Nk’uko ubushakashatsi bwasohotse mu kinyamakuru cyitwa Annals of Internal Medicine bubitangaza, akayunguruzo k’amazi gashobora kuba karagize uruhare mu kwanduza abarwayi bane babaga umutima mu bitaro bya Brigham n’abagore, batatu muri bo bakaba barapfuye.
Indwara ziterwa na M. abscessus, zivugwa ko ari "indwara idasanzwe ariko isobanurwa neza nosocomial pathogen", yahoze yitwa "sisitemu y'amazi yanduye" nk'imashini za barafu n'amazi, imashini zangiza, amazi yo mu bitaro, ku barwayi barimo kubagwa bypass, gushyushya n'ibikoresho byo gukonjesha, imiti na disinfectant.
Muri kamena 2018, Brigham n’ibitaro by’abagore barwaye indwara zanduye zanduye Mycobacterium abscessus subsp.abscessus ku barwayi benshi barimo kubagwa umutima. Indwara zidasanzwe, zishobora gutera indwara zamaraso, ibihaha, uruhu, nuduce tworoshye, cyane cyane kubantu bafite intege nke z'umubiri.
Abashakashatsi bakoze ubushakashatsi busobanura kugirango basobanukirwe neza ihuriro ryanduye. Bashakishaga ibintu bisanzwe hagati yimanza, nkibikoresho byo gushyushya no gukonjesha byakoreshejwe, cyangwa ibyumba byo gukoreramo, amagorofa n’ibitaro, no kubona ibikoresho bimwe. Abashakashatsi kandi bafashe icyitegererezo cy’amazi muri buri cyumba abarwayi bagumamo, ndetse no mu masoko abiri yo kunywa hamwe n’abakora urubura hasi ku kubaga umutima.
Klompas na bagenzi be banditse ko abarwayi bose uko ari bane “bavuwe cyane bakoresheje imiti myinshi igabanya ubukana bwa antimycobacterial,” ariko batatu muri bo barapfa.
Abashakashatsi basanze abarwayi bose bari ku rwego rumwe rw'ibitaro ariko nta bindi bintu bahuriyeho. Mugihe basuzumaga abakora urubura nogutanga amazi, babonye ubwiyongere bukabije bwa mycobacteria kumutwe, ariko ntabwo ari ahandi.
Hanyuma, bakoresheje genome yose uko yakabaye, basanze ibintu bisa nkubwoko mu masoko yo kunywa hamwe nimashini za barafu hasi yibitaro aho abarwayi banduye bari. Amazi aganisha ku modoka anyura mu cyuma cyungurura amazi ya karubone hamwe n’umucyo ultraviolet, abashakashatsi basanze bigabanya urugero rwa chlorine mu mazi, bikaba bishobora gutera mycobacteria gukoroniza imodoka.
Nyuma yuko abarwayi bafite ibyago byinshi bahinduye amazi ya sterile yamenetse, bakongera kubungabunga abatanga amazi, bazimya gahunda yo kweza, ntakibazo cyabayeho.
Abashakashatsi baranditse bati: "Gushiraho imiyoboro y'amazi yo kunoza uburyohe no kugabanya umunuko w'amazi yo kunywa y'abarwayi bishobora kugira ingaruka zitateganijwe zo guteza ubukoroni bwa mikorobe no kubyara." umutungo w'amazi (urugero: kongera amazi mu kongera amazi kugira ngo ugabanye ubushyuhe) birashobora kutabishaka byongera ibyago byo kwandura abarwayi mu kugabanya ibikoresho bya chlorine no gushishikariza mikorobe gukura. ”
Klompas na bagenzi be banzuye bavuga ko ubushakashatsi bwabo “bugaragaza ingaruka z’ingaruka zitateganijwe zijyanye na sisitemu zagenewe kunoza imikoreshereze y’amazi mu bitaro, kuba mikorobe yanduza urubura n’amasoko yo kunywa, ndetse n’ingaruka ibyo bitera abarwayi.” inkunga ya gahunda yo gucunga amazi yo gukurikirana no gukumira indwara ya mycobacterial nosocomial.
Baranditse bati: "Muri rusange, ubunararibonye bwacu bwemeza ingaruka zishobora guterwa no gukoresha amazi ya barafu na barafu mu kwita ku barwayi batishoboye, ndetse n'agaciro gashobora guterwa na gahunda nshya yo kugabanya ingaruka z’abarwayi batishoboye ku mazi na barafu mu gihe cyo kwita ku buzima busanzwe". .