{"id":38835,"date":"2024-06-12T17:27:15","date_gmt":"2024-06-12T10:27:15","guid":{"rendered":"https:\/\/www.oucru.org\/new-study-existing-interventions-proven-effective-to-reduce-burden-of-antimicrobial-resistance-in-low-income-and-middle-income-countries\/"},"modified":"2024-06-13T11:08:45","modified_gmt":"2024-06-13T04:08:45","slug":"amr-prevention-in-lmics","status":"publish","type":"post","link":"https:\/\/www.oucru.org\/vi\/amr-prevention-in-lmics\/","title":{"rendered":"Nghi\u00ean c\u1ee9u m\u1edbi: C\u00e1c bi\u1ec7n ph\u00e1p hi\u1ec7u qu\u1ea3 trong vi\u1ec7c gi\u1ea3m g\u00e1nh n\u1eb7ng kh\u00e1ng kh\u00e1ng sinh \u1edf c\u00e1c qu\u1ed1c gia c\u00f3 thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh."},"content":{"rendered":"\n<p>Nghi\u00ean c\u1ee9u c\u00f3 ti\u00eau \u0111\u1ec1 <a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(24)00862-6\/fulltext\">&#8220;G\u00e1nh n\u1eb7ng kh\u00e1ng kh\u00e1ng sinh \u1edf c\u00e1c n\u01b0\u1edbc thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p hi\u1ec7n c\u00f3,&#8221;<\/a>cung c\u1ea5p c\u00e1c ph\u00e2n t\u00edch v\u1ec1 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p y t\u1ebf hi\u1ec7n c\u00f3 trong vi\u1ec7c gi\u1ea3m t\u1ea3i t\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh.<\/p>\n\n<p><a href=\"https:\/\/www.oucru.org\/vi\/research\/cac-benh-nhiem-trung-khang-thuoc\/\">Kh\u00e1ng kh\u00e1ng sinh <\/a>(AMR) x\u1ea3y ra khi vi khu\u1ea9n kh\u00f4ng c\u00f2n \u0111\u00e1p \u1ee9ng v\u1edbi lo\u1ea1i thu\u1ed1c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u00fang. \u01af\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng <a href=\"https:\/\/theconversation.com\/antimicrobial-resistance-is-a-silent-killer-that-leads-to-5-million-deaths-a-year-solutions-must-include-the-poor-217693\">5 tri\u1ec7u ca t\u1eed vong <\/a> h\u00e0ng n\u0103m li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n kh\u00e1ng kh\u00e1ng sinh. Ph\u1ea7n l\u1edbn s\u1ed1 ca n\u00e0y, kho\u1ea3ng 4,3 tri\u1ec7u ng\u01b0\u1eddi, x\u1ea3y ra \u1edf c\u00e1c qu\u1ed1c gia c\u00f3 thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh (LMIC), n\u01a1i h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f2n nhi\u1ec1u h\u1ea1n ch\u1ebf.<\/p>\n\n<p>Nh\u00f3m nghi\u00ean c\u1ee9u, bao g\u1ed3m <a href=\"https:\/\/www.oucru.org\/vi\/people\/pgs-ts-abhilasha-karkey\/\">PGS TS Abhilasha Karkey c\u1ee7a OUCRU Nepal<\/a>, \u0111\u00e3 ti\u1ebfn h\u00e0nh ph\u00e2n t\u00edch c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p hi\u1ec7n c\u00f3 v\u00e0 t\u00e1c \u0111\u1ed9ng c\u1ee7a ch\u00fang trong vi\u1ec7c gi\u1ea3m t\u1eed vong li\u00ean quan \u0111\u1ebfn AMR \u1edf c\u00e1c n\u01b0\u1edbc thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh. Nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng c\u00e1c qu\u1ed1c gia n\u00e0y n\u00ean \u01b0u ti\u00ean ngu\u1ed3n l\u1ef1c \u0111\u1ec3 \u0111\u1ea7u t\u01b0 v\u00e0o c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p mang l\u1ea1i hi\u1ec7u qu\u1ea3 gi\u1ea3m thi\u1ec3u g\u00e1nh n\u1eb7ng AMR l\u1edbn nh\u1ea5t.