Pseudomonas aeruginosa he microorganism e hoʻoulu ai i nā maʻi maʻi a i ʻole maʻi mau, i kekahi manawa koʻikoʻi a make. Nui loa ia i nā halemai a hōʻike i nā poʻe maʻi me kahi ʻōnaehana pale ʻole. ʻO ka ulu ʻana o ke kūpaʻa ʻana o kekahi mau ʻano o kēia hua bacteria i nā lāʻau antibiotic, lilo kēia mau maʻi i pilikia olakino maoli.

ʻO kēlā me kēia makahiki ma Farani, 750 mau maʻi nosocomial (i hoʻopaʻa ʻia i ka wā a i ʻole ma hope o ka hoʻokipa ʻana) i hoʻopaʻa ʻia, ʻo ia hoʻi 000% o ka nui o nā maʻi, kuleana no kekahi 5 mau make. (4) Wahi a nā hopena o kahi noiʻi aupuni no ka laha ʻana o nā maʻi nosocomial i mālama ʻia e ka French Institute for Public Health Surveillance, ʻo ka hapa o kēia mau maʻi i pili i ka bacteria. Pseudomonas aeruginosa ʻoi aku ma mua o 8%. (2)

Pseudomonas aeruginosa ʻO ia ke kuleana no nā maʻi he nui o ke kino: urinary, ʻili, pulmonary, ophthalmological…

Pseudomonas aeruginosa he hua bacteria gram-negative e noho ana ma ka lepo, ka wai a me ka wai a me na wahi wai e like me na paipu a me na paipu, a he hiki ke hoololi i na kaiapuni enemi. ʻO kāna mau kumu virulence he mea maʻi nui loa ia no nā mea nāwaliwali a immunocompromised paha, e alakaʻi ana i kahi kiʻekiʻe o ka maʻi a me ka make.

ʻO ka poʻe i pilikia loa i loko o nā halemai he poʻe maʻi: i hana ʻia; ʻike ʻia i kahi mea hoʻomake e like me ka catheter urinary, catheter a i ʻole intubation; immunocompromised e ka HIV a i ʻole ka chemotherapy. E hoʻomanaʻo, ʻoi aku ka nui o ka poʻe ʻōpio a me nā ʻelemakule. ʻO ka poʻe i loaʻa i ke ahi ke ʻike nui ʻia i ka pilikia, pinepine i ka make, o nā maʻi ʻili. Pseudomonas aeruginosa ke kumu e pili ana i ka 40% o ka ma'i pneumonia pili i ka ventilator. (3)

ʻO ka hoʻoili ʻana o Pseudomonas aeruginosa hana ʻia e nā lima o nā limahana mālama olakino a me nā mea lapaʻau maʻi maʻi. ʻO nā kaʻina hana lapaʻau invasive e like me ka hoʻokomo ʻana i ka catheter a i ʻole ka urinary catheter ke kumu nui o ka lawe ʻana i nā mea maʻi maʻi.

ʻOiai ʻo nā maʻi i loko o nā haukapila e hōʻike nei i ka pilikia olakino olakino nui loa, pono e hoʻomanaʻo ʻia kēlā Pseudomonas aeruginosa ʻaʻole i hoʻopaʻa ʻia ma laila a hiki ke loaʻa nā maʻi ma nā wahi ʻē aʻe, no ka laʻana ma nā ʻauʻau wela a i ʻole nā ​​loko ʻauʻau mālama maikaʻi ʻole ʻia (pinepine ma o nā lens pili). Pēlā nō, hiki i ka bacteria ke komo i nā maʻi lawe ʻai.

Pono e holoi ʻia nā lima o nā limahana kahu hānai a / a i ʻole disinfected a / a sterilized ma mua a ma hope o kēlā me kēia lapaʻau, e like me nā protocol i hoʻokumu ʻia. Ua hoʻonohonoho ʻia kahi ʻōnaehana aupuni ma Farani e pale aku i nā maʻi nosocomial: ʻO nā komite no ka hakakā ʻana i nā maʻi nosocomial (CLIN) e hōʻoia i ka hoʻokō ʻana o ka draconian hygiene a me nā ana asepsis i nā halemai, a me kā lākou hoʻokō. e nā kahu mālama, nā malihini a me nā maʻi ponoʻī.

Ua holomua ka holomua mai ka makahiki 2000 me, no ka laʻana, ka hoʻohana ʻana i nā wai wai waiʻona no ka hoʻomaʻemaʻe lima a me ka hoʻohana ʻana i ka silicone liʻiliʻi i ka hoʻomohala ʻana i ka bacteria ma nā mea lapaʻau.

Lapaʻau me nā lāʻau antibiotic no nā maʻi nosocomial a me nā maʻi i hana ʻia e Pseudomonas aeruginosa Pono e noʻonoʻo i ka ʻoiaʻiʻo e hōʻike ana nā maʻi bacteria i ke kūʻē ʻana i ka nui o kēia mau lāʻau antibiotic. ʻO ka ʻoiaʻiʻo, ma kahi o 20% o nā maʻi bacteria Pseudomonas aeruginosa He kū'ē lākou i nā lāʻau'alopelo ceftazidime a me carbapenems. (1)