{"id":40608,"date":"2024-09-19T19:42:07","date_gmt":"2024-09-19T12:42:07","guid":{"rendered":"https:\/\/www.oucru.org\/xet-nghiem-tai-cho-duoc-nguoi-viet-nam-don-nhan-de-cai-thien-viec-lam-dung-khang-sinh\/"},"modified":"2024-09-19T20:13:13","modified_gmt":"2024-09-19T13:13:13","slug":"xet-nghiem-tai-cho-duoc-nguoi-viet-nam-don-nhan-de-cai-thien-viec-lam-dung-khang-sinh","status":"publish","type":"post","link":"https:\/\/www.oucru.org\/vi\/xet-nghiem-tai-cho-duoc-nguoi-viet-nam-don-nhan-de-cai-thien-viec-lam-dung-khang-sinh\/","title":{"rendered":"X\u00e9t nghi\u1ec7m t\u1ea1i ch\u1ed7 \u0111\u01b0\u1ee3c ng\u01b0\u1eddi Vi\u1ec7t Nam \u0111\u00f3n nh\u1eadn \u0111\u1ec3 c\u1ea3i thi\u1ec7n vi\u1ec7c l\u1ea1m d\u1ee5ng kh\u00e1ng sinh"},"content":{"rendered":"\n

\u1ea2nh: M\u1ed9t ng\u01b0\u1eddi d\u00e2n \u1edf t\u1ec9nh Nam \u0110\u1ecbnh t\u1ea1i tri\u1ec3n l\u00e3m Photovoice c\u1ee7a OUCRU n\u0103m 2021.<\/em><\/p>\n\n\n\n

X\u00e9t nghi\u1ec7m protein C ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7<\/strong> (CRP-POCT) l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u01a1n gi\u1ea3n gi\u00fap x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n g\u00e2y nhi\u1ec5m tr\u00f9ng l\u00e0 do vi khu\u1ea9n hay vi r\u00fat. Vi\u1ec7c ph\u00e2n bi\u1ec7t n\u00e0y r\u1ea5t quan tr\u1ecdng v\u00ec kh\u00e1ng sinh ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng ti\u00eau di\u1ec7t vi khu\u1ea9n. Nh\u1edd CRP-POCT, d\u01b0\u1ee3c s\u0129 c\u00f3 th\u1ec3 \u0111\u01b0a ra l\u1eddi khuy\u00ean ch\u00ednh x\u00e1c h\u01a1n cho b\u1ec7nh nh\u00e2n: n\u00ean \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng b\u1eb1ng thu\u1ed1c th\u00f4ng th\u01b0\u1eddng hay c\u1ea7n \u0111i kh\u00e1m \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n kh\u00e1ng sinh. \u0110i\u1ec1u n\u00e0y gi\u00fap h\u1ea1n ch\u1ebf vi\u1ec7c l\u1ea1m d\u1ee5ng kh\u00e1ng sinh, t\u1eeb \u0111\u00f3 ng\u0103n ng\u1eeba t\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh ng\u00e0y c\u00e0ng gia t\u0103ng. <\/p>\n\n\n\n

Nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u0103ng tr\u00ean T\u1ea1p ch\u00ed B\u1ec7nh truy\u1ec1n nhi\u1ec5m Di\u1ec5n \u0111\u00e0n M\u1edf<\/a> cho th\u1ea5y x\u00e9t nghi\u1ec7m CRP-POCT nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 \u1ee7ng h\u1ed9 r\u1ed9ng r\u00e3i t\u1eeb ph\u00eda ng\u01b0\u1eddi s\u1eed d\u1ee5ng. C\u1ee5 th\u1ec3, 96,5% kh\u00e1ch h\u00e0ng \u0111\u00e3 tr\u1ea3i nghi\u1ec7m d\u1ecbch v\u1ee5 n\u00e0y b\u00e0y t\u1ecf mong mu\u1ed1n \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng t\u1ea1i c\u00e1c hi\u1ec7u thu\u1ed1c trong t\u01b0\u01a1ng lai. H\u01a1n n\u1eefa, \u0111a s\u1ed1 kh\u00e1ch h\u00e0ng (78,3%) s\u1eb5n l\u00f2ng chi tr\u1ea3 cho d\u1ecbch v\u1ee5, v\u1edbi m\u1ee9c gi\u00e1 trung b\u00ecnh l\u00e0 kho\u1ea3ng 60.000 \u0111\u1ed3ng (2,4 USD). <\/p>\n\n\n\n

