Wahi a kahi noiʻi i paʻi ʻia ma ka Annals of Internal Medicine, hiki i kahi kānana wai pāʻoihana ke kōkua i ka maʻi o ʻehā mau maʻi ʻoki puʻuwai ma Brigham and Women's Hospital, ʻekolu o lākou i make.
ʻO nā maʻi maʻi M. abscessus e pili ana i ka mālama olakino, i wehewehe ʻia ma ke ʻano he "rare but well-described nosocomial pathogen", i ʻōlelo mua ʻia i "nā ʻōnaehana wai i hoʻohaumia ʻia" e like me ka hau a me nā mīkini wai, humidifiers, plumbing halemai, no nā poʻe maʻi e hana ana i ke kaʻina hana bypass, hoʻomehana. a me nā lako hoʻoluʻu, nā lāʻau lapaʻau a me nā disinfectants.
I Iune 2018, ua hōʻike ʻo Brigham a me ka Haukapila Wahine ka hoʻomalu ʻana i ka maʻi o ka Mycobacterium abscessus subsp.abscessus i loko o kekahi mau maʻi e hoʻopaʻa ana i ka ʻoki puʻuwai. ʻO 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 nā poʻe me nā ʻōnaehana pale nāwaliwali.
Ua hana nā mea noiʻi i kahi noiʻi wehewehe e hoʻomaopopo maikaʻi i nā puʻupuʻu maʻi. Ua ʻimi lākou i nā mea maʻamau ma waena o nā hihia, e like me nā mea hoʻomehana a me nā mea hoʻoluʻu i hoʻohana ʻia, a i ʻole nā ​​​​lumi hana, nā papahele halemai a me nā lumi, a me ke komo ʻana i kekahi mau lako. Ua lawe pū ka poʻe noiʻi i nā laʻana wai mai kēlā me kēia lumi a nā poʻe maʻi i noho ai, a me ʻelua pūnāwai inu a me nā mea hana hau ma ka papahele o ka ʻoki ʻana i ka naʻau.
ʻO nā poʻe maʻi ʻehā i "mālama ikaika ʻia me ka multidrug antimycobacterial therapy," akā ʻekolu o lākou i make, kākau ʻo Klompas a me nā hoa hana.
Ua ʻike ka poʻe noiʻi aia nā maʻi āpau i ka pae o ka haukapila akā ʻaʻohe kumu maʻamau. I ka nānā ʻana i nā mea hana hau a me nā mea hāʻawi wai, ʻike lākou i ka ulu nui ʻana o ka mycobacteria ma nā poloka cluster, akā ʻaʻole ma kahi ʻē aʻe.
A laila, me ka hoʻohana ʻana i ka genome sequencing holoʻokoʻa, ua ʻike lākou i nā mea genetically identical i nā pūnāwai inu a me nā mīkini hau ma ka papahele o ka haukapila kahi i loaʻa ai nā maʻi maʻi. ʻO ka wai e alakaʻi ana i nā kaʻa e hele i loko o kahi mea hoʻomaʻemaʻe wai kānana carbon me ka ʻike ʻana i ke kukui ultraviolet, i ʻike ʻia e nā mea noiʻi e hōʻemi ana i nā pae chlorine i loko o ka wai, hiki ke hoʻoikaika i ka mycobacteria e kolone i nā kaʻa.
Ma hope o ka hoʻololi ʻana o ka poʻe maʻi kiʻekiʻe i ka wai distilled sterile, hoʻonui i ka mālama ʻana i nā dispenser wai, hoʻopau i ka ʻōnaehana hoʻomaʻemaʻe, ʻaʻohe hihia hou.
"ʻO ka hoʻokomo ʻana i nā paipu pāʻoihana e hoʻomaikaʻi i ka ʻono a hōʻemi i ka ʻala o ka wai inu o ka poʻe maʻi e loaʻa i nā hopena i manaʻo ʻole ʻia o ka hoʻolaha ʻana i ka microbial colonization a me ka hana hou ʻana," kākau nā mea noiʻi. nā kumu wai (e like me ka hoʻonui ʻia ʻana o ka wai e hōʻemi i ka hoʻohana ʻana i ka wela) hiki ke hoʻonui i ka pilikia o ka maʻi maʻi ma o ka hoʻopau ʻana i nā lako chlorine a me ka paipai ʻana i ka ulu ʻana o ka microbial.
Ua hoʻoholo ʻo Klompas a me nā hoa hana ʻo kā lākou noiʻi "e hōʻike ana i ka hopena 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 i nā haukapila, ka makemake o ka microbial contamination o ka hau a me nā punawai inu, a me ka pilikia o kēia i nā maʻi." kākoʻo i nā papahana hoʻokele wai e nānā a pale i nā maʻi mycobacterial nosocomial.
"ʻOi aku ka laulā, hōʻoia kā mākou ʻike i nā pilikia kūpono o ka hoʻohana ʻana i ka wai paila a me ka hau i ka mālama ʻana i nā mea maʻi palupalu, a me ka waiwai kūpono o nā hana hou e hōʻemi ai i ka ʻike ʻana o nā mea maʻi palupalu i ka wai a me ka hau i ka wā mālama maʻamau," kākau lākou. .