Pseudomonas aeruginosa i microorganism inokonzera zvirwere zvakanyanya kana zvisingaperi, dzimwe nguva zvakakomba uye zvinouraya. Inonyanya kuzara muzvipatara uye inofumura varwere vane immune system isina simba. Kuramba kuchikura kwemamwe marudzi eutachiona uhu kumishonga inorwisa mabhakitiriya kunoita kuti utachiona uhu huve dambudziko rehutano hweveruzhinji.

Gore rega rega muFrance, 750 nosocomial zvirwere (zvakabvumiranwa panguva kana mushure mekurapwa) zvinorekodhwa, kureva 000% yenhamba yese yevarwere, inokonzera kufa kwevashanu. (5) Zvinoenderana nemhedzisiro yeongororo yenyika yekuwanda kwezvirwere zvenosocomial yakaitwa neFrench Institute for Public Health Surveillance, chikamu chezvirwere izvi zvinokonzerwa nebhakitiriya. Pseudomonas aeruginosa yakakura kupfuura 8%. (2)

Pseudomonas aeruginosa inokonzera zvirwere zvakawanda zvemuviri: weti, ganda, pulmonary, ophthalmological ...

Pseudomonas aeruginosa ibhakitiriya regiremu-negative rinogara muvhu, mumvura uye munzvimbo dzine mwando semapombi nemapombi, uye rine hunyanzvi hwekuchinjika kunharaunda dzine hutsinye. Izvo zvakawanda zvehutachiona hunoita kuti ive yakanyanya pathogenic agent kune isina simba kana immunocompromised zvipenyu, zvichitungamira kune yakakwira mwero wekurwara uye kufa.

Vanhu vari panjodzi huru muzvipatara varwere: vakavhiyiwa; yakazarurwa kune mudziyo unoparadza wakadai seweti catheter, catheter kana intubation; immunocompromised neHIV kana chemotherapy. Ziva kuti vechidiki nevakuru vanofumurwawo zvakanyanya. Vanyajambwa vakatsva zvikuru vanoratidzirwa zvikuru kungozi, kazhinji kazhinji inouraya, yehosha dzeganda. Pseudomonas aeruginosa inokonzeresa 40% yekufa kwepneumonia ine chekuita nemhepo. (3)

Kufambiswa kwe Pseudomonas aeruginosa inoitwa nemaoko evashandi vehutano uye michina yekurapa ine hutachiona. Maitiro ekurapa anokanganisa akadai sekuiswa kwecatheter kana weti catheter inokonzeresa njodzi yekutapurirwa kwehutachiona.

Nepo utachiona muzvipatara huchipa denho hurusa youtano hwavanhu, kunofanira kuyeukwa kuti Pseudomonas aeruginosa haina kuvharirwa ipapo uye kuti hutachiona hunogona kuitika kune imwe nzvimbo, semuenzaniso mumabhavhu anopisa kana madziva ekutuhwina asina kucheneswa (kazhinji kuburikidza nemalensi). Saizvozvowo, utachiona hunogona kubatanidzwa muzvirwere zvinokonzerwa nezvokudya.

Maoko evashandi mukoti nemidziyo yekurapa anofanirwa kugezwa uye / kana kuuraya utachiona uye / kana kuomeswa pamberi uye mushure mekurapa kwega kwega, zvinoenderana nemaprotocol akamiswa. Sangano renyika rakagadzirwa muFrance kudzivirira zvirwere zve nosocomial: Makomiti ekurwisa zvirwere zve nosocomial (CLIN) anovimbisa kushandiswa kwehutsanana uye matanho easepsis muzvipatara, uye kutevedza kwavo. nevachengeti, vashanyi uye nevarwere pachavo.

Kufambira mberi kwakaitwa kubva pakutanga kwe2000s pamwe, semuenzaniso, kushandiswa kwehydro-alcoholic mhinduro dzehutsanana hwemaoko uye kushandiswa kwesilicone kusinganyanyi kukonzeresa kugadzirwa kwebhakitiriya pamidziyo yekurapa.

Kurapa nemishonga inorwisa mabhakitiriya yezvirwere zve nosocomial uye zvirwere zvinokonzerwa ne Pseudomonas aeruginosa inofanira kurangarira idi rokuti marudzi ebhakitiriya ari kuratidza kusada kuwanda kwenhamba yemishonga iyi. Muchokwadi, inenge 20% yemhando dzebhakitiriya Pseudomonas aeruginosa inopokana nemishonga inorwisa mabhakitiriya ceftazidime uye carbapenems. (1)