\u0110\u00e2y l\u00e0 m\u1ed9t ph\u00e1t hi\u1ec7n quan tr\u1ecdng trong b\u1ed1i c\u1ea3nh Vi\u1ec7t Nam \u0111ang l\u00e0 m\u1ed9t trong nh\u1eefng qu\u1ed1c gia c\u00f3 t\u1ef7 l\u1ec7 l\u1ea1m d\u1ee5ng v\u00e0 kh\u00e1ng kh\u00e1ng sinh cao nh\u1ea5t th\u1ebf gi\u1edbi. Vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh kh\u00f4ng \u0111\u00fang c\u00e1ch, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u1ef1 \u00fd mua thu\u1ed1c t\u1ea1i hi\u1ec7u thu\u1ed1c m\u00e0 kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh. \u0110i\u1ec1u n\u00e0y kh\u00f4ng ch\u1ec9 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c kh\u00e1ng sinh trong \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng m\u00e0 c\u00f2n g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh trong t\u01b0\u01a1ng lai. <\/p>\n\n\n\n

“M\u1eb7c d\u00f9 lu\u1eadt ph\u00e1p Vi\u1ec7t Nam \u0111\u00e3 c\u00f3 nh\u1eefng quy \u0111\u1ecbnh h\u1ea1n ch\u1ebf vi\u1ec7c b\u00e1n kh\u00e1ng sinh kh\u00f4ng k\u00ea \u0111\u01a1n, th\u1ef1c t\u1ebf cho th\u1ea5y ho\u1ea1t \u0111\u1ed9ng n\u00e0y v\u1eabn di\u1ec5n ra ph\u1ed5 bi\u1ebfn, g\u00f3p ph\u1ea7n l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam t\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh t\u1ea1i \u0111\u00e2y. Trong b\u1ed1i c\u1ea3nh \u0111\u00f3, CRP-POCT c\u00f3 th\u1ec3 l\u00e0 gi\u1ea3i ph\u00e1p thay th\u1ebf, cho ph\u00e9p c\u00e1c d\u01b0\u1ee3c s\u0129 cung c\u1ea5p d\u1ecbch v\u1ee5 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb thay v\u00ec tr\u1ef1c ti\u1ebfp b\u00e1n kh\u00e1ng sinh khi ch\u01b0a c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.” <\/p>Ph\u00f3 Gi\u00e1o s\u01b0 Sonia Lewycka chia s\u1ebb<\/a> <\/cite><\/blockquote><\/figure>\n\n\n\n

Nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i th\u00e0nh ph\u1ed1 Nam \u0110\u1ecbnh v\u00e0 k\u1ebft h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p thu th\u1eadp d\u1eef li\u1ec7u kh\u00e1c nhau. C\u1ee5 th\u1ec3, nh\u00f3m nghi\u00ean c\u1ee9u \u0111\u00e3 ti\u1ebfn h\u00e0nh kh\u1ea3o s\u00e1t 520 kh\u00e1ch h\u00e0ng sau khi s\u1eed d\u1ee5ng thu\u1ed1c, t\u1ed5 ch\u1ee9c th\u1ea3o lu\u1eadn nh\u00f3m t\u1eadp trung v\u1edbi 20 ng\u01b0\u1eddi v\u00e0 ph\u1ecfng v\u1ea5n chuy\u00ean s\u00e2u 12 d\u01b0\u1ee3c s\u0129 c\u00f9ng c\u00e1c b\u00ean li\u00ean quan kh\u00e1c. <\/p>\n\n\n\n

Nghi\u00ean c\u1ee9u cho th\u1ea5y x\u00e9t nghi\u1ec7m CRP-POCT c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u1eafc l\u1ef1c trong vi\u1ec7c gi\u1ea3m thi\u1ec3u t\u00ecnh tr\u1ea1ng l\u1ea1m d\u1ee5ng kh\u00e1ng sinh t\u1ea1i Vi\u1ec7t Nam. \u0110\u1ed1i v\u1edbi d\u01b0\u1ee3c s\u0129, CRP-POCT cung c\u1ea5p th\u00f4ng tin kh\u00e1ch quan v\u1ec1 t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng c\u1ee7a b\u1ec7nh nh\u00e2n, gi\u00fap h\u1ecd c\u00f3 c\u01a1 s\u1edf v\u1eefng ch\u1eafc h\u01a1n trong vi\u1ec7c quy\u1ebft \u0111\u1ecbnh c\u1ea5p ph\u00e1t kh\u00e1ng sinh. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n, k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m s\u1ebd gi\u00fap h\u1ecd an t\u00e2m khi kh\u00f4ng c\u1ea7n s\u1eed d\u1ee5ng kh\u00e1ng sinh, t\u1eeb \u0111\u00f3 n\u00e2ng cao s\u1ef1 tin t\u01b0\u1edfng v\u00e0o h\u01b0\u1edbng d\u1eabn c\u1ee7a d\u01b0\u1ee3c s\u0129.<\/p>\n\n\n\n