<\/p>\n\n<p>C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 thu th\u1eadp v\u00e0 s\u1eed d\u1ee5ng d\u1eef li\u1ec7u t\u1eeb nhi\u1ec1u ngu\u1ed3n, bao g\u1ed3m nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec5 h\u1ecdc, d\u1eef li\u1ec7u kh\u1ea3o s\u00e1t \u0111a qu\u1ed1c gia v\u00e0 c\u00e1c ph\u00e2n t\u00edch t\u1ed5ng h\u1ee3p hi\u1ec7n c\u00f3. H\u1ecd c\u0169ng ph\u00e1t tri\u1ec3n m\u00f4 h\u00ecnh ph\u00e2n t\u00edch \u0111\u1ec3 \u01b0\u1edbc t\u00ednh t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p kh\u00e1c nhau trong vi\u1ec7c gi\u1ea3m thi\u1ec3u ca t\u1eed vong li\u00ean quan \u0111\u1ebfn AMR \u1edf LMIC.<\/p>\n\n<p><strong>Nghi\u00ean c\u1ee9u nh\u1ea5n m\u1ea1nh ba bi\u1ec7n ph\u00e1p can thi\u1ec7p ch\u00ednh c\u00f3 ti\u1ec1m n\u0103ng ng\u0103n ch\u1eb7n 750.000 ca t\u1eed vong li\u00ean quan \u0111\u1ebfn AMR m\u1ed7i n\u0103m:<\/strong><\/p>\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/Lancet-infographic-AMR-Series-Socials3@2x.png\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"740\" src=\"https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/Lancet-infographic-AMR-Series-Socials3@2x-1024x740.png\" alt=\"\" class=\"wp-image-38843\" srcset=\"https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/Lancet-infographic-AMR-Series-Socials3@2x-1024x740.png 1024w, https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/Lancet-infographic-AMR-Series-Socials3@2x-300x217.png 300w, https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/Lancet-infographic-AMR-Series-Socials3@2x-768x555.png 768w, https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/Lancet-infographic-AMR-Series-Socials3@2x.png 1192w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n<p><strong>1. C\u1ea3i thi\u1ec7n c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh ph\u00f2ng ng\u1eeba v\u00e0 ki\u1ec3m so\u00e1t nhi\u1ec5m tr\u00f9ng (IPC): <\/strong>T\u0103ng c\u01b0\u1eddng c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh IPC t\u1ea1i c\u01a1 s\u1edf ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a LMIC c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba \u00edt nh\u1ea5t 337.000 ca t\u1eed vong h\u00e0ng n\u0103m li\u00ean quan \u0111\u1ebfn AMR. Trong b\u1ed1i c\u1ea3nh c\u01a1 s\u1edf h\u1ea1 t\u1ea7ng v\u1ec7 sinh n\u01b0\u1edbc s\u1ea1ch c\u00f2n nhi\u1ec1u h\u1ea1n ch\u1ebf, v\u1eabn c\u00f3 nh\u1eefng bi\u1ec7n ph\u00e1p hi\u1ec7u qu\u1ea3 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng b\u1ec1 m\u1eb7t t\u1ea1i c\u00e1c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh (s\u1eed d\u1ee5ng dung d\u1ecbch phun kh\u1eed khu\u1ea9n, v\u1ec7 sinh tay ch\u1ee9a c\u1ed3n, thi\u1ebft b\u1ecb b\u1ea3o h\u1ed9 c\u00e1 nh\u00e2n).