{"id":44123,"date":"2024-11-19T12:03:19","date_gmt":"2024-11-19T05:03:19","guid":{"rendered":"https:\/\/www.oucru.org\/nghien-cuu-moi-quan-ly-khang-sinh-tai-benh-vien-indonesia-con-nhieu-han-che\/"},"modified":"2024-11-27T14:13:35","modified_gmt":"2024-11-27T07:13:35","slug":"quan-ly-khang-sinh-indonesia","status":"publish","type":"post","link":"https:\/\/www.oucru.org\/vi\/quan-ly-khang-sinh-indonesia\/","title":{"rendered":"Nghi\u00ean c\u1ee9u m\u1edbi: Qu\u1ea3n l\u00fd kh\u00e1ng sinh t\u1ea1i b\u1ec7nh vi\u1ec7n Indonesia c\u00f2n nhi\u1ec1u h\u1ea1n ch\u1ebf
"},"content":{"rendered":"\n

Ng\u00e0y 19 th\u00e1ng 11 n\u0103m 2024 \u2013 M\u1ed9t nghi\u00ean c\u1ee9u qu\u1ed1c gia<\/a> do Khoa Y, \u0110\u1ea1i h\u1ecdc Indonesia (FMUI) v\u00e0 OUCRU Indonesia th\u1ef1c hi\u1ec7n \u0111\u00e3 ph\u00e1t hi\u1ec7n ra r\u1eb1ng, trong s\u1ed1 575 b\u1ec7nh vi\u1ec7n m\u1eabu \u1edf 34 t\u1ec9nh th\u00e0nh c\u1ee7a Indonesia, c\u00f3 9 tr\u00ean 10 b\u1ec7nh vi\u1ec7n \u0111\u00e3 tri\u1ec3n khai Ch\u01b0\u01a1ng Tr\u00ecnh Qu\u1ea3n L\u00fd Kh\u00e1ng Sinh (Antimicrobial Stewardship Programme \u2013 ASP) ch\u00ednh th\u1ee9c. Tuy nhi\u00ean, ch\u1ec9 m\u1ed9t n\u1eeda trong s\u1ed1 \u0111\u00f3 c\u00f3 kh\u1ea3 n\u0103ng tri\u1ec3n khai ch\u01b0\u01a1ng tr\u00ecnh qu\u1ea3n l\u00fd kh\u00e1ng sinh to\u00e0n di\u1ec7n v\u00e0 hi\u1ec7u qu\u1ea3. <\/p>\n\n\n\n

Ch\u01b0\u01a1ng tr\u00ecnh Qu\u1ea3n l\u00fd Kh\u00e1ng sinh<\/a> (ASP) l\u00e0 s\u00e1ng ki\u1ebfn c\u1ee7a b\u1ec7nh vi\u1ec7n nh\u1eb1m \u0111\u1ea3m b\u1ea3o vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh \u0111\u00fang c\u00e1ch v\u00e0 ch\u1ec9 khi c\u1ea7n thi\u1ebft, gi\u00fap ng\u0103n ng\u1eeba c\u00e1c nhi\u1ec5m tr\u00f9ng kh\u00e1ng thu\u1ed1c v\u00e0 b\u1ea3o v\u1ec7 hi\u1ec7u qu\u1ea3 c\u1ee7a kh\u00e1ng sinh cho c\u00e1c b\u1ec7nh nh\u00e2n trong t\u01b0\u01a1ng lai.<\/p>\n\n\n\n

Nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng m\u1ed9t s\u1ed1 r\u00e0o c\u1ea3n ch\u00ednh trong vi\u1ec7c tri\u1ec3n khai ch\u01b0\u01a1ng tr\u00ecnh qu\u1ea3n l\u00fd kh\u00e1ng sinh t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n bao g\u1ed3m: h\u1ea1n ch\u1ebf v\u1ec1 kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn d\u1ecbch v\u1ee5 vi sinh, thi\u1ebfu ngu\u1ed3n l\u1ef1c v\u00e0 nh\u00e2n l\u1ef1c \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng qu\u1ea3n l\u00fd kh\u00e1ng sinh, c\u01a1 c\u1ea5u ph\u00e2n c\u1ea5p trong b\u1ec7nh vi\u1ec7n, v\u00e0 thi\u1ebfu s\u1ef1 h\u1ee3p t\u00e1c gi\u1eefa c\u00e1c chuy\u00ean khoa. Nh\u1eefng r\u00e0o c\u1ea3n n\u00e0y r\u00f5 r\u1ec7t h\u01a1n t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n n\u1eb1m \u1edf c\u00e1c qu\u1eadn c\u00f3 Ch\u1ec9 s\u1ed1 Ph\u00e1t tri\u1ec3n Y t\u1ebf C\u00f4ng c\u1ed9ng th\u1ea5p v\u00e0 m\u1ee9c chi ti\u00eau b\u00ecnh qu\u00e2n \u0111\u1ea7u ng\u01b0\u1eddi th\u1ea5p. <\/p>\n\n\n\n

Nghi\u00ean c\u1ee9u NASPA<\/a> nh\u1eb1m \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng tri\u1ec3n khai ASP tr\u00ean to\u00e0n qu\u1ed1c, x\u00e1c \u0111\u1ecbnh nh\u1eefng th\u00e1ch th\u1ee9c m\u00e0 c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf g\u1eb7p ph\u1ea3i, v\u00e0 \u0111\u01b0a ra c\u00e1c khuy\u1ebfn ngh\u1ecb \u0111\u1ec3 c\u1ee7ng c\u1ed1 c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh n\u00e0y t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n c\u00f4ng v\u00e0 t\u01b0 nh\u00e2n. Nghi\u00ean c\u1ee9u \u0111\u00e3 kh\u1ea3o s\u00e1t c\u00e1c b\u1ec7nh vi\u1ec7n \u1edf 34 t\u1ec9nh v\u00e0 ti\u1ebfn h\u00e0nh c\u00e1c cu\u1ed9c th\u1ea3o lu\u1eadn nh\u00f3m v\u1edbi nhi\u1ec1u nh\u00f3m b\u1ec7nh vi\u1ec7n kh\u00e1c nhau, c\u1ea3 c\u00f4ng v\u00e0 t\u01b0, c\u00e1c c\u1ea5p \u0111\u1ed9 b\u1ec7nh vi\u1ec7n t\u1eeb cao \u0111\u1ebfn th\u1ea5p (A\u2013D), v\u00e0 c\u00e1c khu v\u1ef1c \u0111\u1ecba l\u00fd kh\u00e1c nhau. <\/p>\n\n\n\n

\"\"<\/a>
\u1ea2nh minh h\u1ecda: Ph\u00f2ng b\u1ec7nh trong b\u1ec7nh vi\u1ec7n. Ngu\u1ed3n: Pixabay, Pexels. <\/figcaption><\/figure>\n\n\n\n

Nh\u1eefng L\u1ed7 H\u1ed5ng v\u00e0 R\u00e0o C\u1ea3n \u0110\u01b0\u1ee3c Nh\u1eadn Di\u1ec7n<\/strong> <\/p>\n\n\n\n

