Ko te Clostridioides difficile tētahi o ngā mate e mau tonu anangā tino take nui o te mate korere e pā ana ki te hauoraputa noa i te ao. He tino nui te taumahatanga i waenga i ngā tūroro kaumātua, ngā tāngata e noho ana i te hōhipera, ngā kainoho o ngā whare tiaki roa, me ngā tūroro e whiwhi ana i ngā paturopi whānui.
Heoi, he wero ahurei te tautuhi i te mate C. difficile (CDI).
He rerekē a C. difficile i te nuinga o ngā mate pukuhe mate huakita whai wāhitangatērā pea ka noho ki te ara puku me te kore e pāngia e te mate. He maha ngā wā ka kitea te haereerenga kore tohu i roto i ngā wāhi tiaki hauora, arā, ko te noho mai o te rauropi anake kāore e tohu i te mate hohe.
Ko tēnei rerekētanga i waenga i te koroni me te pangia te pūtake o te tautuhi i te CDI o ēnei rā.
He aha te CDI?
Ka puta te mate haumanu ina whakaputa ngā momo paitini e kino ai te kiriuhi puku, ka puta ai ngā tohu pēnei i:
- · Te mate korere kāore i te mārama
- · Mamae puku
- · Kirika
- · Leukocytosis
- · Kororā
E ai ki te whakahoutanga o te tau 2021 o te aratohu a te European Society of Clinical Microbiology and Infectious Diseases (ESCMID), ko te whakamātautau taiwhanga me whakahaere tuatahi i ngā tūroro e whakaatu ana i te mate korere nui e tohu ana i te CDI.
E whakamārama ana te aratohu i te mate korere hei tūtae e toru, neke atu rānei, i roto i ngā haora 24, ā, e whakanui ana me tirotiro tonu ngā kitenga taiwhanga.me whakamārama ngātahi me te whakaaturanga haumanu.
Kaua te hua pai o te taiwhanga anake e ōrite tonu ki te CDI.
ESCMID: Te Whakakotahi i te Aromatawai Hauora me te Whakamātautau Taiwhanga
Hei whakapai ake i te tika o te tātaritanga me te whakaiti i te nui rawa o te tātaritanga, e taunaki ana a ESCMID i tētahi huarahi tātaritanga maha-taahiraa.
Ka taea te whakamahi i te wāhanga tirotiro tuatahi:
- · Glutamate dehydrogenase (GDH), rānei
- · Whakamātautau Whakarei Waikawa Karihi (NAAT)
He tino aro nui ngā tikanga e rua ki te tautuhi i ngā tūroro e mau ana i te C. difficile.
Ki te whakataurite ki te GDH,Ka whakapai ake te NAAT i te motuhaketanga mā te kimi i ngā ira e pā ana ki te paitini e mauria ana e ngā momo paitinikaua ko te tautuhi noa i te aroaro o te rauropi.
Heoi anō, e kī ana te ESCMID mā te whakawhirinaki ki te NAAT anake ka nui rawa te tātaritanga nā te mea ka kitea pea ngā ira paitini i roto i ngā kaikawe kāore he tohu, i ngā tūroro rānei kāore he mate e pā ana ki te hauora.
Nā reira, he mea tino pai kia whakamāramahia ngā hua o te tātaritanga paitini me ngā hua o te whakamātautau ārai mate paitini me ngā kitenga haumanu.
Mā tēnei rautaki ka āwhina i te wehewehe:
- · CDI hohe
- · Te noho kore tohu
- · Te mate i te wāhanga tōmua e hiahia ana ki ētahi atu aromatawai haumanu
Te Tautoko i te Whakamātautau CDI e Whakaritea ana e te Aratohu
Hei tautoko i ngā taiwhanga e whakatinana ana i te tirotiro ngota i roto i ngā ara tātaritanga CDI, ka tukuna e Macro & Micro-Test teKete Kimi Waikawa Karihi mō te Ira A/B Paitini Clostridium difficile (Fluorescence PCR).
Ka kitea tika e te whakamātautau tetcdAmetcdBngā ira mai ingā tauira tūtae kāore anō kia hangaia, e āhei ai te tautuhi tere i ngā momo C. difficile toxigenic.
Ngā Painga Matua:
-Teitei te aro me te LoD iti iho i te: 200 CFU/mL/2,000 kape/mL, e āhei ai te kimi pono i ngā momo mate pāwera iti-taumata.
-Te aro atu ki te paitini A (tcdA) me te paitini B (tcdB) ngā ira, ka tautuhia motuhaketia e te whakamātautau ngā momo ira ka taea te whakaputa i ngā āhuatanga kaha tuatahi e pā ana ki te CDI.
- Whakaurunga Rerenga Mahi Ngāwari: hototahi ki ngā tūāpapa PCR wā-tūturu matua me te Whakamātautau Aunoa Katoa i runga i te Eudemon AIO 800
-Kua whai tiwhikete IVDR, e whakaatu ana i te tutuki i ngā whakaritenga pakari o te Ture Tātaritanga In Vitro a Ūropi, ā, e tautoko ana i ngā taiwhanga puta noa i ngā mākete o Ūropi me te ao.
Te Whakahohe i ngā Whakataunga Hauora Pai Ake
Ehara i te mea ko te kimi noa i te mea e hiahiatia ana te tātaritanga tika o te CDIC. uauaMe whakauru ngā tohu haumanu, ngā kitenga taiwhanga, me te mārama ki te rerekētanga i waenga i te koroni me te mate urutā.
E hangai ana ki ngā taunakitanga a te ESCMID, he mea nui te NAAT tairongo-teitei ki te tautuhi i ngā matū paitini.C. uauangā momo mate urutā hei wāhanga o tētahi rautaki whānui mō te tātaritanga CDI.
Mā roto i āna otinga whakamātautau ngota ngota kua whakamanahia e te IVDR, e whakapau kaha ana a Macro & Micro-Test ki te āwhina i ngā taiwhanga ki te whakatutuki i ngā hua tere, pono hoki e tautoko ana i ngā whakataunga haumanu whai whakaaro, ngā mahi whakahaere mate whai hua, me ngā putanga pai ake mō ngā tūroro.
Wā tuku: Pipiri-25-2026