Pseudomonas aeruginosa i-microorganism ebangela izifo ezinzima noma ezingapheli, ngezinye izikhathi ezinzima futhi ezibulalayo. Igcwele kakhulu ezibhedlela futhi iveza iziguli ezinezivikeli mzimba ezibuthakathaka. Ukukhula kokumelana nezinhlobo ezithile zaleli gciwane kuma-antibiotic kwenza lezi zifo zibe inkinga yangempela yezempilo yomphakathi.

Unyaka ngamunye eFrance, kuqoshwa izifo ezingama-750 ze-nosocomial (ezinenkontileka ngesikhathi sokulaliswa esibhedlela noma ngemva kwalokho), okungukuthi, i-000% yenani eliphelele leziguli, ezibangela ukufa kwabantu abayi-5. (4) Ngokwemiphumela yocwaningo lukazwelonke lokusabalala kwezifo ze-nosocomial olwenziwa yi-French Institute for Public Health Surveillance, ingxenye yalezi zifo ibangelwa amagciwane. Pseudomonas aeruginosa inkulu kuno-8%. (2)

Pseudomonas aeruginosa ibhekene nezifo eziningi zomzimba: umchamo, isikhumba, i-pulmonary, ophthalmological ...

Pseudomonas aeruginosa igciwane le-gram-negative elihlala enhlabathini, emanzini nasezindaweni ezinomswakama ezifana nompompi namapayipi, futhi linamandla amakhulu okuzivumelanisa nezimo ezinobutha. Izici zayo eziningi ze-virulence ziyenza i-ejenti ye-pathogenic kakhulu yezinto eziphilayo ezibuthakathaka noma ezingenakuzivikela, okuholela ezingeni eliphezulu lokugula nokufa.

Abantu abasengozini enkulu ezibhedlela yiziguli: eziye zahlinzwa; ukuchayeka emshinini ohlaselayo njenge-catheter yomchamo, i-catheter noma i-intubation; immunocompromised nge-HIV noma i-chemotherapy. Qaphela ukuthi abantu abasha nabadala nabo badalulwa kakhulu. Izisulu zokusha kakhulu zisengozini enkulu, ngokuvamile ebulalayo, yokutheleleka kwesikhumba. Pseudomonas aeruginosa kubangela cishe ama-40% okufa kwenyumoniya ehlobene nokuphefumula. (3)

Ukudluliswa kwe Pseudomonas aeruginosa kwenziwa ngezandla zabasebenzi bezempilo kanye nemishini yezokwelapha ethelelekile. Izinqubo zokwelapha ezihlaselayo njengokufakwa kwe-catheter noma i-catheter yomchamo zibeka engcupheni enkulu yokudluliselwa kwezidakamizwa ezithathelwanayo.

Nakuba izifo ezibhedlela ziletha inselele enkulu yezempilo yomphakathi, kufanele kukhunjulwe lokho Pseudomonas aeruginosa akugcini lapho nokuthi izifo zingenzeka kwenye indawo, isibonelo ezindaweni zokugeza ezishisayo noma emachibini okubhukuda anganakekelwa kahle (ngokuvamile kusetshenziswa amalensi okuxhumana). Ngokufanayo, amagciwane angahileleka ezifweni ezitholakala ekudleni.

Izandla zabahlengikazi kanye nemishini yezokwelapha kufanele zigezwe futhi / noma zibulawe amagciwane kanye / noma zibulawe amagciwane ngaphambi nangemva kokwelashwa ngakunye, ngokuya ngezivumelwano ezimisiwe. Uhlelo lukazwelonke luye lwasungulwa eFrance ukuvimbela izifo ze-nosocomial: Amakomiti okulwa nokutheleleka kwe-nosocomial (i-CLN) aqinisekisa ukuqaliswa kwezinyathelo zokuhlanzeka kanye ne-asepsis ezibhedlela, kanye nokuhambisana kwazo. ngabanakekeli, izivakashi kanye neziguli ngokwazo.

Inqubekelaphambili yenziwe kusukela ekuqaleni kwawo-2000, ngokwesibonelo, ukusetshenziswa kwezixazululo ze-hydro-alcoholic zokuhlanzeka kwezandla kanye nokusetshenziswa kwe-silicone okunciphisa ukuthuthukiswa kwamagciwane emishini yezokwelapha.

Ukwelashwa ngama-antibiotics ngezifo ze-nosocomial kanye nezifo ezibangelwa Pseudomonas aeruginosa kumelwe icabangele iqiniso lokuthi amagciwane ahlukahlukene abonisa ukumelana nenani elandayo lalawa ma-antibiotic. Eqinisweni, cishe ama-20% ezinhlobo zamabhaktheriya Pseudomonas aeruginosa amelana nemithi elwa namagciwane i-ceftazidime ne-carbapenems. (1)