Hi\u1ec7n nay, vi\u1ec7c mua b\u00e1n kh\u00e1ng sinh kh\u00f4ng c\u1ea7n \u0111\u01a1n thu\u1ed1c v\u1eabn di\u1ec5n ra ph\u1ed5 bi\u1ebfn t\u1ea1i Vi\u1ec7t Nam. Nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng c\u00f3 \u0111\u1ebfn 81,4% tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e1t kh\u00e1ng sinh l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft d\u1ef1a tr\u00ean m\u1ee9c CRP c\u1ee7a h\u1ecd, cho th\u1ea5y m\u1ee9c \u0111\u1ed9 l\u1ea1m d\u1ee5ng kh\u00e1ng sinh \u0111\u00e1ng b\u00e1o \u0111\u1ed9ng.<\/p>\n\n\n\n

Ngo\u00e0i ra, nghi\u00ean c\u1ee9u c\u0169ng ph\u00e2n t\u00edch nh\u1eefng y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i v\u00e0 kh\u00f3 kh\u0103n trong vi\u1ec7c tri\u1ec3n khai d\u1ecbch v\u1ee5 n\u00e0y t\u1ea1i c\u00e1c hi\u1ec7u thu\u1ed1c. S\u1ef1 mong mu\u1ed1n c\u1ee7a c\u1ea3 kh\u00e1ch h\u00e0ng v\u00e0 d\u01b0\u1ee3c s\u0129 v\u1ec1 m\u1ed9t gi\u1ea3i ph\u00e1p h\u1ed7 tr\u1ee3 s\u1eed d\u1ee5ng kh\u00e1ng sinh hi\u1ec7u qu\u1ea3, c\u00f9ng v\u1edbi l\u1ee3i \u00edch r\u00f5 r\u00e0ng c\u1ee7a CRP-POCT trong vi\u1ec7c gi\u1ea3m thi\u1ec3u vi\u1ec7c l\u1ea1m d\u1ee5ng kh\u00e1ng sinh, l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 h\u1ed7 tr\u1ee3 quan tr\u1ecdng. Tuy nhi\u00ean, v\u1eabn c\u00f2n nh\u1eefng th\u00e1ch th\u1ee9c c\u1ea7n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft, bao g\u1ed3m vi\u1ec7c \u0111\u00e0o t\u1ea1o v\u00e0 h\u1ed7 tr\u1ee3 d\u01b0\u1ee3c s\u0129 s\u1eed d\u1ee5ng CRP-POCT th\u00e0nh th\u1ea1o, c\u0169ng nh\u01b0 x\u00e2y d\u1ef1ng h\u01b0\u1edbng d\u1eabn chi ti\u1ebft v\u1ec1 quy tr\u00ecnh v\u1eadn h\u00e0nh v\u00e0 di\u1ec5n gi\u1ea3i k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m. <\/p>\n\n\n\n

“\u0110\u1ea1i d\u1ecbch COVID-19 \u0111\u00e3 g\u00f3p ph\u1ea7n th\u00fac \u0111\u1ea9y s\u1ef1 ph\u1ed5 bi\u1ebfn c\u1ee7a c\u00e1c lo\u1ea1i x\u00e9t nghi\u1ec7m nhanh, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 d\u00e0ng ti\u1ebfp c\u1eadn c\u00e1c d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe h\u01a1n. Trong b\u1ed1i c\u1ea3nh \u0111\u00f3, vi\u1ec7c tri\u1ec3n khai x\u00e9t nghi\u1ec7m CRP-POCT t\u1ea1i c\u00e1c hi\u1ec7u thu\u1ed1c kh\u00f4ng ch\u1ec9 mang l\u1ea1i l\u1ee3i \u00edch thi\u1ebft th\u1ef1c cho ng\u01b0\u1eddi b\u1ec7nh m\u00e0 c\u00f2n g\u00f3p ph\u1ea7n n\u00e2ng cao vai tr\u00f2 c\u1ee7a d\u01b0\u1ee3c s\u0129 trong h\u1ec7 th\u1ed1ng y t\u1ebf, bi\u1ebfn h\u1ecd tr\u1edf th\u00e0nh l\u1ef1c l\u01b0\u1ee3ng quan tr\u1ecdng trong cu\u1ed9c chi\u1ebfn ch\u1ed1ng l\u1ea1i kh\u00e1ng kh\u00e1ng sinh.” <\/p>Ti\u1ebfn s\u0129 Nguy\u1ec5n Vinh Nam, t\u00e1c gi\u1ea3 th\u1ee9 nh\u1ea5t c\u1ee7a nghi\u00ean c\u1ee9u n\u00e0y, cho bi\u1ebft.<\/a><\/cite><\/blockquote><\/figure>\n\n\n\n

