshuaj tua kab mob vim kev txhim kho ntawm kev yoog thiab tiv thaiv kev tawm tsam, uas feem ntau yog qhov tsim nyog ntawm kev siv cov tshuaj tua kab mob. Yog li, vim tias qhov tshwm sim ntawm cov kab mob tiv thaiv kab mob, cov tshuaj tua kab mob ib txwm siv rau kev kho yog tsis muaj txiaj ntsig, ua rau kev tawm tsam tiv thaiv kev kis kab mob nyuaj thiab siv sijhawm ntau, thiab yuav muaj qhov ua kom tsis zoo ntawm tus neeg mob.

Thaum cov tshuaj tua kab mob ua tau zoo, tus kab mob muaj peev xwm ua kom nws tus nqi ntawm kev sib txuam txo los sis tshem tawm ntawm lub cev. Txawm li cas los xij, thaum ib tug kab mob muaj peev xwm tiv taus qee yam tshuaj tua kab mob, nws tuaj yeem ua kom hnyav ntxiv tsis hais muaj tshuaj dab tsi thiab muaj peev xwm ua rau mob hnyav ntxiv uas nyuaj rau kev kho.

Feem ntau, tus kab mob no tiv taus tsuas yog ib qho antimicrobial, zoo ib yam li Enterococcus sp., piv txwv li, qhov twg qee qhov kev cuam tshuam tau tiv nrog Vancomycin. Txawm li cas los xij, nws tseem muaj peev xwm muaj cov kab mob uas tiv taus ntau yam tshuaj tua kab mob, raug hu ua superbug lossis multiresistant cov kab mob, zoo ib yam li Klebsiella tsim kom muaj cov carbapenemase, tseem hu ua KPC.

Ua li cas cov tshuaj tiv thaiv ho tshwm sim

Kev tawm tsam cov tshuaj tua kab mob feem ntau tshwm sim vim kev siv tshuaj tiv thaiv tsis yog, uas yog, thaum tus neeg siv tshuaj tua kab mob tsis muaj lus qhia tshuaj lossis thaum nws tsis ua tiav kev kho mob, piv txwv. Cov xwm txheej no tuaj yeem txhawb qhov kev txhim kho ntawm cov txheej txheem ntawm kev yoog thiab kev tawm tsam ntawm cov kab mob tawm tsam cov tshuaj tua kab mob uas tau siv, kom nws tuaj yeem nyob hauv lub cev ntev dua, nthuav dav thiab mus txog cov ntshav, ua cim sepsis.

Cov kab mob tiv thaiv muaj peev xwm ua kom ntau yooj yim dua thiab yog li hla ntawm lawv cov noob thev naus laus zis rau lwm tiam. Tsis tas li ntawd, nws muaj peev xwm hais tias kev hloov pauv tshiab tshwm sim nyob rau hauv keeb caj ces ntawm cov kab mob no, ua rau muaj kev tiv thaiv superbugs, uas yog cov uas tiv taus ntau dua ib hom tshuaj tua kab mob. Qhov ntau tshaj tawm cov kab mob, qhov nyuaj nws yuav kho, vim tias muaj tsawg dua cov tshuaj tua kab mob tuaj yeem kho tus mob ntawd.

Cov kab mob tseem ceeb tiv thaiv

Cov kab mob tiv thaiv tau yooj yim dua nyob rau hauv tsev kho mob ib puag ncig vim cov txheej txheem rau cov neeg mob xa mus, uas muaj kev cuam tshuam ntau, nyob rau hauv rooj plaub no kev siv cov tshuaj tua kab mob ntau yog tsim nyog, uas yog cov uas ua txhaum ntau yam kab mob, nrog rau cov tsis pathogenic, uas yuav tuaj yeem tiv taus.

Tsis tas li ntawd, cov kab mob tiv thaiv feem ntau cuam tshuam txog tsev kho mob ib puag ncig vim kev siv tshuaj tua kab mob ntau heev thaum pw hauv tsev kho mob, tiv thaiv kab mob ntawm tib neeg thiab kev kis tus kab mob ntev dua thiab cov tshuaj tua kab mob vim lub sij hawm nyob hauv tsev kho mob.

Ntawm cov kab mob tseem ceeb tiv thaiv cov Klebsiella pneumoniae (KPC), Dab Tsi Staphylococcus aureus (MRSA), uas tiv rau Methicillin, Acinetobacter baumannii thiab Pseudomonas aeruginosa, uas tiv thaiv cov tshuaj tua kab mob carbapenem. Paub cov kab mob loj uas muaj peev xwm ua tau.

Yuav ua li cas kom tsis txhob muaj cov tshuaj tua kab mob tiv thaiv

Tshuaj tua kab mob tuaj yeem zam tau yooj yim dhau los ntawm kev ua tej yam yooj yim, xws li:

• Kev siv tshuaj tua kab mob tsuas yog nyob hauv kev pom zoo los ntawm kev kho mob;
• Lub sijhawm thiab ntau npaum li cas ntawm cov tshuaj tua kab mob yuav tsum tau qhia los ntawm tus kws kho mob thiab siv raws li nws txoj kev taw qhia, txawm hais tias ploj nrog cov tsos mob ploj;
• Tsis txhob cuam tshuam los ntawm kev siv tshuaj tua kab mob txawm tias tsis muaj cov tsos mob tshwm sim ntau ntxiv.

Ntxiv rau, nws yog ib qho tseem ceeb kom tswj kev nyiam huv ntawm txhais tes, ntxuav khoom noj kom zoo ua ntej npaj nws, muaj cov tshuaj tiv thaiv kom txog hnub thiab nyuam qhuav tau txais kev sib cuag nrog cov neeg mob hauv tsev kho mob siv cov khoom tiv thaiv, xws li lub qhov ncauj qhov ntswg thiab hnav ris tsho, piv txwv.

Txhawm rau kom tsis txhob muaj cov kab mob tiv thaiv, nws tseem yog ib qho tseem ceeb uas cov tsev kho mob soj ntsuam cov kab mob uas muaj ntau tshaj plaws hauv tsev kho mob thiab cov tseem ceeb hauv tsev kho mob thiab txiav txim siab qhov rhiab thiab tiv thaiv cov hom kab mob no.

Thaum nws paub tias tus kab mob twg yog cov nquag thiab tus yam ntxwv, nws muaj peev xwm lees txais cov tswv yim los tiv thaiv kev kis mob thaum tus neeg mob pw hauv tsev kho mob. Txuas ntxiv kev kawm thiab kev cob qhia cov kws kho mob muaj mob hauv tsev kho mob yog qhov tseem ceeb kom tsis txhob muaj cov kab mob nosocomial thiab kev txhim kho ntawm cov kab mob me. Saib seb yuav tiv thaiv kev kis mob nosocomial li cas.