Qhov Tseem Ceeb Qhov txawv - HA-MRSA vs CA-MRSA
Tus methicillin resistant Staphylococcus aureus (MRSA) yog cov caj ces txawv ntawm lwm hom Staphylococcus aureus. Nws yog ib qho kab mob gram zoo. Nws kuj yog lub luag haujlwm rau ntau yam kab mob hnyav hauv tib neeg. MRSA yog tsim los ntawm kab rov tav hloov mus rau cov kab mob Staphylococcus aureus ib txwm. Lawv ib txwm resistant rau Beta lactum tshuaj tua kab mob. Cov tshuaj methicillin resistant Staphylococcus aureus strain yog ib txwm resistant rau broad spectrum tshuaj tua kab mob xws li methicillin, oxycillin thiab cephalosporins. Nws yog ib hom kab mob sib txawv heev. MRSA muaj ntau pawg xws li HA-MRSA (tsev kho mob tau txais lossis kev kho mob tau txais), CA-MRSA (cov zej zog tau txais) thiab LA-MRSA (cov khoom lag luam nyob hauv) uas yog nyob ntawm qhov chaw uas muaj kab mob feem ntau nyob. Qhov sib txawv tseem ceeb ntawm HA-MRSA thiab CA-MRSA yog los ntawm tus kab mob uas lawv ua. Tus kab mob los ntawm HA-MRSA yog kev saib xyuas kev noj qab haus huv tau txais thaum tus kab mob los ntawm CA-MRSA yog zej zog kis tau.
HA-MRSA yog dab tsi?
Kev saib xyuas kev noj qab haus huv cuam tshuam nrog methicillin resistant Staphylococcus aureus (HA-MRSA) yog qhov ua rau tuag taus uas tiv taus ntau yam tshuaj. Cov kab mob superbugs no tau tshwm sim ntau xyoo dhau los ntawm ib puag ncig hauv tsev kho mob. Nws yog ib qho teeb meem loj rau pej xeem hauv tebchaws United Kingdom thiab United States. Feem ntau ntawm cov neeg mob hauv tsev kho mob ib puag ncig cuam tshuam nrog kev kho mob cuam tshuam nrog Staphylococcus aureus, tab sis tsis nqa cov tsos mob. Cov neeg uas mus pw hauv tsev kho mob ib txwm muaj kev tiv thaiv kab mob. Lawv raug rau kev kho mob cuam tshuam nrog Staphylococcus aureus kab mob.
Kev kis tau tshwm sim thaum cov neeg saib xyuas kev noj qab haus huv txhais tes kov cov HA-MRSA cov neeg nqa khoom. Yog tias nws raug kho los ntawm kws kho mob, tus kab mob HA-MRSA tsuas nyob tau li 10 hnub txawm tias qhov tshwm sim yuav txawv ntawm ib tus neeg mus rau lwm tus. Tsis muaj peev xwm ntxuav tes tuaj yeem txhawb nqa cov kab mob sib kis. Cov neeg mob nyob rau hauv cov txheej txheem invasive thiab lub cev tiv thaiv kab mob yog kis los ntawm HA-MRSA. Cov qhov txhab qhib, catheters thiab cov hlab ua pa kuj ua rau kis tau tus kab mob no. Cov kab mob no tuaj yeem ua rau kab mob ntawm daim tawv nqaij, kab mob pob txha, kab mob sib koom ua ke, sepsis thiab mob ntsws. Cov tsos mob muaj xws li, qhov chaw ntawm daim tawv nqaij o liab, abscess, boil los yog muaj kua paug cov kab mob, ua npaws thiab sov nyob rau hauv cov cheeb tsam uas muaj kab mob.
Daim duab 01: MRSA
kab lis kev cai ntshav, kab lis kev cai tso zis, kab lis kev cai ntawm daim tawv nqaij thiab cov kab mob hnoos qeev tuaj yeem siv los kuaj tus kab mob. Thawj qhov kev xaiv ntawm kev kho mob yog ib txwm tshuaj tua kab mob txawm hais tias hom kab mob Staphylococcus aureus no tiv taus methycillin. Kev kho mob yog ua nrog cov tshuaj tua kab mob hauv qab no; Clindamycin, linezolid, tetracycline, trimethoprim, sulfamethoxazole los yog vacomycin. Tag nrho cov tshuaj yuav tsum tau ua kom tiav thiaj li yuav kov yeej cov teeb meem ntxiv. Cov mob hnyav dua yuav tsum tau mus pw hauv tsev kho mob. Kev kho mob rau cov mob hnyav tuaj yeem suav nrog kev txhaj tshuaj rau hauv lub cev, tshuaj thiab lub raum dialysis.
CA-MRSA yog dab tsi?
Cov zej zog txuam nrog methicillin resistant Staphylococcus aureus (CA-MRSA) feem ntau pom muaj nyob hauv zej zog ntau dua li hauv tsev kho mob. Nws feem ntau ua rau cov tsos mob ntawm cov neeg noj qab nyob zoo. Cov tub ntxhais hluas noj qab haus huv thiab menyuam yaus feem ntau cuam tshuam los ntawm tus kab mob Staphylococcus aureus. Nws tuaj yeem kis tau yooj yim rau lwm tus uas nyob ze nrog CA-MRSA cov neeg nqa khoom lossis cov neeg nyob hauv tib tsev neeg. Nws feem ntau ua rau kab mob ntawm daim tawv nqaij. Thiab cov kab mob ntawm daim tawv nqaij no tuaj yeem nce ntxiv tom qab kev kho thawj zaug. CA-MRSA tsis ua rau mob hnyav xws li mob ntsws thiab mob septicemia. Nws kuj tseem tuaj yeem kis tau los ntawm kev sib cuag nrog cov khoom xws li cov phuam da dej, cov ntaub qhwv lub qhov txhab, cov chaw muaj kab mob xws li lub qhov rooj thiab cov kais dej uas kis tau los ntawm tus neeg uas twb muaj tus kab mob CA-MRSA.
