Kei te noho tonu te horapa o ngā huakita ātete-carbapenem ki te ao whānui hei whakawehi i te rongoā paturopi whai hua, ā, he mea nui ake i mua te tautuhi tere i ngā rauropi whakaputa carbapenemase. Hei tautoko i te whakatau whakatau haumanu me te tirotiro ātete paturopi (AMR),Whakamātautau-Makro me te Moroitie whakahīhī ana ki te whakauru i tanaKete Kimi CarbapenemasemeTiwhikete IVDR, e tutuki ana i ngā whakaritenga pakari o te Ture Tātaritanga In Vitro a Ūropi (EU 2017/746).

I hangaia mō te kimi tere me te tika i ngā ira carbapenemase e ono tino hira i roto i te haumanu—KPC, NDM, OXA-48, OXA-23, VIM me IMP—mā te whakamātautau ka whakaratohia he otinga pono ki ngā taiwhanga mō te whakahaere mate, te tiaki i ngā huakita me te whakahaere tūroro kua arotauhia. Kei te wātea te otinga mō ngā tūāpapa PCR wā-tūturu tuku iho me te pūnaha aunoa katoaŪtemona^TMAIO800Kaitātari Whakarei Waikawa Karihi, e āhei ai te whakatinanatanga ngāwari puta noa i ngā tautuhinga taiwhanga kanorau.

He aha te Hiranga o te Kimi i te Carbapenemase

Ko ngā carbapenem tētahi o ngā kōwhiringa maimoatanga tino nui mō ngā mate kitakita kino. Heoi anō, ko te pikinga ake o ngā rauropi whakaputa carbapenemase kua tino whakaiti i tō rātou whai huatanga haumanu.

E ai ki teTe Whakahaere Hauora o te Ao (WHO), ko te ātete ki ngā paturopi tetahi o ngā tūmomo riri nui o te ao mō te hauora tūmatanui, ā, ko ngā Enterobacterales ātete-carbapenem (CRE) e mōhiotia ana ko tētahi o ngā mate tino nui e hiahia ana kia tirotirohia tonutia me te tere o te tautuhi i ngā mate.

Mā te tautuhi wawe i ngā ira carbapenemase ka taea e ngā tohunga hauora te:

• · Tīmata wawe te rongoā paturopi tika
• · Tautoko i ngā kaupapa tiaki huakita
• · Whakatinanahia ngā mahi ārai me te whakahaere i te mate i te wā tika
• · Aroturuki i te horapa o ngā rauropi ātete i roto i ngā whare hauora

Te Arotahi ki ngā Carbapenemases Tino Hiranga ki te Hauora

I te wā kotahi, ka kitea e te whakamātautau a Macro & Micro-Test ngā ira ātete matua e ono e whai kawenga ana mō te nuinga o ngā mate pukupuku ātete-carbapenem e tino whai kiko ana ki te haumanu.

Whakamātautau PCR Tere mō ngā Whakataunga Hauora Māia

Ki te whakaritea ki ngā tikanga phenotypic tuku iho, ka tukuna e te kitenga ngota ngota e hangai ana ki te PCR te aro nui, te motuhake me te wā hurihanga. Mā te tautuhi tere i ngā ira ātete ka āwhina i ngā tākuta ki te whakatau maimoatanga e ahu mai ana i ngā taunakitanga me te tautoko i te whakahaere mate pāwera hōhipera me te tirotiro ātete paturopi.

Otinga Kimi Carbapenemase kua Whakamanahia e IVDR

-Ste kitenga tere oKPC, NDM, OXA-48, OXA-23, VIM me IMPi roto i te huware tangata me ngā momo ahurea;

-He tino motuhake, kāore he tauhohenga whakawhiti ki ngā mate pukupuku kāore i te whainga, ki ngā ira ātete rānei;

-Te tairongo teitei tae noa ki100 CFU/mL or 500 ngā tārua/mL; 

-Hototahi Whānui me ABI 7500, SLAN-96P me ētahi atu pūnaha PCR wā-tūturu matua;

Kei te wātea te aunoatanga katoaŪtemona^TM AIO800

TeAIO800ka whakauruhia te whakarite tauira, te tango waikawa karihi, te whakanui me te whakamaoritanga hua ki roto i te tūāpapa kotahi kiato, e whakarato ana i te whakamātautau ngota ngota tere me te pono me te iti o te wā mahi-ā-ringa.

-Tauira hei Whakautu i te rerengamahi aunoa katoa.

-Ka puta ngā hua tere i roto i te 80 meneti pea.

- Mā te pūnaha whakahaere poke whakauru ka tika, ka pono hoki ngā hua.

Te Tautoko i te Tiakitanga Paturopi Pai Ake

Mā te tiwhikete IVDR, ka whakaatu anō a Macro & Micro-Test i tōna whakapau kaha ki te whakarato i ngā otinga tātaritanga ngota kounga teitei mō ngā taiwhanga puta noa i Ūropi me te ao whānui.

Mā te Otinga Kite Carbapenemase kua whakamanahia e te IVDR ka taea e ngā kaiwhakarato hauora te whakapakari i te aroturuki ātete ki ngā huakita, te whakapai ake i ngā rautaki whakahaere mate me te tuku whakatau maimoatanga tika ake mō ngā tūroro e pāngia ana e ngā mate kitakita ātete-maha-rongoā.

Mā te Tātaritanga Tika ka Hanga he Ao Pai Ake.

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