Yu tink se ɔspitul kin kech sik? (Healthcare-Associated Infections) Lɛ wi fɛn ɔltin bɔt dis!

Wi ɔl kin go na ɔspitul ɔ klinik fɔ gɛt tritmɛnt fɔ sɔm sik. Bɔt sɔntɛnde, we wi nɔ ivin tink, wi kin go fɔ gɛt tritmɛnt fɔ wan sik ɛn ɔda nyu infɛkshɔn kin kam insay wi bɔdi. Dis na rili rizin kwɛstyɔn ɛn bɔku pipul dɛn kin fred smɔl. So tide wi go tɔk bɔt dɛn infɛkshɔn ya we dɛn kin pas na ɔspitul, we dɔktɔ dɛn kin kɔl `(Healthcare-Associated Infections - HAIs)` ɔ `(Nosocomial Infections)`, ɛn dɛn wan ya na bɔt dɛn wan ya.

Wetin na dɛn ``Hɛlthkɛr-Asosiet Infɛkshɔn'' ya?

Fɔ tɔk am simpul wan, dis na we yu go na ɔspitul, klinik, ɔ ɔpreshɔn fɔ gɛt tritmɛnt fɔ ɔda tin, ɛn yu gɛt nyu infɛkshɔn we yu de de. Sɔntɛnde, dɛn tin ya kin simpul, bɔt sɔntɛnde dɛn kin bi siriɔs tin dɛn we kin mek pɔsin in layf de pan denja . Dɛn infɛkshɔn ya nɔ kin apin na ɔspitul nɔmɔ, bɔt i kin apin bak na say dɛn lɛk ɔspitul sɛnta, dayalaysis klinik, ɛn say dɛn we dɛn kin kia fɔ pipul dɛn fɔ lɔng tɛm.

Dɔktɔ dɛn go jɔs kɔl dis kɔrɛkt wan HAI insay kes dɛn lɛk dis:

• If infekshɔn kam afta 48 awa we dɛn admit am na ɔspitul.
• If infekshɔn kam insay 3 dez afta dɛn pul am na ɔspitul ɔ ɔpreshɔn rum ɛn go na os .
• If infekshɔn apin insay 30 dez afta dɛn du di ɔpreshɔn .

Pan ɔl we ɛnibɔdi kin gɛt dɛn kayn sik ya, di wan dɛn we gɛt kɔmprɔmis imyun sistɛm kin gɛt mɔ risk. dis kin bi fכ di kayn jεm dεm (pathogens) we de rawnd wi. Dɛn tin ya na:

• Baktri dɛn we de na di bɔdi
• Vayrɔs dɛn
• Fɔngi `(Fɔns)`

Mɛmba se bɔku pan dɛn HAI ya na tin dɛn we pɔsin kin ebul fɔ avɔyd. Bɔt bɔku bɔku pipul dɛn we sik ɛn pipul dɛn we de wok fɔ wɛlbɔdi biznɛs ɔlsay na di wɔl kin gɛt dis sik ɛvri ia. So, i rili impɔtant fɔ mek di wan dɛn we de wok na di ɔspitul ɛn di wan dɛn we sik famili wok togɛda fɔ sɔlv dis prɔblɛm.

Wetin na di men kayn infekshɔn wae kin pas na ɔspitul dis kayn we?

Bɔrku kayn infekshɔn de wae kin kam wit ɔspitul lɛk dis. Di tin dɛn we kin mek dɛn gɛt dɛn sik kin difrɛn bak. Lɛ wi luk di men wan dɛn.

C. diff (Clostridioides difficile) infεkshכn

Dis na wan pan di infεkshכn dεm we dεn kin gεt na כspitul. I kin mek yu bɛlɛ pen, yu kin gɛt dayarɛa, ɛn yu kin gɛt inflamɛns na di kɔlon (colitis). Sɔm pipul dɛn kin gɛt am bak insay tu to et wik afta dɛn dɔn gɛt am.

