Yu dɔn ɛva yɛri bɔt yu fambul ɔ padi we bin de na intensiv kia yunit (ICU) gɛt "hospital-acquired infection"? Sɔmtɛm na bikɔs ɔf wan kayn baktri we wi de tɔk bɔt, we nɔ de taya bɔku mɛrɛsin ɛn we denja smɔl. Wae dis baktri nɔr kin kɔz bɔrku trɔbul fɔ pipul dɛm wae gɛt wɛl bɔdi, i kin bi siriɔs trɛtin fɔ pɔrsin wae de na ɔspitul ɛn in imyun sistɛm wik.
Wetin rili na Acinetobacter baumannii?
Fɔ tɔk am simpul wan, dis na wan kayn baktri. Dɛn kin bɔku na di envayrɔmɛnt, mɔ na grɔn ɛn wata. insay labכtכri tεst, dεn kin klas dis baktri as ``Gram-nεgεtiv''. Dat min se i kin luk pink we dɛn stɛyn am wit wan patikyula day. Pan ɔl we dat nɔ impɔtant to wi, i impɔtant to dɔktɔ dɛn.
Bɔt di men rizin we mek wi ɔl de fred dis baktri na di wɔndaful tin we i ebul fɔ du. Dat na di ebul we i ebul fɔ tinap tranga wan fɔ di antibayɔtiks . Wi no se we wi gɛt baktri, dɔktɔ kin gi wi antibayɔtik. Bɔt dis baktri, Acinetobacter baumannii, dɔn fɛn we fɔ mek i nɔ gɛt bɔku antibayɔtiks. Wi kin kɔl dis multidrug resistance. I tan lɛk se dɛn de bil difrɛn kayn bɔnks dɛn fɔ ayd insay we ɛnimi kam. So, dɔktɔ dɛn gɛt fɔ gɛt big prɔblɛm fɔ mɛn di sik dɛn we dis bɔdi kin gɛt.
Aw dis infεkshכn kin pas? Udat dɛn de pan denja pas ɔlman?
Dis baktriyal infεkshכn nכ kin bכku pan di jεnarכl pipul dεm we de ausayd כspitul sεtin. Bɔt sɔntɛnde, i kin apin ausayd ɔspitul fɔ pipul dɛn we gɛt dayabitis, sik we nɔ de mɛn na dɛn lɔng, ɔ we nɔ gɛt bɛtɛ trɛnk fɔ fɛt di sik.
Bɔt di big big prɔblɛm na fɔ di wan dɛn we de na ɔspitul, mɔ di wan dɛn we sik bad bad wan. Tink bɔt dis: Pɔsin we gɛt dis kayn sik kin gɛt dis sik:
- Di wan dɛn we de gɛt tritmɛnt na di Intensiv Keya Yunit (ICU).
- Pipul dɛn we gɛt kɔnekshɔn to ventilator.
- Pipul dɛn we gɛt urinary catheter ɔ venous catheter.
- Pipul dɛn we dɔn de na ɔspitul fɔ lɔng tɛm.
- Pipul dɛn we gɛt opin ɔpreshɔn wund dɛn.
Di men we dɛn we dis infɛkshɔn kin pas na tru di ɔspitul wokman dɛn an, bay we dɛn tɔch pɔsin we gɛt di sik, tru drɔp dɛn we kin go insay di briz we pɔsin we gɛt di sik kɔf ɔ sniz, ɛn tru di mɛrɛsin ikwipmɛnt dɛn we dɛn nɔ klin fayn.
Dis baktri kin liv fɔ lɔng tɛm pan tin dɛn lɛk ɔspitul ikwipmɛnt ɛn bed. Na dat mek tin dɛn lɛk fɔ klin na ɔspitul ɛn fɔ was dɛn an we di wan dɛn we de wok de du rili impɔtant.
Ivin di Wol Wɛlbɔdi Ɔganayzeshɔn (WHO) dɔn put dis `Acinetobacter baumannii` baktri pan di baktri dɛm we de mek mɔtalman de sɔfa pas ɔl. Di rizin fɔ dis na di wɔndaful we aw i ebul fɔ tinap tranga wan fɔ di antibayɔtiks we wi bin dɔn tɔk bɔt.
Wetin na di sayn dɛm fɔ dis infekshɔn?
Di sayn dɛm de dipen pan us pat na di bɔdi di baktri dɔn gɛt di sik. Fɔ ɛgzampul, if di lɔng dɛn gɛt di sik, no sayn nɔ go de, bɔt if di bren gɛt di sik, i go de.