Ti\u1ebfn s\u0129 Robert Sinto,t\u00e1c gi\u1ea3 ch\u00ednh c\u1ee7a nghi\u00ean c\u1ee9u, cho bi\u1ebft:<\/a> \u201cNhi\u1ec1u b\u1ec7nh vi\u1ec7n nh\u1ecf v\u00e0 \u1edf v\u00f9ng s\u00e2u, v\u00f9ng xa thi\u1ebfu c\u00e1c ngu\u1ed3n l\u1ef1c thi\u1ebft y\u1ebfu nh\u01b0 t\u00e0i ch\u00ednh, nh\u00e2n l\u1ef1c, ph\u00f2ng th\u00ed nghi\u1ec7m vi sinh v\u00e0 h\u1ed7 tr\u1ee3 c\u00f4ng ngh\u1ec7 th\u00f4ng tin \u0111\u1ec3 thu th\u1eadp d\u1eef li\u1ec7u ch\u1ea5t l\u01b0\u1ee3ng cao.\u201d<\/em> \u00d4ng c\u0169ng cho r\u1eb1ng kh\u1ed1i l\u01b0\u1ee3ng c\u00f4ng vi\u1ec7c l\u1edbn v\u00e0 s\u1ef1 thay \u0111\u1ed5i nh\u00e2n s\u1ef1 th\u01b0\u1eddng xuy\u00ean khi\u1ebfn nh\u00e2n vi\u00ean y t\u1ebf kh\u00f4ng c\u00f3 \u0111\u1ee7 th\u1eddi gian v\u00e0 n\u0103ng l\u01b0\u1ee3ng \u0111\u1ec3 tham gia v\u00e0o c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh ASP, l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng duy tr\u00ec ch\u01b0\u01a1ng tr\u00ecnh m\u1ed9t c\u00e1ch li\u00ean t\u1ee5c. C\u00e1c c\u01a1 c\u1ea5u ph\u00e2n c\u1ea5p trong b\u1ec7nh vi\u1ec7n c\u0169ng l\u00e0 m\u1ed9t r\u00e0o c\u1ea3n l\u1edbn \u0111\u1ed1i v\u1edbi s\u1ef1 h\u1ee3p t\u00e1c, v\u00ec nh\u00e2n vi\u00ean c\u1ea5p d\u01b0\u1edbi c\u00f3 th\u1ec3 ng\u1ea7n ng\u1ea1i \u0111\u1eb7t c\u00e2u h\u1ecfi v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p k\u00ea \u0111\u01a1n c\u1ee7a b\u00e1c s\u0129 c\u1ea5p cao\u201d.<\/em> \u00d4ng c\u0169ng l\u01b0u \u00fd r\u1eb1ng, \u201cM\u1ed9t s\u1ed1 y b\u00e1c s\u1ef9ng\u1ea7n ng\u1ea1i thay \u0111\u1ed5i th\u00f3i quen k\u00ea \u0111\u01a1n, \u0111\u1eb7c bi\u1ec7t l\u00e0 nhi\u1ec1u b\u00e1c s\u0129 t\u01b0 nh\u00e2n c\u00f2n l\u01b0\u1ee1ng l\u1ef1 tr\u01b0\u1edbc c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee7a ASP.\u201d<\/em> <\/p>\n\n\n\n

Nghi\u00ean c\u1ee9u c\u0169ng ch\u1ec9 ra r\u1eb1ng m\u1eb7c d\u00f9 \u0111\u00e3 c\u00f3 c\u00e1c h\u01b0\u1edbng d\u1eabn qu\u1ed1c gia v\u1ec1 ASP v\u00e0 m\u1ed9t s\u1ed1 ti\u1ebfn b\u1ed9 \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c, \u201ctuy nhi\u00ean, c\u1ea7n c\u00f3 nh\u1eefng quy \u0111\u1ecbnh ch\u1eb7t ch\u1ebd h\u01a1n \u0111\u1ec3 ASP tr\u1edf th\u00e0nh \u01b0u ti\u00ean, thi\u1ebft l\u1eadp c\u00e1c ti\u00eau chu\u1ea9n t\u1ed1i thi\u1ec3u v\u00e0 cung c\u1ea5p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 r\u00f5 r\u00e0ng,\u201d<\/em> Ph\u00f3 gi\u00e1o s\u01b0 Raph Hamers<\/a>, t\u00e1c gi\u1ea3 ch\u00ednh v\u00e0 Tr\u01b0\u1edfng ch\u01b0\u01a1ng tr\u00ecnh nghi\u00ean c\u1ee9u b\u1ec7nh nhi\u1ec5m tr\u00f9ng l\u00e2m s\u00e0ng t\u1ea1i OUCRU Indonesia nh\u1ea5n m\u1ea1nh.<\/p>\n\n\n\n

H\u01b0\u1edbng \u0110i \u0110\u1ec3 T\u0103ng C\u01b0\u1eddng Tri\u1ec3n Khai ASP<\/strong> <\/p>\n\n\n\n