Infεkshכn we di urinary trakt de mek wit kateta (CAUTI) .

Na lɛk 32% pan ɔl di ɔspitul infɛkshɔn dɛn na dis kayn. Yu kin mɛmba se sɔm pipul dɛn kin put wan tiub frɔm dɛn blad fɔ ɛp dɛn fɔ pas urine izi wan, we dɛn kɔl kateshɔn. DisDis urinary tract infection kin kam mɔr we yu ol am fɔ lɔng tɛm.

Sɛntral layn-asɔsiet blɔdstrim infɛkshɔn (CLABSI) .

Infεkshכn dεm we de kכmכt na blכd de mek bכt 14% pan di infεkshכn dεm we dεn kin gεt na כspitul. dis kin apin pan pipul dεm we gεt sεntri layn (sεntri venus kateta). Dis min se dɛn fɔ put wan tiub insay wan big vein nia di at, gi mɛrɛsin tru am, ɛn tek blɔd we dɛn nɔ de stik nidul bɔku tɛm.

MRSA (mεtisilin-rεsistant Staphylococcus aureus) infεkshכn

Dis na HAI bak we rili kɔmɔn. Na `(Staph infection)`, we min se na infεkshכn we wan baktri we dεn kכl Staphylococcus de kכz. Bɔt di spɛshal tin we dis wan gɛt na dat i nɔ kin gɛt sɔm pawaful antibayɔtik dɛn lɛk penisilin, amɔksisilin, ɛn mɛtisilin, we min se i nɔ kin izi fɔ mɛn am wit dɛn mɛrɛsin dɛn de.

Infεkshכn na di sayt we dεn de du sכjεkshכn (SSI) .

Na lɛk 22% pan ɔl di ɔspitul infɛkshɔn dɛn na infɛkshɔn we gɛt fɔ du wit ɔpreshɔn. Dɛn infɛkshɔn ya nɔ kin afɛkt di wund dɛn nɔmɔ we dɛn kɔt, bɔt i kin afɛkt di tisu ɛn ɔgan dɛn we de insay di bɔdi, ɛn sɔm tɛm dɛn kin ivin di divays dɛn (implant) lɛk pesmɛka ɔ atifishal jɔyn dɛn we dɛn bin put insay di bɔdi we dɛn bin de du ɔpreshɔn. Imajin, na wi neba vilej, Sumane in ɔnkul kam bak na os afta dɛn dɔn du ɔpreshɔn pan am fɔ apɛndiks, ɛn afta i kam bak na os, di wund bin ful-ɔp ɛn i bin gɛt fɔ go bak na ɔspitul. Na so i tan lɛk.

Nyumonia we gɛt fɔ du wit ventilator (VAP) .

Dis kin mek bak lɛk 15% pan di ɔspitul infɛkshɔn dɛn. Dis kכndyushכn kin apin pan pipul dεm we de gεt mεkanikal ventilashכn . Dis kayn nyumonia kin apin we di jεm dεm kin kam insay di lכng dεm tru di brith tכb na wan ventilator, we dεn kin yus fכ εp pipul dεm fכ brith dεn wan.

Us sayn dɛm wae dis kayn infekshɔn kin kam wit?

We infεkshכn we dεn gεt na כspitul apin, di sayn dεm kin difrεn dipכnt pan di kayn infεkshכn. Bɔt na sɔm sayn dɛn we kin apin:

• Fiva .
• Chil na di filin we pɔsin kin fil we i kol ɛn shek shek .
• I nɔ kin izi fɔ yu fɔ blo , we yu kin fil se yu chɛst tayt (dyspnea).
• Kɔf .
• Bɛlɛ we de at .
• Fɔ fil lɛk se yu chɛst de bit fast (at de bit).
• Dayarɛa (we yu nɔ de muv fayn fayn wan).
• Yu kin pis bɔku tɛm pas aw yu kin pis (polyuria).
• Bɔn ɛn pen we yu de pis (dysuria).
• Chenj na di mental stet - agiteshɔn, iritabiliti, filin fɔ lɔs kɔnshɛns.