Cov tsos mob yuav muaj xws li liab, o, mob, kub taub hau, thiab muaj kua paug. Cov kab mob ntawm CA-MRSA qee zaum zoo li kab tom. Nyob rau hauv lub neej kev hem thawj ntawm CA-MRSA, cov tsos mob hauv qab no tuaj yeem pom; feem ntau tsis xis nyob, kub taub hau, ua tsis taus pa, tshee. Tus kab mob tuaj yeem kuaj pom los ntawm cov ntshav, zis, kua dej hauv lub cev lossis cov qauv swab coj los ntawm qhov txhab. Cov tshuaj tua kab mob xws li TMP-SMX, clindamycin, doxycyclin thiab minocyclin yog cov tshuaj tua kab mob dav dav los kho cov kab mob CA-MRSA.
Daim duab 02: MRSA Cov tsos mob
Cov kab mob CA-MRSA tuaj yeem tiv thaiv tau los ntawm kev ntxuav tes tsis tu ncua, tshwj xeeb tshaj yog tom qab kov cov qhov txhab, los ntawm kev npog cov kab mob ntawm daim tawv nqaij los yog qhov txhab txhua lub sijhawm, tswj tus kheej kom huv si, ntxhua khaub ncaws thiab phuam da dej tsis tu ncua thiab ua kom huv huv hauv tsev.
Qhov Zoo sib xws ntawm HA-MRSA thiab CA-MRSA yog dab tsi?
- Ob leeg yog cov tshuaj methycillin resistant Staphylococcus aureus hom.
- Ob leeg ua rau muaj kab mob rau tib neeg.
- Ob leeg tiv taus cov tshuaj tua kab mob beta lactum.
- Ob leeg yog cov noob caj noob ces los ntawm lawv cov poj koob yawm txwv Staphylococcus aureus.
Qhov txawv ntawm HA-MRSA thiab CA-MRSA yog dab tsi?
HA-MRSA vs CA-MRSA |
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| HA-MRSA yog ib hom tshuaj methycillin resistant Staphylococcus aureus uas ua rau muaj kab mob uas yog kev kho mob tau txais.. | CA-MRSA ib hom tshuaj methycillin resistant Staphylococcus aureus uas ua rau muaj kab mob uas cov zej zog kis tau. |
| Risk Groups | |
| Cov neeg mob tsis muaj zog tiv thaiv kab mob xws li cov ntshav qab zib, cov neeg mob ntshav lim ntshav thiab cov neeg mob hauv ICU thiab cov laus raug cuam tshuam ntau dua los ntawm HA-MRSA (cov neeg mob hauv tsev kho mob). | Cov menyuam yaus, cov hluas, cov neeg ncaws pob, cov neeg raug kaw, cov tub rog thiab cov haiv neeg raug cuam tshuam ntau dua los ntawm CA-MRSA. |
| Scc mec Mobile Genetic Element Type | |
| HA-MRSA muaj hom I, II, III Scc mec genetic element. | CA-MRSA muaj hom IV Scc mec caj ces. |
| Symptoms | |
| HA-MRSA ua rau muaj teeb meem hnyav dua li septicemia thiab mob ntsws. | CA-MRSA ua rau tsuas yog mob me me xws li kab mob ntawm daim tawv nqaij. |
| PVL Gene Toxin | |
| Nyob hauv HA-MRSA, PVL gene toxin tsis tshua pom. | Nyob hauv CA-MRSA, PVL cov tshuaj lom neeg feem ntau pom. |
| Tshuaj tiv thaiv kab mob | |
| HA-MRSA yog tshuaj tiv thaiv ntau yam. | CA-MRSA yog qhov raug rau ntau yam tshuaj tua kab mob tshwj tsis yog tshuaj tua kab mob beta lactum. |
| Thaj chaw muaj kev cuam tshuam ntau | |
| HA-MRSA cuam tshuam rau ntshav, ntsws, thiab chaw phais. | CA-MRSA cuam tshuam rau ntawm daim tawv nqaij thiab cov nqaij mos. |
Summary – HA-MRSA vs CA-MRSA
MRSA (methicillin resistant Staphylococcus aureus) yog tsim los ntawm kab rov tav hloov mus rau cov kab mob Staphylococcus aureus ib txwm. Lawv yog gram zoo nyob rau hauv cov xwm. Lawv muaj peev xwm tiv taus cov tshuaj tua kab mob Beta lactum thiab kom dav spectrum tshuaj tua kab mob xws li methicillin, oxycillin thiab cephalosporins. Nws yog ib hom kab mob sib txawv heev. HA-MRSA (tsev kho mob tau txais lossis kev saib xyuas kev noj qab haus huv tau txais) thiab CA-MRSA (cov zej zog tau txais) yog ob hom MRSA raws li qhov chaw uas tus kab mob feem ntau nyob. Tus kab mob los ntawm HA-MRSA yog kev kho mob tau txais. Ntawm qhov tod tes, tus kab mob los ntawm CA-MRSA yog zej zog kis tau. Qhov no yog qhov txawv ntawm HA-MRSA thiab CA-MRSA.
Download the PDF Version of HA-MRSA vs CA-MRSA
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline lub hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm HA-MRSA thiab CA-MRSA 1
