A cewar wani binciken da aka buga a cikin Annals of Internal Medicine, tace ruwa na kasuwanci na iya taimakawa wajen kamuwa da cutar masu aikin tiyatar zuciya guda hudu a Brigham da Asibitin Mata, wadanda uku daga cikinsu sun mutu.
Kiwon lafiya mai alaƙa da barkewar cutar M. abscessus, wanda aka bayyana a matsayin "marasa ƙarancin ƙwayar cuta amma an kwatanta shi da kyau", wanda a baya ake magana da shi "tsarin gurɓataccen ruwa" kamar injin kankara da ruwa, injin humidifiers, famfo na asibiti, ga marasa lafiya da ke yin tiyata ta hanyar tiyata, dumama. da kayan sanyaya, magunguna da magungunan kashe qwari.
A cikin watan Yuni 2018, Brigham da Asibitin Mata na kula da kamuwa da cuta sun ba da rahoton cin zarafi na Mycobacterium abscessus subsp.abscessus a yawancin marasa lafiya da ke jurewa aikin tiyatar zuciya. Ciwon ciki, wanda zai iya haifar da cututtuka na jini, huhu, fata, da laushi mai laushi, musamman a cikin mutanen da ke da raunin tsarin rigakafi.
Masu binciken sun gudanar da binciken kwatance don ƙarin fahimtar tarin kamuwa da cuta. Sun nemi abubuwan gama gari tsakanin lamura, kamar kayan dumama da sanyaya da aka yi amfani da su, ko dakunan aiki, benayen asibiti da dakuna, da samun damar samun wasu kayan aiki. Masu binciken sun kuma dauki samfurin ruwa daga kowane dakin da majinyatan suka zauna a ciki, da kuma daga wuraren shan ruwa guda biyu da masu yin kankara a filin aikin tiyatar zuciya.
Dukkanin marasa lafiya hudu "an yi musu magani sosai tare da maganin antimycobacterial multidrug," amma uku daga cikinsu sun mutu, Klompas da abokan aiki sun rubuta.
Masu binciken sun gano cewa dukkan marasa lafiya a matakin asibiti daya ne amma ba su da wasu abubuwan gama gari. Lokacin da suke nazarin masu yin ƙanƙara da masu rarraba ruwa, sun lura da haɓakar ƙwayar ƙwayar cuta ta mycobacteria akan gungun gungun, amma ba wani wuri ba.
Bayan haka, ta hanyar yin amfani da tsarin kwayoyin halitta gaba daya, sun gano abubuwa iri daya a cikin magudanan ruwa da injinan kankara a kasan asibitin da masu dauke da cutar suke. Ruwan da ke kaiwa ga motocin yana ratsawa ta na'urar tsabtace ruwa mai tace carbon tare da haskakawa ga hasken ultraviolet, wanda masu binciken suka gano yana rage matakan chlorine a cikin ruwa, mai yuwuwar karfafa mycobacteria don mamaye motocin.
Bayan marasa lafiya masu haɗari sun canza zuwa ruwa mai tsabta mai tsabta, ƙara yawan kula da masu rarraba ruwa, kashe tsarin tsarkakewa, babu sauran lokuta.
"Shigar da kayan aikin famfo na kasuwanci don inganta dandano da kuma rage warin ruwan sha na marasa lafiya na iya haifar da sakamakon da ba a yi niyya ba na haɓaka ƴan ƙananan ƙwayoyin cuta da kuma haifuwa," masu binciken sun rubuta. albarkatun ruwa (misali ƙara sake yin amfani da ruwa don rage yawan zafin rana) na iya ƙara haɗarin kamuwa da cuta da gangan ta hanyar rage kayan chlorine da ƙarfafa haɓakar ƙwayoyin cuta.”
Klompas da abokan aiki sun kammala cewa binciken nasu "yana nuna haɗarin sakamakon da ba a yi niyya ba da ke da alaƙa da tsarin da aka tsara don inganta amfani da ruwa a asibitoci, da ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙanƙara na ƙanƙara da ruwan sha, da kuma hadarin da wannan ke haifar da marasa lafiya." goyon baya ga shirye-shiryen kula da ruwa don saka idanu da kuma hana cututtuka na mycobacterial na nosocomial.
"Fiye da yawa, ƙwarewarmu ta tabbatar da yiwuwar haɗarin yin amfani da ruwan famfo da kankara a cikin kula da marasa lafiya, da kuma yuwuwar ƙimar sabbin tsare-tsare don rage bayyanar marasa lafiya masu rauni zuwa famfo ruwa da kankara yayin kulawa na yau da kullun," sun rubuta. .