Wetin mek dɛn kayn sik ya kin apin na ɔspitul? Wetin na di tin dɛn we kin mek i apin?

Dɛn infɛkshɔn ya we kin kam na ɔspitul kin kɔmɔt frɔm difrɛn kayn jem (pathogens). Sɔm pan di ɛgzampul dɛn we dɛn kin yuz mɔ na:

• Gram-negative bacteria: Dɛn kin mek tin lɛk blɔd pɔyzin, nyumonia, ɛn mɛningaytis.
• Clostridium difficile (C. diff): Dis na baktri we kin mek di intestinal inflamɛns ɛn mek yu gɛt siriɔs dayarɛa we kin izi fɔ mek yu go to ɔda pipul dɛn.
• Methicillin-resistant Staphylococcus aureus (MRSA): Dis na baktriyal infεkshכn we wi bin dכn tכk bכt bifo, εn we sכm antibaytik dεm nכ de wok pan.
• Epataytis: Dis na grup we gɛt vayral infɛkshɔn we kin izi fɔ transmit we kin afɛkt di liva.

I impɔtant bak fɔ no aw dɛn sik ya kin skata. Dɛn kin pas tru di drɔp dɛn we de mek pɔsin blo we pɔsin sniz ɔ kɔf . Dɛn kin skata bak if di wan dɛn we de wok na di wɛlbɔdi biznɛs nɔ tek di rayt tin fɔ kɔntrol di infɛkshɔn (fɔ ɛgzampul, if dɛn nɔ sterilayz di ikwipmɛnt dɛn fayn fayn wan) .

Udat de pan risk fɔ gɛt dis infɛkshɔn?

Dɛn kɔl tin dɛm wae de mek yu gɛt mɔr risk fɔ gɛt sik. Yu go gɛt wan sik we dɛn kin gɛt na ɔspitul if yu tritmɛnt inklud:

• If yu gɛt kateshɔn dɛn we yu dɔn put.
• If yu de gɛt ɛp fɔ blo wit ventilatɔ.
• If yu fɔ tek injɛkshɔn ɔltɛm.
• If dɛn de du ɔpreshɔn pan yu.

Us kɔmplikɛshɔn kin apin bikɔs ɔf dis infɛkshɔn?

Di prɔblɛm dɛn we kin apin frɔm dɛn infɛkshɔn ya kin dipen pan di kayn infekshɔn ɛn aw i siriɔs. Lɛ wi luk di kɔmplikɛshɔn dɛm wae kin kam frɔm sɔm big kayn HAI:

• Sɛntral Layn Asosiet Blɔd Infɛkshɔn (CLABSI):
• Inflameshɔn na di insay layn na di at (endocarditis) .
• Vein trombosis ɛn inflameshɔn (Thrombofhlebitis) .
• Infεkshכn na di bon dεm (Osteomyelitis) .
• Absεs we de na di bɔdi
• Sepsis (na wan bad bad sik we de skata ɔlsay na di bɔdi, we dɛn kin kɔl bak blɔd pɔyzin) .

• Infεkshכn dεm na di sayt we dεn de du sכjεkshכn (SSI):
• Di wund kin tek tɛm fɔ wɛl.
• Fɔ gɛt fɔ du ɔpreshɔn bak.
• Di bɔdi we nɔ de tek mɛrɛsin we dɛn put insay pɔsin in bɔdi.
• Infεkshכn dεm na di bכdi kaviti.
• Sepsis we dɛn kɔl sɛpsis.

• Infεkshכn dεm we de kכmכt wit kateshכn (CAUTI):
• Infεkshכn dεm na di urinary tract.
• Sepsis we dɛn kɔl sɛpsis.

• Nyumonia we gɛt fɔ du wit ventilator (VAP):
• Di we aw pɔsin de blo fayn.
• di akyumyuleshכn fכ di pus na di layn na di lכng dεm (Empyema).
• Sepsis we dɛn kɔl sɛpsis.

