Kwayar cuta Klebsiella pneumoniae wani enterobacterium ne ke da alhakin kamuwa da cututtuka da yawa, galibi nosocomial a Faransa. Yawan iri na Klebsiella pneumoniae sun haɓaka juriya da yawa ga maganin rigakafi.

Klebsiella pneumoniae, wanda aka fi sani da pneumobacillus na Friedlander, enterobacterium ne, wato bacillus gram-negative. Yana nan a zahiri a cikin hanji, a cikin manyan hanyoyin iska na mutane da dabbobi masu ɗumi-ɗumi: an ce ƙwayoyin cuta ce.

Yana mulkin har zuwa 30% na mutane a cikin narkewar abinci da nasopharyngeal mucous membranes. Ana kuma samun wannan ƙwayar cuta a cikin ruwa, ƙasa, shuke -shuke da ƙura (gurɓataccen najasa). Hakanan kwayar cuta ce da ke da alhakin cututtuka daban -daban:

• namoniya,
• septicemies,
• cututtukan urinary tract,
• cututtuka na hanji,
• ciwon koda.

A Turai, Klebsiella pneumoniae shine sanadin cututtukan numfashi na al'umma (a cikin garuruwa) a cikin mutane masu rauni (masu shaye -shaye, masu ciwon sukari, tsofaffi ko waɗanda ke fama da cututtukan numfashi na dindindin) kuma musamman cututtukan nosocomial (kwangila a asibitoci) a cikin mutanen da ke asibiti (ciwon huhu, sepsis) da cututtukan jarirai da marasa lafiya a cikin sassan kulawa mai zurfi).

Kwayar cuta Klebsiella pneumoniae musamman ana gane cewa yana da alhakin ciwon fitsari na nosocomial da cututtukan ciki, sepsis, ciwon huhu, da cututtukan wuraren tiyata. Kimanin 8% na kamuwa da cutar nosocomial a Turai da Amurka sanadiyyar wannan ƙwayar cuta. Cututtukan ciwon huhu na Klebsiella sun zama ruwan dare a sassan da ba a haife su ba, musamman a cikin rukunin kulawa mai zurfi da cikin jariran da ba a haife su ba.

Alamomin kamuwa da cutar Klebsiella pneumoniae gaba ɗaya

Alamomin kamuwa da cutar Klebsiella pneumoniae gabaɗaya sune na babban kamuwa da kwayan cuta:

• zazzabi mai zafi,
• zafi,
• lalacewar yanayin gaba ɗaya,
• jin sanyi

Alamomin kamuwa da cutar numfashi tare da Klebsiella pneumoniae

Alamomin kamuwa da cutar numfashi tare da Klebsiella pneumoniae galibi na huhu ne, tare da huhu da tari, ban da zazzabi.

Alamomin kamuwa da cutar fitsari da Klebsiella pneumoniae ta haifar

Alamomin kamuwa da cutar fitsari tare da Klebsiella pneumoniae sun haɗa da ƙonewa da zafi yayin fitsari, ƙamshi da ƙura mai gajimare, yawan buƙatar gaggawa da gaggawa, wani lokacin tashin zuciya da amai.

Alamun cutar sankarau da Klebsiella pneumoniae ke haifarwa

Alamomin cutar sankarau na Klebsiella pneumoniae (da wuya) sune:

• ciwon kai,
• zazzaɓi,
• canza halin rashin sani,
• rikicin damuwa,
• bugun jini.

Tabbataccen bincike na kamuwa da cutar Klebsiella pneumoniae ya dogara ne akan keɓewa da gano ƙwayoyin cuta daga samfuran jini, fitsari, sputum, ɓoyayyen bronchi ko ƙwayar cuta. Dole ne ganewa na kwayan cuta ya kasance tare da wasan kwaikwayon na rigakafi.

Antibiogram dabara ce ta dakin gwaje -gwaje wanda ke ba da damar gwada ƙwarewar ƙwayar ƙwayar cuta dangane da ɗaya ko fiye da maganin rigakafi, wanda da alama yana da mahimmanci ga nau'ikan Klebsiella pneumoniae waɗanda galibi suna jurewa yawancin maganin rigakafi.

Kwayar cutar Klebsiella pneumoniae kamar sauran Enterobacteriaceae ana ɗaukar ta da hannu, wanda ke nufin cewa ana iya kamuwa da wannan ƙwayar ta hanyar taɓa fata ta gurɓatattun abubuwa ko saman. A cikin asibiti, ana kamuwa da ƙwayoyin cuta daga marasa lafiya zuwa wani ta hannun masu kula da su waɗanda za su iya ɗaukar ƙwayoyin daga wani mara lafiya zuwa wani.

Za'a iya kula da cututtukan Klebsiella pneumoniae na asibiti a cikin gari tare da cephalosporin (misali ceftriaxone) ko fluoroquinolone (misali levofloxacin).

Ciwon cututtuka masu zurfi tare da Klebsiella pneumoniae ana bi da su tare da allurar rigakafi. Gabaɗaya ana bi da su tare da cephalosporins masu fa'ida da carbapenems (imipenem, meropenem, ertapenem), ko ma fluoroquinolones ko aminoglycosides. Zaɓin abin da maganin rigakafi zai iya zama da wahala saboda samun juriya.

Ruwa na Klebsiellia pneumoniae sun haɓaka juriya da yawa na maganin rigakafi. Hukumar Kiwon Lafiya ta Duniya (WHO) ta rarrabe wannan kwayar cutar a cikin '' cututtukan cututtukan '' fifiko '' 12 masu jurewa maganin rigakafi. Misali, Klebsiella pneumoniae na iya samar da enzyme, carbapenemase, wanda ke hana tasirin kusan dukkanin abubuwan da ake kira spect-lactam antibacterial.

A wasu ƙasashe, maganin rigakafi ba shi da tasiri ga rabin marasa lafiyar da aka yi wa maganin K. pneumoniae. Samun juriya ga maganin rigakafi shima yana iya shafar sauran azuzuwan magunguna kamar aminoglycosides.