Maererano nekuongorora kwakabudiswa muAnals of Internal Medicine, sefa yemvura yekutengesa inogona kunge yakakonzera kutapukirwa kwevarwere vana vekuvhiya mwoyo paBrigham neChipatara chevakadzi, vatatu vavo vakafa.
Utano hunoenderana neM. abscessus kuputika, inotsanangurwa se "isingawanzo asi yakanyatsotsanangurwa nosocomial pathogen", yaimbonzi "yakasvibiswa masisitimu emvura" akadai seaizi nemichina yemvura, humidifiers, pombi dzemuchipatara, kune varwere vari kuvhiyiwa bypass, kupisa. nemidziyo yekutonhodza, mishonga nemishonga inouraya utachiona.
Muna Chikumi 2018, Brigham neWomen's Hospital control control yehutachiona yakashuma Mycobacterium abscessus subsp.abscessus muvarwere vakati wandei vaivhiyiwa mwoyo. Zvirwere zveAbscess, izvo zvinogona kukonzera kutapukira kweropa, mapapu, ganda, uye matishu akapfava, kunyanya muvanhu vane immune system isina simba.
Vatsvakurudzi vakaita chidzidzo chinotsanangura kuti vanzwisise zviri nani mapoka ehutachiona. Vaitsvaga zvinhu zvakafanana pakati pemakesi, akadai semidziyo yekudziya uye yekutonhodza yaishandiswa, kana kuti makamuri ekuvhiya, uriri hwechipatara nemakamuri, uye kuwana mimwe michina. Vatsvagiri vacho vakatorawo masampuli emvura kubva mukamuri yega yega varwere vaigaramo, pamwe chete nematsime maviri ekunwa uye vagadziri vechando pauriri hwekuvhiya moyo.
Vese varwere vana "vakarapwa nesimba nemultidrug antimycobacterial therapy," asi vatatu vavo vakafa, Klompas nevamwe vaaishanda navo vakanyora.
Vatsvagiri vakawana kuti varwere vese vaive padanho rimwe rechipatara asi vaive vasina zvimwe zvakajairika. Pavanenge vachiongorora vagadziri vechando uye madhishi emvura, vakaona kukura kwakakura kwemycobacteria pazvivharo zvesumbu, asi kwete kumwewo.
Ipapo, vachishandisa kutevedzana kwegenome, vakawana zvinhu zvakafanana mumatsime ekunwa uye michina yeaizi pauriri hwechipatara pakanga paine varwere vane hutachiona. Mvura inotungamira kumotokari inopfuura nekabhoni-yakasefa mvura yekuchenesa ine kuratidzwa kune ultraviolet mwenje, iyo vaongorori vakawana inoderedza mazinga eklorini mumvura, zvichigona kukurudzira mycobacteria kuti itore mota.
Mushure mekunge varwere vane njodzi yakanyanya kuchinjika kumvura isina kucheneswa yakanyungudutswa, vakawedzera kuchengetedzwa kwemidziyo yemvura, kudzima hurongwa hwekunatsa, pakanga pasisina nyaya.
"Kuisa zvigadziriso zvepombi zvekutengesa kuvandudza kuravira uye kuderedza kunhuwa kwemvura yekunwa kwevarwere kunogona kuve nemhedzisiro isingatarisirwe yekusimudzira hutachiona hwehutachiona uye kubereka," vanoongorora vanonyora kudaro. zviwanikwa zvemvura (semuenzaniso kuwedzera kudzokororwa kwemvura kuderedza kupisa kupisa) zvinogona kuwedzera njodzi yekutapukirwa nemurwere nekupedza chlorine uye kukurudzira kukura kweutachiona."
Klompas nevamwe vaaishanda navo vakagumisa kuti ongororo yavo “inoratidza njodzi yemigumisiro isingatarisirwi ine chokuita negadziriro dzakagadzirirwa kuvandudza kushandiswa kwemvura muzvipatara, kushatisa utachiona huduku hweaizi nematsime ekunwa, uye ngozi iyo izvi zvinounza kuvarwere.” tsigiro yezvirongwa zvekutonga kwemvura kutarisa uye kudzivirira nosocomial mycobacterial infections.
"Zvakawanda, ruzivo rwedu runosimbisa njodzi dzinogona kuitika dzekushandisa mvura yemupombi nechando mukuchengeta varwere vanotambura, pamwe nekukosha kwezvirongwa zvitsva kuderedza kuratidzwa kwevarwere vari munjodzi yekupomba mvura nechando panguva yekuchengetwa," vakanyora. .