Wi ɔl kin go na ɔspitul fɔ gɛt tritmɛnt fɔ wan sik. Bɔt sɔntɛnde, we wi de na ɔspitul, wi kin gɛt ɔda sik dɛn. Wi kin kɔl dɛn infɛkshɔn ya we pɔsin kin gɛt na ɔspitul . Fɔngal infɛkshɔn kin bɔku pan dɛn wan ya. Pan ɔl we bɔku pan di fɛns infɛkshɔn dɛn kin mɛn, tide wi de tɔk bɔt wan nyu kayn fɛns we dɛn jɔs dɔn no ɛn we at fɔ kɔntrol wit mɛrɛsin. Dat na Candida auris we dɛn kɔl Candida auris.
Fɔ tɔk am simpul wan, wetin na Candida auris?
Candida auris, we dεn kכl bak C. auris, na wan kayn yist we de insay di Candida famili fכ fכn. Sɔntɛm yu dɔn yɛri bɔt Kandida. Bɔrku kayn Kandida de wae de liv nɔr de du bad tin na wi skin, na wi mɔt, ɛn na wi intestinal. Bɔt sɔntɛnde, we dɛn gro pasmak, dɛn kin mek pɔsin gɛt infɛkshɔn. Fɔ ɛgzampul, uman dɛn kin gɛt vagina yist infɛkshɔn.
Bɔt, C. auris nɔ tan lɛk ɔda Candida spɛshal dɛn. Na wan nyu fɛns. Dɛn bin kam fɔ no am fɔ di fɔstɛm insay 2009. I kin mɔna pipul dɛn we dɛn de trit fɔ ɔda sik dɛn na ɔspitul ɔ na say usay dɛn de kia fɔ ol pipul dɛn.
Lɛk ɔda Candida spɛshal dɛn, C. auris nɔ kin de pan pipul dɛn we gɛt wɛlbɔdi. Dis infεksh כn de kכz fכ di fכn we de kכmכt na do. Di big denja na dat i nɔ de tek drɔgs to bɔku antifungal drɔgs. If di infεkshכn spre to di bכdi כ di כgan dεm we de insay, i kin kil am. Infakt, lɛk wan pan ɛvri tri pipul dɛn we gɛt dis bad bad C. auris infɛkshɔn kin day .
Udat de pan denja fɔ gɛt dis?
Pɔsin we gɛt wɛlbɔdi ɛn we gɛt gud wɛlbɔdi nɔ kin rili gɛt dis infekshɔn. Dis na mεntal wan nosokomial infεkshכn. Dat min se na pɔsin we dɔn ɔlrɛdi gɛt ɔda sik kin gɛt am. da tεm de, biכs dεn bכdi in imyuniti wik, di `C. auris` fכns kin izi fכ gro εn mek di sik.
Pipul dɛm wae gɛt dɛn risk factor dɛm wae de kam biɛn ya kin gɛt C. auris.
| Risk Factor | Simpul ɛksplen |
|---|---|
| Fɔ gɛt Sɛntral Venɔs Kateta | Tiub we dɛn kin put insay wan big blɔd vesel na di nɛk, chɛst, ɔ groin. |
| Fɔ gɛt kateshɔn fɔ urinary | Na tyub we dɛn kin yuz fɔ pas urine. |
| Imyun suprεshכn | Ɛgzampul dɛn: kansa tritmɛnt, HIV infɛkshɔn, mɛrɛsin dɛn we dɛn tek afta dɛn dɔn transplant dɛn ɔgan. |
| Dayabitis (Dayabetes Mɛlitɔs) . | Di sik dɛn we dɛn nɔ kin kɔntrol fɔ gɛt dayabitis. |
| Kidni sik we nɔ de mɛn | Di kidni nɔ de wok fayn. |
| Dɛn jɔs dɔn yuz antibayɔtik ɔ anti-fɔngal | Dɛn dɔn de yuz dɛn mɛrɛsin ya insay di las 30 dez. |
| Blɔd Transfyushɔn ɔ Ɛmodayalis | Fɔ gi blɔd ɔ yuz mashin fɔ du di kidni wok. |
| Bikɔs dɛn bin dɔn du am ɔpreshɔn i nɔ tu te yet | Afta dɛn dɔn du ɔpreshɔn pan am insay di las 30 dez. |
| Fɔ gɛt tritmɛnt na say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU) . | Fɔ de na wɔd usay dɛn de trit siriɔs sik dɛn. |
Wɛl, aw dis kin skata?
