Facing the threat of antibiotic-resistance: Israel’s success to prevent and control the spread of carbapenem-resistant bacteria
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2017年11月8日
8 November 2017
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2006年，在以色列，一个卫生突发情况在悄然扩散，包括卫生部在内的大多数人都不易察觉到。
In 2006 a silent health emergency was spreading in Israel, an emergency which was invisible to most, including the Ministry of Health.
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威胁来自一种肠道细菌克雷伯菌，在医疗卫生机构内引起住院病人感染。
The threat was Klebsiella , a gut bacterium which was infecting patients in health care facilities and had become resistant to carbapenems, the most potent class of antibiotics used to treat it.
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致命的耐药性克雷伯氏菌自侵入以色列的医疗卫生系统后，便立即像野火一样蔓延开来。
When the deadly drug-resistant Klebsiella was introduced to the health care system in Israel, it began to spread like wildfire.
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然而，以色列卫生部不具备识别威胁及干预机制，所以病菌继续虐狂威胁生命。
Unfortunately, there was no mechanism in place for the Ministry of Health to detect the threat and intervene, so the bug continued to claim lives.
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幸运的是，当一群感染预防和控制专家聚集在一个例会时，他们通过分享数据意识到国家正面临着一个威胁。
Luckily, when a group of infection prevention and control specialists gathered at one of their regular meetings, they were able to share data and realized that they were facing a national threat.
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Mitchell Schwaber博士是出席那次会议的感染控制专家之一。
Dr Mitchell Schwaber was one of the infection control specialists in this meeting.
As a full-time staff physician working in hospital epidemiology and infection control at Tel Aviv Sourasky Medical Center, he understood immediately the massive implications of this situation.
“Unchecked, this bug threatened to overrun the in-patient health care system in the acute care hospitals and put the safety of the hospital system in jeopardy,” says Dr Schwaber.