Riaan Amacala a isikhunta esibulalayo ziphindeke kathathu e-US kusukela ngo-2019 kuya ku-2021, ngokusho kwedatha evela kuCenters for Disease Control and Prevention (CDC).
I-Candida aurist yabikwa e-US ngo-2016 futhi amacala akhuphuka kusukela ngaleso sikhathi. Izibalo zamacala omtholampilo aminyaka yonke zikhuphuke zafinyelela ku-476 ngo-2019 ngaphambi kokuthi zenyuke zafinyelela ku-756 ngo-2020, ukugxuma okungama-59%. Amacala abe esenyukela ku-1,471 ngo-2021, okuwukugxuma okwengeziwe okungama-95%.
Ukuhlolwa kweColonization kwamacala nakho kwanda, abacwaningi abavela ku-CDC babhala ku-Annals of Internal Medicine. Kwaba namacala ayi-1,310 ngo-2020, akhuphuka ngama-21% ukusuka ku-2019, kanye nokwenyuka okungama-209% kuye kwangama-4,041 ngo-2021.
Bekunamacala angu-3,270 omtholampilo kanye namacala okuhlolwa kwe-C. auris angu-7,413 kusukela ngo-2019 kuya ku-2021, kwathi izifunda ezingu-17 zibika amacala azo okuqala.
Amacala esikhunta esibulalayo e-US aphindeke kathathu ukusuka ngo-2019 kuya ku-2021, ngokusho kwedatha evela kuCenters for Disease Control and Prevention. (iStock)
Ababhali be-CDC babhale ukuthi, kusukela ekutholweni kwayo e-US, i-C. auris “iqhubekile nokubangela ukugula nokufa ezweni lonke.” Baphinde bathi i-CDC ilinganisele ngokuthi “usongo oluphuthumayo,” izinga eliphezulu lokukhathazeka, ngoba imvamisa ukumelana nezidakamizwa eziningi; isakazeka kalula ezikhungweni zezempilo; futhi ingabangela izifo ezinzima, ezihlaselayo ezinamazinga aphezulu okufa.
Amacala amelana nokwelashwa akhuphuka asuka kuma-pan-resistant kanye nama-isolate amathathu amelana ne-echinocandin abikwe ngo-2020 aya kuma-pan-resistant ayisikhombisa kanye nama-echinocandin-resistant ayi-19 ngo-2021.
“Ngisho nalokhu kwanda okucashile kumayelana nokuthi i-echinocandin iwumugqa wokuqala wokwelapha izifo ze-Candida ezihlaselayo kanye nezifo eziningi ze-C. auris,” kubhala ababhali. “Imishanguzo eminingi emisha ye-antifungal isathuthukiswa, kodwa ucwaningo olwengeziwe luyadingeka ukuze kuqondwe imiphumela yeziguli ezinalezi zinkinga ezimelana kakhulu nokuqondisa ukwelashwa.”
Omunye wababhali, uMeghan Lyman, ubhale esitatimendeni sabezindaba ukuthi “ukwanda okusheshayo nokusabalala kwezindawo zamacala kuphathelene futhi kugcizelela isidingo sokuqhubeka nokubhekwa, ukunwetshwa kwelebhu, ukuhlolwa kokuxilonga okusheshayo, kanye nokubambelela ekuvimbeleni nasekulawuleni ukutheleleka okuqinisekisiwe. “
Umbiko we-CDC’s 2019 Antibiotic Resistance Threats uhlonze u-C. auris njengosongo oluphuthumayo e-US
IYINI I-FRONTOTEMPORAL DEMENTIA, UKUHLOLA AUTHOLWE U-BRUCE WILLIS?
I-Candida aurist yabikwa e-US ngo-2016 futhi amacala akhuphuka kusukela ngaleso sikhathi. (iStock)
Futhi ngonyaka odlule, iNhlangano Yezempilo Yomhlaba yayibeka ohlwini lwamagciwane aqala ukukhunta. Umsizi womqondisi-jikelele we-WHO wophiko oluphikisana namagciwane uHanan Balky uthe esitatimendeni sabezindaba ngaleso sikhathi, “izifo zesikhunta ziyakhula, futhi zilokhu zikwazi ukumelana nokwelashwa, ziba inkinga yezempilo yomphakathi emhlabeni wonke.”
Iphepha leqiniso le-CDC elicaphuna idatha enanini elisohlwini leziguli liphawula ukuthi u-30% kuya ku-60% wabantu abanezifo ze-C. auris bashonile.
“Asazi ukuthi iziguli ezinokutheleleka kwe-C. auris okuhlaselayo kungenzeka yini ukuthi zife kuneziguli ezinezinye izifo ezihlasela i-Candida,” kubhala i-CDC.
Amacala abonakale engeniswa kwamanye amazwe ngesikhathi etholwa okokuqala. Kepha muva nje, ukudluliswa kokunakekelwa kwezempilo kube nesibopho samacala amaningi, uma kungewona wonke, ngokusho kwababhali be-CDC.
“Iningi elisabalala e-United States lenzekile ezikhungweni zokunakekelwa kwe-acuity post-acute, ikakhulukazi izibhedlela ezinakekela abaguli besikhathi eside kanye nezindawo zabahlengikazi ezinekhono lokuphefumula umoya,” babhala. “Izimo ze-C. auris zivame ukwenzeka ezigulini ezinokuhlangana nokunakekelwa kwezempilo okuningi noma isikhathi eside noma izinto ezihlala ngaphakathi, okuhlanganisa nalezo ezithola umoya omncane.”
Abacwaningi be-CDC bathi i-C. auris iqhubekile nokubangela ukugula nokufa ezweni lonke kusukela yaqala ukutholwa. (REUTERS/Tami Chappell/Isithombe Sefayela)
CHOFOZA LAPHA UKUZE UTHOLA UHLELO LOKUSEBENZA IZINDABA ZEZIMpungushe
Ucwaningo lwamanje lungase lungawabukeli phansi amacala ngoba ukuhlola izinsiza kunqunyelwe, kodwa i-CDC ikhuphule ukutholakala kokuhlolwa ngoMthetho Wohlelo Lokuhlenga WaseMelika. Ngomthethosivivinywa owavunywa ngo-2021, umthamo wokuhlola unyukile usuka kumalebhu wesifunda ayisikhombisa waya kuma-laboratories angaphezu kwama-26 kulo lonke elase-US.
“I-C. auris isewusongo lwezempilo oluqhubekayo e-United States. Izikhungo zezempilo zomphakathi nezokunakekelwa kwezempilo sezivele zinezinsiza ezilinganiselwe kanye ne-IPC [infection prevention and control] umthamo, futhi bahlangabezana nezinye izinselele nge-MDRO [multidrug-resistant organism] ukugadwa nokuvikela lapho lezo zinsiza ezilinganiselwe zishintsha ukuze zilwe nezinye izinsongo, njengobhubhane lwe-COVID-19,” kubhala ababhali be-CDC. “Noma kunjalo, ukunciphisa ngisho nokubamba isifunda kungenzeka.”