Candida auris kin spred mɔ tru kɔntakt .
- Pɔsin to pɔsin: Imajin se, pɔsin we de wok na di ɔspitul kin gɛt dis fɛns na dɛn an ɔ klos we dɛn nɔ no. We dɛn de kia fɔ pɔsin we sik, dɛn kin infɛkt di pɔsin wit di fɛns.
- Tru tin: If yu tɔch sɔntin we gɛt di C. auris fungus, yu kin gɛt am bak. Di fungus kin liv fɔ lɔng tɛm nɔto jɔs pan tin dɛn we at lɛk tebul ɛn domɔt knob, bɔt i kin ebul fɔ liv bak pan blɔd prɛshɔn kɔf, bed shit, ventilator tyub, ɛn ɔda mɛrɛsin ikwipmɛnt dɛn . Dis na di rizin we mek i kin pas kwik kwik wan frɔm wan sikman to ɔda pɔsin na ɔspitul ɔ say usay dɛn de kia fɔ ol pipul dɛn.
Bikɔs ɔf dis izi we fɔ skata, C. auris ɔtbrɛk kin apin na ɔspitul ɔ nɔs os.
Wetin na di sayn dɛm fɔ dis?
Bikɔs C. auris kin gɛt pipul dɛn we dɔn ɔlrɛdi gɛt ɔda sik, i kin at fɔ no di rayt sayn dɛm fɔ dis infɛkshɔn. Di sayn dɛm kin dipen pan us pat na di bɔdi gɛt di sik. Dɛn sayn ya kin tan lɛk di wan dɛn we gɛt baktriyal infεkshɔn ɔ ɔda fεn infεkshɔn.
in jεnarכl, di kayn infεkshכn dεm we C. auris kin kכz na:
- Blɔd strim infɛkshɔn - Di men sayn dɛm fɔ dis na fiva ɛn kol.
- Wund infεkshכn - εspεshali כpεrayshכn כ bכn wund dεm.
- Infekshɔn na di yes
- Infεkshכn na di urinary tract
- Mayokarditis - inflameshn na di at
- Meningitis - Infεkshכn pan di mεmbran dεm we de kכba di bren.
Bikɔs dɛn sik ya kin kam bak frɔm ɔda sik dɛn, i kin jɔs pɔsibul fɔ tɔk fɔ tru if na C. auris infɛkshɔn afta dɛn dɔn du mɛdikal tɛst.
Aw dɛn kin no bɔt dis ɛn trit am?
Diagnosis we dɛn kin gɛt
di onli we fכ difinitivli kכnfכm C. auris infεkshכn na fכ tek sεmpl frכm wan pat we dεn sכspεkt na di bכdi (e.g., bכdi, urine, pus frכm wund).Dɛn kin du wan kɔlchɔ tɛst . na afta dat na di labכtכri dεn kin no di spεsifi k maykro כganism we de mek di infεkshכn.
Bɔt, smɔl prɔblɛm de ya. Bikɔs dis na nyu fכns, di tεst mεtכd dεm we de naw kin sכmtεm misidentify C. auris as כda kכmכn tכp כf Candida. If dat apin, i kin dɔn let fɔ bigin di rayt tritmɛnt.
Tritmɛnt
Fɔ trit C. auris nɔ kin izi bikɔs, lɛk aw wi bin dɔn tɔk, i nɔ kin ebul fɔ tek bɔku antifungal drɔgs.
