Pseudomonas aeruginosa ndi tizilombo tating'onoting'ono tomwe timayambitsa matenda owopsa kapena osatha, nthawi zina oopsa komanso amapha. Ndizofala kwambiri m'zipatala ndipo zimawonetsa odwala omwe ali ndi chitetezo chofooka. Kukula kolimba kwa mitundu ina ya bakiteriyayi ku mankhwala opha tizilombo kumapangitsa kuti matendawa akhale vuto lenileni la thanzi la anthu.

Chaka chilichonse ku France, matenda 750 a nosocomial (ochitika m'chipatala kapena pambuyo pake) amalembedwa, mwachitsanzo, 000% ya odwala onse, omwe amachititsa kuti anthu asanu afa. (5) Malinga ndi zotsatira za kafukufuku wapadziko lonse wa kufalikira kwa matenda a nosocomial ochitidwa ndi French Institute for Public Health Surveillance, kuchuluka kwa matendawa chifukwa cha mabakiteriya. Pseudomonas aeruginosa kuposa 8%. (2)

Pseudomonas aeruginosa imayambitsa matenda angapo am'thupi: mkodzo, khungu, pulmonary, ophthalmological ...

Pseudomonas aeruginosa ndi kachilombo ka gram-negative yemwe amakhala m'nthaka, m'madzi ndi m'malo achinyezi monga matepi ndi mapaipi, ndipo ali ndi mphamvu zambiri kuti agwirizane ndi malo ovuta. Zifukwa zake zambiri za virulence zimapangitsa kuti tizilombo toyambitsa matenda tizilombo tochepa kapena tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda zichulukane komanso zimafa.

Anthu omwe ali pachiwopsezo chachikulu m'zipatala ndi odwala: omwe adachitidwa opaleshoni; poyang'aniridwa ndi chipangizo chowononga monga catheter ya mkodzo, catheter kapena intubation; immunocompromised ndi HIV kapena chemotherapy. Dziwani kuti achinyamata ndi achikulire nawonso amawonekera kwambiri. Anthu omwe amawotchedwa kwambiri amakhala pachiwopsezo, nthawi zambiri amapha, matenda akhungu. Pseudomonas aeruginosa zimayambitsa pafupifupi 40% ya kufa kwa chibayo chokhudzana ndi mpweya wabwino. (3)

Kutumiza kwa Pseudomonas aeruginosa zimachitika ndi manja a ogwira ntchito zachipatala ndi zida zachipatala zomwe zili ndi kachilombo. Njira zamankhwala zowononga monga kuyika catheter kapena catheter ya mkodzo zimakhala ndi chiopsezo chachikulu chotenga matenda opatsirana.

Ngakhale kuti matenda m’zipatala amapereka vuto lalikulu la thanzi la anthu, tiyenera kukumbukira zimenezo Pseudomonas aeruginosa sizimangokhala pamenepo komanso kuti matenda amatha kuchitika kwina, mwachitsanzo m'mabafa otentha kapena malo osambira osasamalidwa bwino (nthawi zambiri kudzera m'magalasi olumikizirana). Momwemonso, mabakiteriya amatha kutenga matenda obwera ndi zakudya.

Manja a ogwira ntchito ya unamwino ndi zida zamankhwala ayenera kutsukidwa ndi / kapena kupha tizilombo toyambitsa matenda ndi / kapena kutsekedwa musanalandire chithandizo chilichonse komanso pambuyo pake, malinga ndi ndondomeko zokhazikitsidwa. Dongosolo ladziko lonse lakhazikitsidwa ku France pofuna kupewa matenda a nosocomial: Makomiti olimbana ndi matenda a nosocomial (CLIN) amaonetsetsa kuti kukhazikitsidwa kwa ukhondo wa draconian ndi asepsis m'zipatala, ndi kutsata kwawo. ndi osamalira, alendo ndi odwala okha.

Kupita patsogolo kwapangidwa kuyambira kumayambiriro kwa zaka za m'ma 2000 ndi, mwachitsanzo, kugwiritsa ntchito njira za hydro-alcoholic paukhondo wamanja ndi kugwiritsa ntchito silikoni sikuthandiza kwambiri pa chitukuko cha mabakiteriya pazida zamankhwala.

Kuchiza ndi maantibayotiki a matenda a nosocomial ndi matenda oyambitsidwa ndi Pseudomonas aeruginosa ayenera kuganizira mfundo yakuti mitundu ya mabakiteriya ikusonyeza kukana kuwonjezereka kwa maantibayotiki ameneŵa. M'malo mwake, pafupifupi 20% ya mitundu ya mabakiteriya Pseudomonas aeruginosa amalimbana ndi maantibayotiki ceftazidime ndi carbapenems. (1)