Thursday, June 28, 2012

Take precautions against bacteria are able to bear medicines and must threaten the whole society makes joint efforts

Take precautions against bacteria are able to bear medicines and must threaten the whole society makes joint efforts
Take precautions against bacteria are able to bear medicines and must threaten the whole society makes joint efforts
Lian Yue will come, a plurality of countries and regions reports find the new one is able to bear medicine genetic NDM-1 superly. October 13, China CDC (Center for Disease Prevention and Control) Release " able to bear medicine bacterium knowledge question and answer ", it is a public health challenge that the whole mankind faces to brief on the bacterium and is able to bear medicines, which countries can escape by luck. Take precautions against bacteria are able to bear the medicine threat, need government, professional personnel, all citizens to make joint efforts. Already there are 8 kinds of the ones that found in the whole world were able to bear medicine bacteria superly It is introduced, the bacterium can be opposed resisting function of the fungus medicine through the various forms as a kind of organism existing extensively, escape the danger killed. Because the using extensively of antibacterial medicine, the whole world is able to bear the medicine situation extraordinary and severely at present, all bacteria have already been able to bear medicine phenomena to find, opposing the totally sensitive bacterium of fungus medicine has not almost existed, but according to being able to bear the medicine severity, mainly 8 kinds can be called and able to bear the medicine bacterium superly: Able to bear golden yellow staphylococcus (MRSA) of west forest of first oxygen ,Able to bear the coccus of mould plain intestines (VRE) through the ages ,Able to bear the mould plain staphylococcus (VRSA) through the ages ,Able to bear the blue and green mould alkene intestines bacillus department bacterium of carbon ' Including NDM-1) ,It is able to bear the false form afterbirth fungus (MDR-PA) of copper green of medicine that multiple ,Suffused with and able to bear medicines not moving the bacillus (PDR-AB) ,Produce ESBL intestines bacillus subject bacterium, it is able to bear the tubercle bacillus of medicine (XTB) that multiple . The expert points out, the bacterium is able to bear medicines to belong to a kind of natural phenomena, resulted from little biological evolution through the ages, the abuse of antibiotic has aggravated the formulation that bacteria are able to bear nature. And the bacterium is able to bear the formulation of nature, makes the originally effective antibiotic therapeutic effect reduce or lose, have increased the difficulty and medical cost of disease treatment. As antibiotic is able to bear the medicine question to aggravate, it is fewer and fewer that the mankind deals with effective weapons of the bacterium. Expert point out a able to bear the intersection of medicine and bacterium, will travel, give, able to bear the medicine bacterium while being non- able to bear the intersection of medicine and gening still. Evolve for a long time, what bacterium win able to bear medicine ability to already implant in bacterium's gene, exist on bacterium's chromosome, handed down from age to age, or exist dyeing a kind of external genetic stew - -In the plasmid. Able to bear the intersection of medicine and bacterium, will travel, give, able to bear the medicine bacterium while being non- able to bear the intersection of medicine and gening through able to bear the intersection of medicine and plasmid, result in being able to bear medicines to spread. This is that a bacterium becomes the super main route able to bear medicine. The ones that carry NDM-1 genetic bacterium and mainly threaten impatients to paying close attention to far and wide both at home and abroad recently are able to bear the medicine bacterium superly - -Carry NDM-1 genetic bacterium, " able to bear medicine bacterium knowledge question and answer " claims, a kind of �� - inner amide enzyme gene exists in this bacterium, can hydrolyze the amide antibacterial medicine in ��, for instance antibiotic such as forest, first oxygen west forest, very beginning spores of west penicillin G, ammonia benzyl. This bacterium is mostly able to bear medicines to the following clinical and commonly used antibiotic: Inferior amine banks up the south with earth, beautiful Luo PeiNan, oxygen piperazine penicillin - his thiazole Batan, , but to glueing more funguses plain E and taking the place of to 2 kinds of plain antibiotic of ring sensitively. It is introduced, present finding, carry the intersection of NDM-1 and bacterium of gene mainly for Escherichia coli, the intersection of pneumonia and the intersection of CrayResearch and the intersection of uncle and fungus, the intersection of sewer and the intersection of intestines and bacillus, rub the intersection of Morgan and fungus, Bowman move bacillus, the intersection of excrement and the intersection of intestines and coccus,etc.. Bacterium these full of the intersection of terms and pathogen, some the intersection of human body and normal the intersection of fungus and groups of member, it does not usually cause a disease or pathogenic and non- strong. After this kind of bacterium has NDM-1 genes, its pathogenic and spread ability has not changed, but patient infect behind the with NDM-1 gene bacterium, will make it difficult not to treat. Present research still finds, it mainly causes the infection in the impatient to carry the bacterium of NDM-1 gene, will not spread in the ordinary crowd of the community extensively. It it infects targets to be impatient, the intersection of organism and the intersection of immunity and low normal the intersection of fungus and groups of unregulated patient mainly, it is usually blood, urethra, lung and wound,etc. to infect the position. Antibiotic will be complied with when being used " Four no " In principle August of this year, the " lancet " report finds able to bear the medicine bacterium newly and superly - -After carrying NDM-1 genetic bacterium, World Health Organization makes the assessment and proposes promptly in the same month, it is not a new problem that it is able to bear the medicine bacterium that multiple, and will also continue appearing in the future, but the bacterium which carries NDM-1 gene appears, indicates the bacterium is able to bear nature and already become a serious global public health problem day by day. It is reported, for many years, Ministry of Public Health of our country has taken multiple measures in able to bear medicine bacterium prevention and controlling, it is able to bear medicine monitoring net and antibacterial drug use monitoring net to set up bacteria, and NDM-1 genetic bacterium that finds to the new report replies actively. Have already launched NDM-1 and able to bear the medicine gene to monitor and study at present, has assessed its impact on medical care and public health. Strengthen the clinical antibiotic medicines of medical organization at all levels and standardize use, and dispose and strengthen the hospital to infect and control, reduce the risk that patient's hospital infects. " able to bear medicine bacterium knowledge question and answer " points out the public at the same time, use antibiotic cautiously, the use for antibiotic wants to insist that does not buy medicines at will, not select medicine, not arbitrary principle that take medicine, not stop medicine at will by oneself. China CDC especially emphasizes, most antibiotic is prescription drug, can't go to the pharmacy to buy at will, and should purchase medicines according to the prescription. Daily small diseases such as similar cold,etc., don't take the antibacterial medicine easily. Once the doctor confirms that uses antibiotic to treat, will comply with the doctor's order and take medicine according to quantity on time soon, in order to maintain medicines in the internal valid density.


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