Enterococcus uas tiv taus Vancomycin thiab Gene uas tiv taus tshuaj

Kev Tiv Thaiv Tshuaj kuj hu ua kev tiv thaiv tshuaj, hais txog kev tiv thaiv ntawm cov kab mob rau kev ua haujlwm ntawm cov tshuaj tua kab mob. Thaum muaj kev tiv thaiv tshuaj, cov nyhuv ntawm cov tshuaj chemotherapy yuav raug txo qis heev. Kev Tiv Thaiv Tshuaj yog muab faib ua kev tiv thaiv sab hauv thiab kev tiv thaiv tau txais. Kev tiv thaiv sab hauv yog txiav txim siab los ntawm cov noob caj noob ces ntawm cov kab mob chromosomal, kis los ntawm ib tiam dhau ib tiam, thiab yuav tsis hloov pauv. Kev tiv thaiv tau txais yog vim qhov tseeb tias tom qab kov cov tshuaj tua kab mob, cov kab mob hloov lawv txoj kev zom zaub mov kom lawv tsis raug tua los ntawm cov tshuaj tua kab mob.

Cov noob caj noob ces uas tiv taus vancomycin VanA thiab VanB yog cov noob caj noob ces uas tiv taus tshuaj, ntawm cov uas VanA qhia tau tias nws tiv taus vancomycin thiab teicoplanin ntau heev, VanB qhia tau tias nws tiv taus vancomycin ntau theem sib txawv, thiab nws rhiab heev rau teicoplanin. Vancomycin feem ntau siv rau hauv kev kho mob los kho cov kab mob Gram-positive, tab sis vim muaj cov kab mob enterococci uas tiv taus vancomycin (VRE), tshwj xeeb tshaj yog enterococcus faecalis thiab enterococcus faecium, uas suav txog ntau dua 90%, nws tau coj cov teeb meem loj tshiab rau kev kho mob hauv kev kho mob. Tam sim no, tsis muaj tshuaj tua kab mob tshwj xeeb rau kev kho VRE. Ntxiv mus, VRE kuj tseem tuaj yeem xa cov noob caj noob ces uas tiv taus tshuaj mus rau lwm cov kab mob enterococci lossis lwm cov kab mob Gram-positive.