Aw dɔktɔ dɛn kin no bɔt dɛn sik ya?

Bɔrku tɛm, dɔktɔ kin no if pɔrsin gɛt HAI wae i gɛt di sayn dɛm wae wi bin dɔn tɔk bɔt. Sɔntɛnde, di fɔs sayn dɛn na di skin we de rɛd, we yu gɛt rɔsh, ɔ we yu gɛt wata we de kɔmɔt na yu wund we dɛn du ɔpreshɔn pan . Fɔ mek yu no se yu gɛt di sik ɔ fɔ mek yu nɔ no ɔda sik, yu dɔktɔ kin tɛl yu fɔ du yu urinalysis ɔ blɔd tɛst .

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt fɔ HAI dipen pan di kayn infekshɔn. Dɔktɔ dɛn kin yuz mɛrɛsin dɛn lɛk:

• Antibayɔtik ( fɔ baktriyal infɛkshɔn) .
• Antivayrɔs ( fɔ vayral infɛkshɔn) .
• Antifungals ( fɔ fungal infɛkshɔn) .

Bɔt wan ɔda prɔblɛm de. Sɔntɛnde, dɛn tritmɛnt ya nɔ kin wok fayn bikɔs ɔf tin dɛn lɛk antibayɔtik rɛsistɛns, antivayrɔs rɛsistɛns, ɛn antifɔngal rɛsistɛns. dis "rεsistεns" min se di jεm dεm dכn chenj (εvolv) ova tεm εn dεn nכ de wok igen agens di dεm we dεn bin mek fכ kil dεm. Dat na wan rizin wae mek sɔmtɛm dɛn nɔr kin izi fɔ trit dɛn HAI ya.

So, pan ɔl we i nɔ kin pɔsibul ɔltɛm, di bɛst tritmɛnt fɔ dɛn sik ya we kin kam na ɔspitul na fɔ mek dɛn nɔ gɛt dɛn bifo dɛn apin.

Wetin wi kin du fɔ mek wi nɔ gɛt dɛn sik ya we kin kam na ɔspitul?

Nɔto ɔl di sik dɛn we dɛn kin gɛt na ɔspitul, dɛn kin ebul fɔ avɔyd, bɔt if yu ɛn yu famili fala dɛn step ya togɛda, yu kin ridyus di risk fɔ gɛt infɛkshɔn bad bad wan.

• Kip yu an dɛn klin. Wan pan di bɛst we fɔ stɔp di jem dɛn we de skata ɛn protɛkt yusɛf frɔm sik na fɔ was yu an ɔltɛm. Wash yu an wit sop ɛn wata fɔ at le 20 sɛkɔn.
• Aks di dɔktɔ ɛn nɔs dɛm we de trit yu wetin dɛn de du fɔ kɔntrol infɛkshɔn. If yu gɛt ɛnitin we de mɔna yu ɔ yu de fred, nɔ fred fɔ tɔk bɔt am.
• If yu gɛt kateshɔn, aks yu dɔktɔ ɔ nɔs ɔltɛm if i stil nid am. Sɔntɛnde, dɛn kin lɛf am insay ivin afta we dɛn nɔ nid am igen.
• If yu de tek antibayɔtik , tek am jɔs lɛk aw yu dɔktɔ tɛl yu, di rayt we ɛn fɔ di rayt tɛm. Nɔ stɔp fɔ tek dɛn te yu dɔktɔ tɛl yu fɔ tek am, ilɛksɛf yu fil fayn.
• Bifo yu gi yu antibayɔtik , aks yu dɔktɔ fɔ du tɛst fɔ mek shɔ se na di rayt wan fɔ yu infɛkshɔn.
• Aks wetin dɛn kin du fɔ mek dɛn nɔ gɛt di sik bifo ɛn afta dɛn du ɔpreshɔn.Dɔn bak, aks wetin yu kin du fɔ ridyus di risk fɔ gɛt di sik we yu de rɛdi fɔ ɔpreshɔn.
• Lan fɔ no di sayn dɛn we de sho se yu gɛt infekshɔn na yu skin. If rɛd, drenaj, ɔ pen de rawnd di say we dɛn dɔn ɔpreshɔn di wund ɔ di say we dɛn put di kateshɔn, dat kin bi sayn fɔ se yu gɛt di sik.
• Gɛt yu flu shot ɛn ɔda vaysin dɛn we dɛn kin gi yu di rayt tɛm. Dis kin ɛp fɔ protɛkt yusɛf frɔm sɔm infɛkshɔn.