D\u00f9 g\u1eb7p ph\u1ea3i nhi\u1ec1u th\u00e1ch th\u1ee9c, nghi\u00ean c\u1ee9u c\u0169ng \u0111\u00e3 ch\u1ec9 ra c\u00e1c y\u1ebfu t\u1ed1 quan tr\u1ecdng c\u00f3 th\u1ec3 gi\u00fap t\u0103ng c\u01b0\u1eddng tri\u1ec3n khai ASP t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n tr\u00ean to\u00e0n Indonesia. M\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 quan tr\u1ecdng nh\u1ea5t l\u00e0 s\u1ef1 h\u1ed7 tr\u1ee3 m\u1ea1nh m\u1ebd t\u1eeb l\u00e3nh \u0111\u1ea1o b\u1ec7nh vi\u1ec7n. \u201cC\u00e1c b\u1ec7nh vi\u1ec7n c\u00f3 ng\u00e2n s\u00e1ch v\u00e0 s\u1ef1 h\u1ed7 tr\u1ee3 t\u1eeb ban qu\u1ea3n l\u00fd th\u01b0\u1eddng th\u00e0nh c\u00f4ng h\u01a1n trong vi\u1ec7c duy tr\u00ec c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh ASP\u201d<\/em>, Ti\u1ebfn s\u0129 Sinto cho bi\u1ebft.<\/p>\n\n\n\n

M\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng kh\u00e1c l\u00e0 s\u1ef1 h\u1ee3p t\u00e1c v\u00e0 \u0111\u00e0o t\u1ea1o gi\u1eefa c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf. \u201cS\u1ef1 h\u1ee3p t\u00e1c gi\u1eefa c\u00e1c d\u01b0\u1ee3c s\u0129, b\u00e1c s\u0129 l\u00e2m s\u00e0ng v\u00e0 nh\u00e2n vi\u00ean ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n \u0111\u00e3 ch\u1ee9ng minh l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng c\u1ea3i thi\u1ec7n s\u1ef1 tu\u00e2n th\u1ee7 c\u00e1c quy tr\u00ecnh c\u1ee7a ASP v\u00e0 s\u1eed d\u1ee5ng kh\u00e1ng sinh,\u201d <\/em>Gi\u00e1o s\u01b0 Anis Karuniawati,<\/a> \u0111\u1ed3ng t\u00e1c gi\u1ea3 v\u00e0 chuy\u00ean gia v\u1ec1 vi sinh l\u00e2m s\u00e0ng t\u1ea1i FMUI gi\u1ea3i th\u00edch.<\/p>\n\n\n\n

Nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0y cung c\u1ea5p c\u00e1c h\u01b0\u1edbng d\u1eabn quan tr\u1ecdng cho c\u00e1c nh\u00e0 ho\u1ea1ch \u0111\u1ecbnh ch\u00ednh s\u00e1ch, nh\u1ea5n m\u1ea1nh s\u1ef1 c\u1ea7n thi\u1ebft ph\u1ea3i c\u00f3 c\u00e1c ti\u00eau chu\u1ea9n qu\u1ed1c gia r\u00f5 r\u00e0ng, h\u1ed7 tr\u1ee3 t\u00e0i ch\u00ednh t\u1ed1t h\u01a1n v\u00e0 \u0111\u00e0o t\u1ea1o \u0111\u1ec3 gi\u00fap c\u00e1c b\u1ec7nh vi\u1ec7n v\u01b0\u1ee3t qua nh\u1eefng r\u00e0o c\u1ea3n hi\u1ec7n t\u1ea1i.<\/p>\n\n\n\n

Nghi\u00ean c\u1ee9u NASPA l\u00e0 s\u1ef1 h\u1ee3p t\u00e1c v\u1edbi Khoa Y Universitas Indonesia<\/a> , B\u1ec7nh vi\u1ec7n Cipto Mangunkusumo<\/a>, \u0110\u1ea1i h\u1ecdc Monash Indonesia<\/a>, C\u1ee5c Ch\u1ea5t l\u01b0\u1ee3ng D\u1ecbch v\u1ee5 Y t\u1ebf, B\u1ed9 Y t\u1ebf Indonesia<\/a>, \u0110\u01a1n v\u1ecb Nghi\u00ean c\u1ee9u Y h\u1ecdc Nhi\u1ec7t \u0111\u1edbi Mahidol Oxford<\/a> v\u00e0 \u0110\u1ea1i h\u1ecdc Mahidol<\/a>. Ngu\u1ed3n t\u00e0i tr\u1ee3 \u0111\u01b0\u1ee3c cung c\u1ea5p b\u1edfi Wellcome<\/a>[106680\/Z\/14\/Z] . <\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

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