B\u00ean c\u1ea1nh \u0111\u00f3, c\u00e1c t\u00e1c gi\u1ea3 c\u0169ng \u0111\u00e3 \u0111\u0103ng b\u00e0i b\u00ecnh lu\u1eadn tr\u00ean t\u1ea1p ch\u00ed Lancet Global Health<\/a>, nh\u1ea5n m\u1ea1nh ti\u1ec1m n\u0103ng c\u1ee7a d\u1ecbch v\u1ee5 CRP-POCT trong vi\u1ec7c \u0111\u1ed1i ph\u00f3 v\u1edbi hi\u1ec3m h\u1ecda kh\u00e1ng kh\u00e1ng sinh. B\u00e0i b\u00e1o kh\u1eb3ng \u0111\u1ecbnh r\u1eb1ng vi\u1ec7c ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n nhanh ch\u00f3ng v\u00e0 ch\u00ednh x\u00e1c l\u00e0 m\u1ed9t trong b\u1ed1n tr\u1ee5 c\u1ed9t c\u1ee7a chi\u1ebfn l\u01b0\u1ee3c l\u1ea5y con ng\u01b0\u1eddi l\u00e0m trung t\u00e2m do WHO<\/a> kh\u1edfi x\u01b0\u1edbng nh\u1eb1m gi\u1ea3i quy\u1ebft v\u1ea5n n\u1ea1n kh\u00e1ng kh\u00e1ng sinh tr\u00ean to\u00e0n c\u1ea7u. \u0110i\u1ec1u n\u00e0y c\u0169ng h\u01b0\u1edbng \u0111\u1ebfn M\u1ee5c ti\u00eau Ph\u00e1t tri\u1ec3n B\u1ec1n v\u1eefng c\u1ee7a Li\u00ean H\u1ee3p Qu\u1ed1c<\/a> v\u1ec1 vi\u1ec7c n\u00e2ng cao kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ch\u1ea5t l\u01b0\u1ee3ng, bao g\u1ed3m c\u1ea3 d\u1ecbch v\u1ee5 ch\u1ea9n \u0111o\u00e1n. <\/p>\n\n\n\n

\u0110\u1ec3 bi\u1ebft th\u00eam chi ti\u1ebft, h\u00e3y truy c\u1eadp b\u00e0i b\u00e1o t\u1ea1i \u0111\u00e2y.<\/a> <\/p>\n","protected":false},"excerpt":{"rendered":"

Nghi\u00ean c\u1ee9u m\u1edbi c\u1ee7a OUCRU H\u00e0 N\u1ed9i cho th\u1ea5y ng\u01b0\u1eddi d\u00e2n \u1ee7ng h\u1ed9 vi\u1ec7c tri\u1ec3n khai x\u00e9t nghi\u1ec7m t\u1ea1i ch\u1ed7 t\u1ea1i c\u00e1c hi\u1ec7u thu\u1ed1c \u0111\u1ec3 c\u1ea3i thi\u1ec7n vi\u1ec7c c\u1ea5p ph\u00e1t kh\u00e1ng sinh cho c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. <\/p>\n","protected":false},"author":28,"featured_media":40598,"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":[290,229],"tags":[219],"class_list":["post-40608","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oucru-ha-noi","category-tin-tuc","tag-noi-bat"],"acf":[],"yoast_head":"\nX\u00e9t nghi\u1ec7m t\u1ea1i ch\u1ed7 \u0111\u01b0\u1ee3c ng\u01b0\u1eddi Vi\u1ec7t Nam \u0111\u00f3n nh\u1eadn \u0111\u1ec3 c\u1ea3i thi\u1ec7n vi\u1ec7c l\u1ea1m d\u1ee5ng kh\u00e1ng sinh - 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