<\/p>\n\n<p><strong>2. \u0110\u1ea3m b\u1ea3o ti\u1ebfp c\u1eadn \u0111\u1ea7y \u0111\u1ee7 c\u00e1c d\u1ecbch v\u1ee5 v\u1ec7 sinh n\u01b0\u1edbc s\u1ea1ch (WASH): <\/strong>Cung c\u1ea5p d\u1ecbch v\u1ee5 v\u1ec7 sinh n\u01b0\u1edbc s\u1ea1ch \u0111\u1ea1t ch\u1ea5t l\u01b0\u1ee3ng c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba t\u1edbi 247.800 ca t\u1eed vong li\u00ean quan \u0111\u1ebfn AMR h\u00e0ng n\u0103m. Tuy nhi\u00ean, \u0111i\u1ec1u n\u00e0y s\u1ebd \u0111\u00f2i h\u1ecfi \u0111\u1ea7u t\u01b0 l\u1edbn v\u00e0o c\u01a1 s\u1edf h\u1ea1 t\u1ea7ng, thay v\u00ec ch\u1ec9 d\u1ef1a v\u00e0o c\u00e1c bi\u1ec7n ph\u00e1p chi ph\u00ed th\u1ea5p nh\u1eb1m thay \u0111\u1ed5i h\u00e0nh vi c\u00e1 nh\u00e2n.<\/p>\n\n<p><strong>3. Th\u1ef1c hi\u1ec7n ti\u00eam ch\u1ee7ng m\u1edf r\u1ed9ng cho tr\u1ebb em: <\/strong> Vi\u1ec7c \u0111\u1ea3m b\u1ea3o c\u00e1c li\u1ec1u v\u1eafc xin c\u01a1 b\u1ea3n c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba 181.500 ca t\u1eed vong li\u00ean quan \u0111\u1ebfn AMR h\u00e0ng n\u0103m \u1edf c\u00e1c n\u01b0\u1edbc LMIC. V\u1eafc-xin kh\u00f4ng ch\u1ec9 b\u1ea3o v\u1ec7 ch\u1ed1ng l\u1ea1i c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng nguy hi\u1ec3m m\u00e0 c\u00f2n l\u00e0m gi\u1ea3m vi\u1ec7c ti\u00eau th\u1ee5 kh\u00e1ng sinh c\u1ee7a tr\u1ebb v\u1ec1 sau.<\/p>\n\n<figure class=\"wp-block-image aligncenter size-full is-style-default\"><a href=\"https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/2019_Vaccine-research_Binh-Phuoc-8-1-scaled.jpg\"><img decoding=\"async\" width=\"2560\" height=\"1707\" src=\"https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/2019_Vaccine-research_Binh-Phuoc-8-1-scaled.jpg\" alt=\"\" class=\"wp-image-38827\" style=\"aspect-ratio:16\/9;object-fit:cover\" srcset=\"https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/2019_Vaccine-research_Binh-Phuoc-8-1-scaled.jpg 2560w, https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/2019_Vaccine-research_Binh-Phuoc-8-1-300x200.jpg 300w, https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/2019_Vaccine-research_Binh-Phuoc-8-1-1024x683.jpg 1024w, https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/2019_Vaccine-research_Binh-Phuoc-8-1-768x512.jpg 768w, https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/2019_Vaccine-research_Binh-Phuoc-8-1-1536x1024.jpg 1536w, https:\/\/www.oucru.org\/wp-content\/uploads\/2024\/06\/2019_Vaccine-research_Binh-Phuoc-8-1-2048x1366.jpg 2048w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/a><\/figure>\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>\u201cC\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba tr\u00ean kh\u00f4ng ch\u1ec9 c\u1ea7n thi\u1ebft trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh, m\u00e0 c\u00f2n gi\u00fap b\u1ea3o to\u00e0n hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c lo\u1ea1i kh\u00e1ng sinh hi\u1ec7n c\u00f3. Th\u00f4ng qua c\u00e1c can thi\u1ec7p n\u00e0y, ch\u00fang ta c\u00f3 th\u1ec3 gi\u1ea3m nh\u1eb9 g\u00e1nh n\u1eb7ng to\u00e0n c\u1ea7u do kh\u00e1ng kh\u00e1ng sinh g\u00e2y ra, nh\u1eb1m \u0111\u1ea3m b\u1ea3o m\u1ed9t t\u01b0\u01a1ng lai kh\u1ecfe m\u1ea1nh cho t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi.