Kusvibiswa kweMicrobial paamburenzi: Hutachiona hunoenderana nehutano (HAIs) hutachiona hunowanikwa nevarwere vachirapwa munzvimbo yehutano.

Munguva yekufambisa kwemaamburenzi, murwere anogona kuratidzirwa kune hutachiona hunotapurirwa kubva kune emergency emergency service (EMS) vashandi kana EMS nzvimbo.

Chinangwa chechidzidzo ichi chaive chekuona kana zvipenyu zvinowanzobatanidzwa neHAIs zvakaonekwa panzvimbo munzvimbo inochengeterwa varwere. ambulances.

BACTERIAL AND MICROBIAL CONTAMINATION-EMAAmbulance Emahara: SHANYIRA KU ORION BOOTH PAEMERGENCY EXPO

Zvinyorwa zvishanu zvemagetsi zvekusvibiswa kwehutachiona mumaamburenzi: PubMed, Scopus, Webhu yeSainzi, Embasee Google Scholar

Vaishandiswa kutsvaga zvinyorwa vachishandisa nzira yekusanganisa uye yekusabvisa zvichitevera rondedzero yePRISMA.

Maitiro ekuisirwa aisanganisira zvinyorwa zvakaburitswa muChirungu, pakati pa2009 na2020, aive nemasampula akanaka akaunganidzwa kubva mukamuri yekuchengeta varwere yeamburenzi yepasi, uye yakashuma nzira dzekuunganidza dzema swab sampling uye / kana Replicate Organism Detection and Counting (RODAC) kuonana. maplates.

Zvidzidzo zvisina kuzadzisa maitiro aya hazvina kubatanidzwa kubva muongororo iyi.

Kubva pahuwandu hwezvinyorwa zve1376 zvakaonekwa, gumi nematanhatu zvakaverengerwa muongororo.

Zvisikwa zvine hukama neHAIs zvaiwanzoonekwa mukamuri yekuchengeta varwere yemaamburenzi munzvimbo dzakasiyana siyana, kusanganisira BP, midziyo yeokisijeni, uye nzvimbo dzevarwere.

Huwandu hwepamusoro hwehutachiona hwehutachiona mumaamburenzi hunoratidza kuti mapuroteni ane chekuita nekuchenesa kuteedzera anogona kusashanda.

Kurudziro yekutanga ndeyekuti nyanzvi dzenyaya dzakasarudzwa mukudzivirira hutachiona dzinofanirwa kuverengerwa sehukama munzvimbo yepamberi yechipatara, ichiita semubatanidzwa pakati pepre-chipatara (semuenzaniso, kutakura ambulensi) nenzvimbo dzechipatara.

Kunyangwe zvipenyu zvidiki zviri pese-pese munharaunda, kuvandudzwa kwemamiriro ekurarama, kufambira mberi mukurapa, uye kuwana hutano hwakachinja kurwara kwevanhu uye kufa kubva kuzvirwere zvinotapukira mumazana maviri emakore apfuura.

Tichifunga nezvekuwedzera kuri kuita huwandu hwevanhu, kushandiswa kwenzvimbo dzehutano uye mota dzekufambisa dzekukurumidzira dzichawedzera pasi rese.

MuU.SA, vanopfuura mamiriyoni e20 varwere vanogamuchira pre-chipatara rubatsiro kubva kune emergency emergency services gore rega rega.

Kunyangwe kufambira mberi kwehutano hweveruzhinji, varwere nevashandi vekurapa vanoramba vachirwara nekuda kwehutachiona hunokonzera kusvibiswa kwehutachiona munzvimbo yehutano.

Healthcare-associated infections (HAIs) zvirwere zvinowanwa munzvimbo yehutano panguva yekurapwa kana kurapwa.

Kunyange zvazvo maHAI achiwanzodzivirirwa, zvinowanzokonzera zvirwere zvinobva mukugara (intravenous catheters) uye midziyo inoparadza yakadai seurinary Foley catheters uye intubation (ventilators), pamwe chete nemaoko ane tsvina anokonzerwa nekusachena kwemaoko.

HAIs inowanzotapurira varwere kubva mumaoko evashandi vehutano.

Semuenzaniso, nharaunda-yakawanikwa uye chipatara-yakatorwa mhando dzemeticillin-resistant Staphylococcus aureus (MRSA) yakaparadzaniswa nefomites yezvakatipoteredza yakawanikwa iine genetically yakafanana neS.

Izvi zvinoratidza kuti kutapurirana kweMRSA pakati pevashandi vehutano uye pre-hospital zvakatipoteredza zvinogoneka.

Kunyangwe paine musiyano mukufungidzira mutengo wakakwana weHAI muUSA, HAIs inokonzeresa mutoro uye mutengo kuzvipatara zvega nehurongwa hwehutano.

