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Written by: Zheng Cuibi
2020-07-12 10:01
Last update date: 2020-07-12 10:01"Carbapenemase-producing Enterobacteriaceae" (CPE) is a drug-resistant bacillus. There were 473 cases of infection in public hospitals in 2017, and more than doubled to 972 in 2018. Infection and infectious disease specialist Zeng Qiyin pointed out that CPE is highly resistant to drugs. Currently, there are only one or two drugs that can treat CPE. If unfortunately infected with CPE, it can cause various infections such as pneumonia, urethritis, and sepsis. The most serious Multiple organ failure, even fatal.
Zeng Qiyin pointed out that CPE infections are becoming more common in public hospitals, or because of the large number of patients, the environment is more crowded and it is easy to spread through contact.
Sample of "Carbapenemase-producing Enterobacteriaceae" (CPE). (Information picture / picture provided by HA)
Abuse of antibiotics causes almost no cure
Zeng Qiyin said that Escherichia coli and Klebsiella pneumoniae are Gram-negative bacteria belonging to the family Enterobacteriaceae. They are widespread in the natural environment and human intestines. To deal with these bacteria, you must take antibiotic. However, as antibiotics are widely used, bacteria gradually develop resistance.
He pointed out that the original "carbapenem" (carbapenem) antibiotics are rare and effective drugs that can still deal with bacteria, but in recent years, Enterobacteriaceae bacteria with "carbapenem" resistance have also appeared, which is CPE. , "The strongest medicines are resistant, so you have to have fewer medicines available."
He continued that if infected with CPE, it can cause various infections such as pneumonia, urethritis, and sepsis. If bacteria enters the bloodstream, blood pressure may drop suddenly, the patient will fall into a coma, multiple organ failure, the most serious will be fatal, and CPE can be treated now There are only one or two medicines left, including "Colistin".
Zeng Qiyin pointed out that CPE is highly resistant to drugs. At present, there are only one or two drugs that can treat CPE. If unfortunately infected with CPE, the most serious can be fatal. (Profile picture/photo by Huang Baoying)
Medical environment is prone to spreading low bacteria immunity
Zeng Qiyin pointed out that CPE infections are becoming more common in hospitals, especially in public hospitals. He believes that because of the large number of patients in public hospitals, the environment is more crowded, the infection isolation facilities may not be sufficient, and the incurable diseases There are also many people, and doctors have a higher chance of using antibiotics. He believes that outbreaks in the hospital are spread through contact. For example, after the medical staff contacts the infected patients and then takes care of other patients, the bacteria may spread.
He said that if the patient's own immunity is low, it is more susceptible to sepsis and organ failure, and the risk of death is also increased. He suggested that health care workers and family members of patients should take measures to control infections, and hospitals should check the use of drugs to avoid the abuse of antibiotics. "Some patients do not need to use strong drugs. If they are used strong, the bacteria will become worse. It should ensure that patients use the most appropriate medicines and manage the medication, treatment and dosage."
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