\u201d<\/p><cite><a href=\"https:\/\/www.oucru.org\/vi\/people\/pgs-ts-abhilasha-karkey\/\"> PGS TS Abhilasha Karkey, Gi\u00e1m \u0111\u1ed1c OUCRU Nepal<\/a><\/cite><\/blockquote><\/figure>\n\n<p>B\u1eb1ng c\u00e1ch th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p tr\u00ean, \u01b0\u1edbc t\u00ednh c\u00f3 th\u1ec3 gi\u1ea3m 18% s\u1ed1 ca t\u1eed vong li\u00ean quan \u0111\u1ebfn AMR x\u1ea3y ra h\u00e0ng n\u0103m \u1edf c\u00e1c n\u01b0\u1edbc LMIC. Tuy nhi\u00ean, nh\u1eefng bi\u1ec7n ph\u00e1p can thi\u1ec7p n\u00e0y kh\u00f4ng lo\u1ea1i tr\u1eeb l\u1eabn nhau, do \u0111\u00f3 c\u1ea7n ph\u1ea3i k\u1ebft h\u1ee3p c\u00f9ng l\u00fac nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111a d\u1ea1ng \u0111\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t.<\/p>\n\n<p><\/p>\n\n<p>Nghi\u00ean c\u1ee9u nh\u1ea5n m\u1ea1nh t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c ho\u1ea1ch \u0111\u1ecbnh ch\u00ednh s\u00e1ch d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng v\u00e0 s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a qu\u1ed1c gia trong vi\u1ec7c ph\u00e2n b\u1ed5 ngu\u1ed3n l\u1ef1c \u0111\u1ec3 th\u1ef1c hi\u1ec7n nh\u1eefng can thi\u1ec7p n\u00e0y. Nghi\u00ean c\u1ee9u c\u0169ng nh\u1ea5n m\u1ea1nh vai tr\u00f2 c\u1ee7a h\u1ee3p t\u00e1c qu\u1ed1c t\u1ebf trong vi\u1ec7c chia s\u1ebb ki\u1ebfn th\u1ee9c, ngu\u1ed3n l\u1ef1c v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p th\u1ef1c h\u00e0nh t\u1ed1t nh\u1ea5t \u0111\u1ec3 ch\u1ed1ng l\u1ea1i t\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh tr\u00ean to\u00e0n c\u1ea7u.<\/p>\n\n<p>\u0110\u1ec3 \u0111\u1ecdc th\u00eam nghi\u00ean c\u1ee9u, truy c\u1eadp <a href=\"https:\/\/www.thelancet.com\/series\/antibiotic-resistance?utm_campaign=lancetamr24&amp;utm_source=twitter&amp;utm_medium=social\">The Lancet<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trong m\u1ed9t nghi\u00ean c\u1ee9u m\u1edbi \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean The Lancet, m\u1ed9t nh\u00f3m c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u qu\u1ed1c t\u1ebf \u0111\u00e3 nh\u1ea5n m\u1ea1nh nhu c\u1ea7u c\u1ea5p thi\u1ebft \u0111\u1ec3 gi\u1ea3i quy\u1ebft m\u1ed1i \u0111e d\u1ecda c\u1ee7a t\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh. <\/p>\n","protected":false},"author":39,"featured_media":38818,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":"","_wp_rev_ctl_limit":""},"categories":[297],"tags":[],"class_list":["post-38835","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nepal-vi"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.3.1 - 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