- Naw, dɛn kin tek di tritmɛnt we go wok fayn pas ɔl na wan klas we dɛn kɔl ɛchinocandins . Bɔrku pan di sik pipul dɛm kin wɛl frɔm dɛn mɛrɛsin ya.
- כltu, sכm strayn dεm fכ C. auris de rεsist mכlti-drug. If dɛn kayn tin ya kin apin, dɔktɔ dɛn kin gɛt fɔ jɔyn difrɛn mɛrɛsin dɛn we de mek dɛn nɔ gɛt bɛlɛ, ɛn sɔntɛnde dɛn kin gɛt bɔku bɔku mɛrɛsin dɛn. Bikɔs no patikyula tritmɛnt protɔkɔl nɔ de fɔ dɛn kayn kes dɛn de, di dɔktɔ kin disayd di tritmɛnt we bɛtɛ fɔ ɛni wan pan di sikman dɛn.
Di tin we impɔtant pas ɔl na: Aw fɔ protɛkt yusɛf frɔm dis? (Prɛvenshɔn) .
Masta sabi bukman dɛn se fɔ mek dis sik nɔ skata bɛtɛ pas fɔ trit am . If yu de go fɛn pɔsin na ɔspitul ɔ say usay dɛn de kia fɔ ol pipul dɛn, na fɔ no bɔt dɛn tin ya bak.
- Was yu an ɔltɛm: Kip yu an klin wit sop ɛn wata ɔ wan tin we gɛt rɔm fɔ was yu an. Dis na di tin we impɔtant pas ɔl.
- Fɔ kip di envayrɔmɛnt klin: I rili impɔtant fɔ mek di wan dɛn we de wok na di ɔspitul disinfɛkt di say dɛn ɛn di tin dɛn we dɛn de yuz fɔ mɛn pipul dɛn fayn fayn wan na di pɔsin in rum.
If dɛn no se pɔsin gɛt C. auris infɛkshɔn, di ɔspitul go tek spɛshal tin fɔ mek i nɔ skata.
- Fɔ transfa di pɔsin to wan sɛpret rum fɔ mek i nɔ gɛt bɔku kɔntakt wit ɔda sikman dɛn.
- Di wan dɛn we de wok na di mɛdikal we de kia fɔ di pɔsin ɛn di wan dɛn we de kam fɔ si di pɔsin fɔ wɛr spɛshal klos ɛn glɔv dɛn we de protɛkt am.
- Yuz difrɛn, pawaful disinfɛktant pas aw yu kin yuz fɔ klin di pɔsin in rum ɛn in ikwipmɛnt.
- Instrakt di famili mɛmba ɛn di wokman dɛm we de intarakt wit di pɔsin fɔ was dɛn an fayn fayn wan afta ɛni visit.
If yu ɔ sɔmbɔdi na yu famili gɛt ɛnitin fɔ wɔri ɔ dawt bɔt dis `Candida auris` infɛkshɔn, duya tɔk to yu dɔktɔ ɔ di mɛdikal wokman dɛm na di ɔspitul bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Candida auris na siriɔs, drɔg-rɛsistant fɔngal infɛkshɔn we kin skata na wɛlbɔdi say dɛm lɛk ɔspitul ɛn nɔs os.
- Dis kin mɔs afɛkt di wan dɛn we dɛn imyuniti dɔn ɔlrɛdi wik bikɔs ɔf ɔda sik dɛn, nɔto pipul dɛn we gɛt wɛlbɔdi.
- I kin skata tru kɔntakt wit pipul dɛm we gɛt di sik ɛn kɔntaminɛt sɔfays dɛm we dɛn dɔn yuz.
- Fɔ was yu an fayn fayn wan ɛn ɔltɛm na di simpul ɛn impɔtant we fɔ mek dis sik nɔ go ɔlsay.
- If yu gɛt ɛnitin we de mɔna yu bɔt pɔsin we yu lɛk we de na ɔspitul, i impɔtant fɔ tɔk bɔt am opin wan wit di dɔktɔ ɔ di wan dɛn we de trit dɛn.
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