Mari yekuwedzera yeHAI inonzi inogara kwenguva refu muchipatara, kuongororwa kwakawanda, kurapwa uye matambudziko mushure mekuburitswa.

Schmier et al. yakagadzira chinyorwa chespredishiti chinobva mumabhuku akadhindwa kuti ifungidzire zvingangoitwa gore rega rega HAI mutengo wekuchengetedza kuUS hutano system nekushandiswa kwehutano hwekuuraya antiseptics (semuenzaniso, kugeza mawoko, kuvhiya mawoko ekukwesha, uye murwere pre-operative uye pre-jekiseni kugadzirira ganda).

Zvinoenderana nedata iri, fungidziro yegore negore mutoro wehupfumi hwenyika yeHAIs inotangira pamadhora 1.42 bhiriyoni kusvika kumadhora 14.1 bhiriyoni kune catheter-inosanganisirwa urinary tract infections, central line-inosanganisirwa neropa rehosha, zvirwere zvemudumbu, utachiona hwepanzvimbo yekuvhiya, mhepo inofefetera inoenderana nemabayo uye inotorwa muchipatara. (not ventilator associated) mabayo.

Kushandiswa kwemishonga inouraya utachiona kunogona kuderedza mari yeHAI inofungidzirwa kuti inosvika madhora 142 miriyoni kusvika kumadhora mabhiriyoni 4.3 pagore.

Pamusoro pemutoro wemari weIOS, huwandu hwehurwere uye kufa kwakabatana neIOS (microbial contamination) kwakakwira.

Munyika dzakabudirira dzakaita seUSA, ndufu dzinosvika 99,000 7 pagore dzinoitika kubva kuHAI uye chikamu chinosvika 19% chevarwere vari muzvipatara munyika dzakabudirira uye XNUMX% munyika dzichiri kusimukira vanobatwa neHAI.

Zvisikwa zvidiki zvinotapuriranwa nemaoko ane utachiona, zvinosanganisira Staphylococcus aureus, MRSA, uye carbapenem-resistant Enterobacterales (CRE) yakadai seKlebsiella pneumoniae.

Antimicrobial resistance idambudziko repasi rose; inotyisidzira kurapwa kunoshanda uye kudzivirira kwezvirwere zvakasiyana-siyana.

Zvinoitika kana zvipukanana zvikaramba zvichiiswa pasi pemaantimicrobial agents uye zvinoshanduka kuti zvikure kuramba kune vakadaro.

Kamwe mishonga inorwisa mabhakitiriya isingachashandi, hutachiona hunokwanisa kuramba huchienderera mberi.

Kunyange zvazvo kuramba kuchigona kuitika kwomuzvarirwo kwenguva yakareba, kushandiswa zvakanyanya kwemishonga inorwisa utachiona kunowedzera mwero uyo tupukanana tusingarambidzwe nemishonga inorwisa mabhakitiriya.

HAIs inokonzerwa nemishonga inorwisa mabhakitiriya inoda zviwanikwa zvine chekuita nehutano uye varwere vari panjodzi yakawedzera yekunyanya kurwara nerufu.

Kunyanya, avo vane MRSA vane 64% mukana wekufa kana vachienzaniswa nevanhu vane dambudziko rinongoitika.

Naizvozvo, kudzivirira kweHAI kwakakosha mukuderedza hurwere nerufu papasi rose, munharaunda, uye nhanho yemunhu.

Chinangwa chekuongorora kwakarongeka kwemabhuku uku kwaiva kuona kana zvipenyu zvinowanzobatanidzwa nehutano-hunobatanidzwa nehutachiona zvakaonekwa panzvimbo yepamusoro-soro mukamuri yevarwere yeamburenzi.

Nzvimbo yeEMS inogona kusanganisira pasi ambulensi, maamburenzi emhepo, EMS zvivakwa, kana EMS vashandi.

Pakati pemamiriro ezvinhu aya, ambulensi yepasi yakatsvakurudzwa zvakanyanya kuti ione zvipenyu zviduku, uye ndiyo yaiva nyaya yechidzidzo ichi.

Kusvibiswa kweMicrobial panzvimbo yeamburenzi: Verenga chinyorwa chizere

Infezione microbica mu ambulanza 1-s2.0-S0195670122000020-main

Verenga Uyewo:

Emergency Rarama Zvakawanda…Rarama: Dhawunirodha Iyo Itsva Yemahara App yebepanhau Rako yeIOS uye Android

Maitiro Ekusiyanisa Uye Kuchenesa Iyo Ambulensi Zvakakodzera?

FDA Inonyevera Pamusoro peMethanol Kusvibiswa Uchishandisa Maoko Sanitizer uye Inowedzera Rondedzero Yezvigadzirwa zvine Muchetura.

Source:

Science Direct