Lɛ wi ɛksplen dis mɔ wit di tebul we de dɔŋ ya.
| Tayp fɔ infɛkshɔn | Diskripshɔn ɛn di simptom dɛm |
|---|---|
| Nyumonia we dɛn kin gɛt na ɔspitul | Dis na di infεkshכn we dis bכdi kin kam wit. I kin apin mɔ pan pipul dɛn we de na ICU ɔ we de na ventilator. Di sayn dɛm: fiva, i nɔ kin izi fɔ blo, i kin bit kwik kwik wan, i kin pen na in chɛst, ɛn i kin kol. |
| Blɔd infɛkshɔn / Sɛpsis | Baktri de go insay di blɔd ɛn skata ɔlsay na di bɔdi. Dis na tin we rili denja. Insay ICU, di risk fɔ day frɔm dis kayn infɛkshɔn na lɛk 30%-40%. Di sayn dɛm: Yu kin gɛt ay fiva, yu kin kol, yu kin blo kwik kwik wan, ɛn yu kin kɔnfyus. |
| Sentral nεv sεstem infεkshכn dεm | Meningitis, we na infεkshכn na di mεmbran dεm we de kכba di bren, kin apin, εspεshali afta dεn dכn כpεrayshכn na di bren. Di sayn dɛm na wae yu kin gɛt ay fiva, yu nɔr kin no natin, yu kin fit, yu nɛk kin stif, yu ed kin at, ɛn yu nɔr kin ebul fɔ luk brayt layt. |
| Ɔda infɛkshɔn dɛn | Urinary tract infεkshכn, bon infεkshכn, skin εn sכft tisu infεkshכn, wund infεkshכn, εn infεkshכn na di insay layn na di at (endocarditis) kin apin bak. |
Aw dɛn kin trit dis?
Dis na di big prɔblɛm. Bikɔs dis baktri nɔ kin ebul fɔ tek bɔku antibayɔtik, i kin rili at fɔ lɛ dɔktɔ dɛn pik di tritmɛnt.
Dis na wetin kin apin:
We yu dɔktɔ sɔspɛkt se yu gɛt di sik, dɛn go tek wan sɛmpul (e.g. blɔd, blɔd, ɔ wata we kɔmɔt na wund) frɔm di say we di sik gɛt ɛn sɛn am to lab. Dɛn kɔl dis ``kɔlchɔ'' tɛst.
Bɔt i kin tek sɔm dez fɔ mek di rizɔlt fɔ da ``(kɔlchɔ)`` de kam bak. If di pɔsin sik bad bad wan, yu nɔ go ebul wet fɔ dɛn rizɔlt dɛn de. So di dɔktɔ kin bigin fɔ trit am bay wetin i dɔn gɛs fayn , bay wetin i dɔn ɛkspiriɛns wit di kayn baktri dɛn we kin bɔku na di ɔspitul ɛn us antibayɔtik dɛn dɔn wok fayn dis biɛn tɛm.
We di kɔlchɔ ripɔt kam insay sɔm dez, i go sho klia wan us baktri dɛm de mek di infekshɔn, us antibayɔtiks de wok, ɛn us antibayɔtiks nɔ de wok. Dɔn di dɔktɔ go disayd if i fɔ chenj di tritmɛnt we dɛn bin dɔn bigin fɔ du bifo tɛm ɔ nɔ fɔ chenj am bay da ripɔt de.
sכmtεm, dis baktri de rεsist to rili pawaful, "las risכt" antibaytik lεk ``carbapenem''. Insay dɛn kayn tin ya, di tritmɛnt kin rili at fɔ du. So, if dɛn kayn tin ya apin, lɛf di disayd fɔ tritmɛnt to yu dɔktɔ nɔmɔ.
Mɛsej we dɛn kin kɛr go na os
- Acinetobacter baumannii na siriɔs baktriyal infɛkshɔn we nɔ kin gɛt bɔku antibayɔtik ɛn i kin pas mɔ na ɔspitul.
- Di risk we pas ɔl na fɔ di wan dɛn we sik bad bad wan we de na intensiv kia yunit (ICU), di wan dɛn we de na ventilator, di wan dɛn we gɛt ɔspitul wund, ɛn di wan dɛn we gɛt wik imyun sistɛm.
- di simptom dεm de dipכnt pan di pat pan di bכdi we infεkt (lכng, bכdi, bren, εtk).
- Di tritmɛnt na kɔmpleks ɛn na yu dɔktɔ fɔ de manej am bay di ripɔt dɛn we dɛn kin gi na di lɛbɔtri tɛst.
- Di bɛst we fɔ avɔyd dis infɛkshɔn na fɔ strikt wan fɔ fala di rayt we fɔ klin pipul dɛn na ɔspitul (espɛshali we di wan dɛn we de wok de was dɛn an).
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