O siama Klebsiella pneumoniae o le enterobacterium e nafa ma le tele ma ogaoga faʻamaʻi, tele lava nosocomial i Farani. A numera o ituaiga o Klebsiella pneumoniae ua atiaʻe tele teteʻe i fualaʻau.

Klebsiella pneumoniae, muamua na taʻua o le Friedlander's pneumobacillus, o le enterobacterium, o lona uiga, o le kalama-le lelei bacillus. E masani lava ona iai i totonu o le manava, i alatele luga o tagata ma manu mafanafana: e fai mai o siama taua.

E koloneina e oʻo i le 30% o tagata taʻitasi i le digestive ma nasopharyngeal mucous membrane. O lenei siama e maua foi i le vai, palapala, laʻau ma le pefu (faʻaleagaina e lapisi). O lenei foi o se pathogen mafua ai mo eseese faʻamaʻi:

• niumonia,
• septicemies,
• faʻamaʻi pipisi
• faʻamaʻi pipisi,
• faamaʻi fatugaʻo.

I totonu o Europa, ole Klebsiella pneumoniae ole mafuaʻaga o faʻamaʻi pipisi ole manava o tagata (i taulaga) i tagata vaivai (tagata inu ava malosi, maʻi suka, tagata matutua poʻo i latou o loʻo tigaina ile faʻamaʻi ole respiratory respiratory) ma e maise lava faʻamaʻi ole nosocomial (na maua i koneseti ile falemaʻi) i tagata o loʻo falemaʻi (pneumonia, sepsis ma faʻamaʻi o pepe faatoa fananau mai ma tagata mamaʻi ile potu o maʻi tigaina).

O siama Klebsiella pneumoniae e maitauina faʻapitoa e nafa ma urna nosocomial ma iniseti-manava siama, sepsis, niumonia, ma taotoga nofoaga siama. E tusa ma le 8% o faʻamaʻi nosocomial i Europa ma le Iunaite Setete e mafua mai ile siama lea. O faʻamaʻi pipisi ole Klebsiella pneumoniae e masani ona maua i matagaluega fou ole pepe, aemaise lava ile potu o maʻi tigaina ma pepe e leʻi vave fanau.

Faʻailoga o le lautele Klebsiella pneumoniae siama

Faʻailoga o le lautele Klebsiella pneumoniae siama o na o se ogaoga siama siama:

• maualuga fiva,
• tiga,
• leaga o le tulaga lautele,
• malulu

Faʻailoga o se faʻamaʻi manava ma Klebsiella pneumoniae

Faʻailoga o le faʻamaʻi manava ma Klebsiella pneumoniae e masani lava o le pulmonary, ma sputum ma tale, i le faʻaopopoina i le fiva.

Faʻailoga o se faʻamaʻi pipisi na mafua mai i le Klebsiella pneumoniae

Faʻailoga o le urinary tract infection ma le Klebsiella pneumoniae aofia ai le susunuina ma le tiga i le taimi o urination, manogi ma puaoa le mimi, manaʻoga masani ma faanatinati e urination, o nisi taimi niniva ma puaʻi.

Faʻailoga o meningitis mafua mai i Klebsiella pneumoniae

Faʻailoga o le Klebsiella pneumoniae meningitis (seasea) o:

• ulu,
• fiva,
• suia le tulaga o le malamalama,
• faʻalavelave faʻafuaseʻi,
• septic teʻi

O le faʻamaoniga mautinoa o se faʻamaʻi pipisi Klebsiella e faʻavae i luga o le tuʻu eseʻese ma le faʻailoaina o siama mai faʻataʻitaʻiga o le toto, miaga, sputum, bronchial secretions poʻo siama aʻafia. Ole faʻailoga ole siama e tatau ona o faatasi ma le faʻatinoina ole vailaʻau.

O le vailaʻau faʻafomaʻi o se metotia a le fale suʻesuʻe e mafai ai ona faʻataʻitaʻia le maaleale o siama e fesoʻotaʻi ma le tasi poʻo le sili atu o vailaʻau faʻamaʻi, lea e foliga taua mo ituaiga o Klebsiella pneumoniae e masani ona teteʻe i le tele o vailaʻau.

O le siama Klebsiella pneumoniae pei o isi Enterobacteriaceae o loʻo feaveaʻi e lima, o lona uiga o lenei siama e mafai ona faʻasalalauina e le paʻu o le paʻu e ala i mea faʻaleagaina poʻo luga. I le falemaʻi, o siama e feaveaʻi mai le tasi tagata maʻi i le isi e ala i lima o tagata tausi maʻi e mafai ona feaveaʻia siama mai le tasi tagata maʻi i le isi.

I fafo atu o le falemaʻi Klebsiella pneumoniae siama e mafai ona togafitia i le taulaga ma le cephalosporin (eg ceftriaxone) poʻo fluoroquinolone (eg levofloxacin).

O siama loloto ma le Klebsiella pneumoniae e togafitia i vailaʻau e tui ai tui. E masani ona togafitia i latou i le lautele-spectrum cephalosporins ma karapapenem (imipenem, meropenem, ertapenem), poʻo fluoroquinolones poʻo aminoglycosides. O le filifiliga o le vailaʻau faʻafomaʻi e faʻatautaia mafai ona faigata ona o le mauaina o teteʻe.

O ituaiga o Klebsiellia pneumoniae ua atiaʻe ai le tele o teteʻe atu i vailaʻau oona. Ua faʻavasegaina e le World Health Organisation (WHO) lenei siama i totonu o le 12 "faʻamuamua faʻamaʻi" e teteʻe atu i vailaʻau. Mo se faʻataʻitaʻiga, Klebsiella pneumoniae mafai ona gaosia se enzyme, carbapenemase, lea e taofia le aafiaga o le toeititi lava o le lautele o le lautele o le lautele o le lautele o le spec-lactam vailaʻau.

I nisi atunuʻu, e le toe aoga vailaʻau mo le afa o tagata mamaʻi na togafitia mo faʻamaʻi o le K. Mauaina teteʻe atu i vailaʻau faʻafomaʻi e ono popole foi isi vasega vailaʻau pei o aminoglycosides.