Wetin na di tumara bambay fɔ pɔsin we dɔn gɛt dis kayn sik?

Bɔrku tɛm, if dɛn no bɔt HAI lɛk dis kwik kwik wan ɛn trit am fayn, pipul dɛn kin mek dɛn wɛl ful wan. Bɔt dɛn kayn pipul ya kin gɛt fɔ de na di ɔspitul fɔ lɔng tɛm ɛn dɛn kin gɛt ɔda tin dɛn we kin ambɔg dɛn we dɛn de travul fɔ wɛl.

Sɔntɛnde, dɛn sik ya we pɔsin kin gɛt na ɔspitul kin mek i gɛt siriɔs prɔblɛm wit in wɛlbɔdi ɛn ivin day. Fɔ ɛgzampul, di Sɛntral fɔ Kɔntrol ɛn Prɛvenshɔn fɔ Sik (CDC) bin tɔk se ɛvri ia na lɛk 99,000 pipul dɛn kin day na di ɔspitul dɛn na Amɛrika nɔmɔ bikɔs ɔf dɛn sik ya we dɛn kin gɛt na ɔspitul. Dis na prɔblɛm we de ɔlsay na di wɔl.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni sayn we yu go sɔprayz, ɔ if yu fil se yu sik de wɔs, yu fɔ rili tɛl yu dɔktɔ. Dis impɔtant mɔ if yu de na ɔspitul naw ɔ dɛn jɔs dɔn du ɔpreshɔn pan yu. If yu fil se sɔntin nɔ rayt, ilɛk wetin apin, go to yu dɔktɔ wantɛm wantɛm ɛn gɛt di tritmɛnt we yu nid.

We wi ɔl sik, wi kin go na ɔspitul ɛn klinik fɔ mek wi wɛl. Bɔt we wi go de ɛn gɛt ɔda sik, i kin rili mek wi wɔri, wi nɔ kin no wetin fɔ du, ɛn sɔntɛm wi kin ivin fred smɔl.

Nosocomial infεkshכn kin mek siriכs kכmplikεshכn. Bɔt mɛmba se bɔku pan dɛn HAI ya kin avɔyd. Wi ɔl gɛt di wok fɔ mek di ɔspitul ɛnvayrɔmɛnt bi say we sef. If yu si sɔntin we yu tink se kin bi infɛkshɔn fɔ yu ɔ ɔda pɔsin, nɔ fred fɔ tɛl yu wɛlbɔdi tim.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

So, a op se yu dɔn ɔndastand gud gud wan naw bɔt wetin na ɔspitul infɛkshɔn, aw dɛn kin apin, ɛn aw fɔ mek dɛn nɔ gɛt am. Di tin we impɔtant pas ɔl na fɔ no bɔt dis ɛn tek kia ɔf yu yon sef. If yu ɔ pɔsin we yu sabi de na ɔspitul, na fɔ no bɔt dɛn tin ya. Aks kwɛstyɔn, klia yu dawt. Dɔn wi kin avɔyd dɛn sik ya we wi nɔ want as wi ebul.

` Infεkshכn dεm we de na כspitul, Infεkshכn dεm we de kכmכt wit Wεlthkeya, Nosokomial Infεkshכn, Siz dεm we dεn kin gεt na כspitul, Infεkshכn kכntrכl, Jεm, Ospital sef