Ikwirakwira ry’udukoko turwanya carbapenem ku isi rikomeje gushyira mu kaga uburyo bwo kuvura mikorobe neza, bigatuma kumenya vuba udukoko dutera carbapenase biba ingenzi kurusha mbere hose. Kugira ngo dushyigikire gufata ibyemezo by’ubuvuzi ku gihe no kugenzura ubudahangarwa bw’udukoko (AMR),Isuzuma rya Macro na Microitewe ishema no kumenyekanishaAgakoresho ko Gupima Carbapenemasehamwe naIcyemezo cya IVDR, kubahiriza ibisabwa bikomeye by’amabwiriza agenga isuzuma ry’indwara zo mu mubiri w’i Burayi (EU 2017/746).

Yagenewe gupima vuba kandi neza molekile za genes esheshatu z’ingenzi cyane za carbapenemase mu buvuzi—KPC, NDM, OXA-48, OXA-23, VIM na IMP—Isuzuma ritanga umuti wizewe wo kurwanya ubwandu, gufata imiti irwanya udukoko no kuvura abarwayi neza. Umuti uraboneka haba ku mbuga zisanzwe za PCR zikoreshwa mu buryo bwihuse ndetse no ku bikoresho byikora byuzuye.Eudemon^TMAIO800Isesengura ry'ingufu za aside ya nucleique, bigatuma habaho uburyo bworoshye bwo gukoresha ibikoresho mu bice bitandukanye bya laboratwari.

Impamvu Gupima Carbapenema ari ingenzi

Carbapenems ikomeje kuba imwe mu nzira z'ingenzi zo kuvura indwara zikomeye za bagiteri. Ariko, kwiyongera kw'uturemangingo dukora carbapenemase byagabanyije cyane ubushobozi bwatwo mu buvuzi.

Dukurikije ibivugwa naUmuryango Mpuzamahanga wita ku Buzima (OMS), ubudahangarwa bw’imiti irwanya udukoko buri mu byago bikomeye ku isi ku buzima rusange, mu gihe Enterobacteriales (CRE) zirwanya carbapenem zizwiho kuba zimwe mu ndwara zitera indwara zigomba kwitabwaho cyane kandi zigasuzumwa vuba.

Gutahura kare imiterere y’uturemangingo twa carbapenemase bituma abahanga mu by’ubuzima bashobora:

• · Tangira uburyo bukwiye bwo kuvura mikorobe vuba
• · Gushyigikira gahunda zo kubungabunga imiti irwanya udukoko
• · Gushyiraho ingamba zo gukumira no kurwanya ubwandu ku gihe
• · Gukurikirana ikwirakwira ry'udukoko twihanganira indwara mu bigo nderabuzima

Kwibanda ku bintu bifitanye isano cyane n'ubuvuzi bya Carbapenema

Isuzuma rya Macro & Micro-Test ryagaragaje icyarimwe utunyangingo tutandatu tw’ingenzi twirinda indwara twibasira cyane indwara nyinshi zirwanya carbapenem.

Gupima byihuse PCR kugira ngo hafatwe ibyemezo by'ubuvuzi bihamye

Ugereranyije n'uburyo busanzwe bwo gusuzuma ibimenyetso, gupima molekile hakoreshejwe PCR bitanga ubushobozi bwo kumenya neza, umwihariko no gukora ibishoboka byose kugira ngo habeho impinduka nziza. Gutahura vuba imiterere y'uturemangingo tw’ubudahangarwa bifasha abaganga gufata ibyemezo bishingiye ku bimenyetso mu kuvura, mu gihe bishyigikira uburyo bwo kurwanya ubwandu mu bitaro no kugenzura uburyo bwo kurwanya udukoko.

Igisubizo cyo Gupima Carbapenemase cyemewe na IVDR

-Sgushakisha vubaKPC, NDM, OXA-48, OXA-23, VIM na IMPmu mikorobe y'abantu n'imico yabo;

-Ubuhanga buhanitse cyane butagira ingaruka ku miterere y’udukoko tudatera indwara cyangwa uturemangingo tw’ubudahangarwa;

-Ububasha bworoshye bwo kugaragaza imiterere y'umubiri kugeza ku100 CFU/mL or Kopi 500/mL; 

-Guhuza kwagutse hamwe na ABI 7500, SLAN-96P n'izindi sisitemu za PCR zikoreshwa mu gihe nyacyo;

Ikoranabuhanga ryose riri gukoraEudemon^TM AIO800

ItsindaAIO800ihuza itegurwa ry'ibipimo, gukuramo aside nukleiki, kongera ubushobozi bw'ingufu no gusobanura ibisubizo mu buryo bumwe buto, itanga isuzuma ryihuse kandi ryizewe rya molekile kandi rikorwa mu gihe gito.

-Urugero rw'imikorere y'ikoranabuhanga ryikora ku buryo bwikora.

- Ibisubizo byihuse mu minota 80.

-Uburyo bwo kugenzura ubwandu burimo guhuzwa butanga ibisubizo nyabyo kandi byizewe.

Gushyigikira ubuyobozi bwiza bwo kurwanya mikorobe

Bitewe n’icyemezo cya IVDR, Macro & Micro-Test igaragaza kandi ko yiyemeje gutanga ibisubizo byiza byo gusuzuma molekile muri laboratwari hirya no hino mu Burayi no ku isi.

Uburyo bwo Gusuzuma Carbapenemase bwemejwe na IVDR bufasha abakora mu by'ubuzima kongera imbaraga mu kugenzura ubudahangarwa bw'imiti irwanya udukoko, kunoza ingamba zo kurwanya ubwandu no gutanga ibyemezo bifatika byo kuvura abarwayi bafite ubwandu bwa bagiteri budashobora imiti myinshi.

Gusuzuma neza bigena ahazaza heza.

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