Wahi a kekahi noiʻi i paʻi ʻia ma ka Annals of Internal Medicine, ua kōkua paha kahi kānana wai kalepa i ka maʻi o ʻehā mau maʻi ʻoki puʻuwai ma Brigham and Women's Hospital, ʻekolu o lākou i make.
ʻO nā maʻi ahulau M. abscessus e pili ana i ka mālama ola, i wehewehe ʻia he "pathogen nosocomial kakaikahi akā ua wehewehe maikaʻi ʻia", i kapa mua ʻia ʻo "nā ʻōnaehana wai haumia" e like me nā mīkini hau a me ka wai, nā mea hoʻohaʻahaʻa wai, nā plumbing haukapila, no nā poʻe maʻi e hana ʻia ana i ke ʻoki bypass, nā lako hoʻomehana a me ka hoʻoluʻu ʻana, nā lāʻau lapaʻau a me nā mea hoʻomaʻemaʻe.
I Iune 2018, ua hōʻike ka ʻoihana hoʻomalu maʻi ʻo Brigham and Women's Hospital i ka invasive Mycobacterium abscessus subsp.abscessus i kekahi mau maʻi e hana ʻia ana i ke ʻoki puʻuwai. Nā maʻi abscess, hiki ke hoʻoulu i nā maʻi o ke koko, nā māmā, ka ʻili, a me nā ʻiʻo palupalu, ʻoi aku hoʻi i ka poʻe me nā ʻōnaehana pale nawaliwali.
Ua hana nā kānaka noiʻi i kahi noiʻi wehewehe e hoʻomaopopo maikaʻi i nā hui maʻi. Ua ʻimi lākou i nā ʻano like ma waena o nā hihia, e like me nā lako hoʻomehana a me ka hoʻoluʻu i hoʻohana ʻia, a i ʻole nā ​​lumi hana, nā papahele a me nā lumi haukapila, a me ke komo ʻana i kekahi mau lako. Ua lawe pū nā kānaka noiʻi i nā laʻana wai mai kēlā me kēia lumi a nā mea maʻi i noho ai, a me ʻelua mau punawai inu a me nā mea hana hau ma ka papahele o ke keʻena hana puʻuwai.
Ua "lāʻau ikaika ʻia nā maʻi ʻehā me ka lāʻau antimycobacterial multidrug," akā ua make ʻekolu o lākou, ua kākau ʻo Klompas a me nā hoa hana.
Ua ʻike nā kānaka noiʻi aia nā maʻi a pau ma ka pae haukapila like akā ʻaʻohe kumu like ʻē aʻe. I ka nānā ʻana i nā mea hana hau a me nā mea hāʻawi wai, ua ʻike lākou i ka ulu nui ʻana o ka mycobacteria ma nā poloka hui, akā ʻaʻole ma kahi ʻē aʻe.
A laila, me ka hoʻohana ʻana i ka hoʻonohonoho ʻana o ka genome holoʻokoʻa, ua loaʻa iā lākou nā mea like genetic i loko o nā punawai inu a me nā mīkini hau ma ka papahele o ka haukapila kahi i loaʻa ai nā maʻi i loaʻa. Hele ka wai e alakaʻi ana i nā kaʻa ma o kahi mea hoʻomaʻemaʻe wai i kānana ʻia me ka ʻike ʻana i ka mālamalama ultraviolet, kahi i ʻike ʻia e nā mea noiʻi e hōʻemi ana i nā pae chlorine i loko o ka wai, e paipai ana i ka mycobacteria e noho ma nā kaʻa.
Ma hope o ka hoʻololi ʻana o nā mea maʻi kiʻekiʻe i ka wai i hoʻoheheʻe ʻia, hoʻonui i ka mālama ʻana i nā mea hoʻokaʻawale wai, a hoʻopau i ka ʻōnaehana hoʻomaʻemaʻe, ʻaʻohe hihia hou aʻe.
"ʻO ke kau ʻana i nā mea hana plumbing kalepa e hoʻomaikaʻi i ka ʻono a hōʻemi i ke ʻala o ka wai inu o nā maʻi e loaʻa paha nā hopena i manaʻo ʻole ʻia o ka hoʻolaha ʻana i ka kolone microbial a me ka hana hou ʻana," kākau nā mea noiʻi. hiki i nā kumuwaiwai wai (e like me ka hoʻonui ʻana i ka hana hou ʻana o ka wai e hōʻemi i ka hoʻohana ʻana i ka wela) ke hoʻonui hewa i ka pilikia o ka maʻi ma ka hoʻopau ʻana i nā lako chlorine a me ka paipai ʻana i ka ulu ʻana o nā microbial."
Ua hoʻoholo ʻo Klompas a me nā hoa hana ua "hōʻike kā lākou noiʻi i ka pilikia o nā hopena i manaʻo ʻole ʻia e pili ana i nā ʻōnaehana i hoʻolālā ʻia e hoʻomaikaʻi i ka hoʻohana ʻana i ka wai ma nā haukapila, ke ʻano o ka haumia microbial o ka hau a me nā pūnāwai inu, a me ka pilikia o kēia i nā maʻi." kākoʻo no nā papahana hoʻokele wai e nānā a pale i nā maʻi mycobacterial nosocomial.
"Ma keʻano ākea, ua hōʻoia ko mākou ʻike i nā pilikia kūpono o ka hoʻohana ʻana i ka wai piula a me ka hau i ka mālama ʻana i nā maʻi palupalu, a me ka waiwai kūpono o nā hana hou e hōʻemi i ka ʻike ʻana o nā maʻi palupalu i ka wai piula a me ka hau i ka wā o ka mālama maʻamau," i kākau ai lākou.