![\"\"](\"https:\/\/e1ship.com\/wp-content\/uploads\/2022\/02\/DSC07543.png\")
PGS.TS Tr\u1ea7n Minh \u0110i\u1ec3n \u2013 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng ph\u00e1t bi\u1ec3u khai m\u1ea1c h\u1ed9i ngh\u1ecb<\/p><\/div>\n
T\u1ea7m quan tr\u1ecdng c\u1ee7a c\u00f4ng t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n v\u00e0 qu\u1ea3n l\u00fd s\u1eed d\u1ee5ng kh\u00e1ng sinh trong b\u1ec7nh vi\u1ec7n<\/b><\/p>\n
Nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n (NKBV) l\u00e0 m\u1ed9t trong nh\u1eefng h\u1eadu qu\u1ea3 kh\u00f4ng mong mu\u1ed1n trong th\u1ef1c h\u00e0nh kh\u00e1m, ch\u1eefa b\u1ec7nh v\u00e0 ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh. Trong \u0111\u00f3:\u00a0<\/span><\/p>\n\n- Nhi\u1ec5m khu\u1ea9n huy\u1ebft l\u00e0 lo\u1ea1i NKBV th\u01b0\u1eddng g\u00e2y h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1, \u0111\u1eb7c bi\u1ec7t l\u00e0 nhi\u1ec5m khu\u1ea9n huy\u1ebft li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng truy\u1ec1n trung t\u00e2m (Central Line Associated Blood Stream Infections \u2013 CLABSI) g\u00e2y t\u0103ng th\u1eddi gian n\u1eb1m vi\u1ec7n, t\u0103ng chi ph\u00ed \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u0103ng t\u1ef7 l\u1ec7 t\u1eed vong cho ng\u01b0\u1eddi b\u1ec7nh.\u00a0<\/span><\/li>\n
- Nhi\u1ec5m tr\u00f9ng <\/span>v\u1ebft th\u01b0\u01a1ng l\u00e0 nhi\u1ec5m khu\u1ea9n g\u00e2y t\u0103ng s\u1eed d\u1ee5ng kh\u00e1ng sinh. \u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng b\u1eb1ng kh\u00e1ng sinh th\u00edch h\u1ee3p c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u1ebft th\u01b0\u01a1ng sau ph\u1eabu thu\u1eadt. Tuy nhi\u00ean, \u0111i\u1ec1u n\u00e0y n\u1ebfu kh\u00f4ng th\u1ef1c hi\u1ec7n c\u1ea9n tr\u1ecdng l\u1ea1i c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 \u0111\u1ec1 kh\u00e1ng kh\u00e1ng sinh v\u1ec1 sau.<\/span><\/li>\n<\/ul>\n
\u00a0V\u00ec v\u1eady, c\u00f4ng t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n v\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh th\u1eadn tr\u1ecdng trong m\u00f4i tr\u01b0\u1eddng b\u1ec7nh vi\u1ec7n l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft.<\/span><\/p>\n![\"\"](\"https:\/\/e1ship.com\/wp-content\/uploads\/2022\/02\/DSC07569.png\")
PGS.TS Tr\u1ea7n Minh \u0110i\u1ec3n \u2013Gi\u00e1m \u0111\u1ed1c\u00a0 B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng ph\u00e1t bi\u1ec3u ch\u1ec9 \u0111\u1ea1o h\u1ed9i ngh\u1ecb<\/p><\/div>\n
T\u1eeb th\u00e1ng 9\/2017 \u2013 5\/2022, v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a T\u1ed5 ch\u1ee9c H\u1ee3p t\u00e1c ph\u00e1t tri\u1ec3n y t\u1ebf Vi\u1ec7t Nam (HAIVN), c\u00e1c khoa ICU, Trung t\u00e2m h\u00f4 h\u1ea5p, 02 khoa t\u1ef1 nguy\u1ec7n B,C, Khoa Ti\u1ebft ni\u1ec7u, Ch\u1ec9nh h\u00ecnh nhi, S\u1ecd m\u1eb7t t\u1ea1o h\u00ecnh, Khoa ngo\u1ea1i t\u1ed5ng h\u1ee3p k\u1ebft h\u1ee3p v\u1edbi khoa Ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n, Trung t\u00e2m ch\u1ec9 \u0111\u1ea1o tuy\u1ebfn, B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng th\u1ef1c hi\u1ec7n d\u1ef1 \u00e1n \u201cPh\u00f2ng ng\u1eeba nhi\u1ec5m khu\u1ea9n huy\u1ebft li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng truy\u1ec1n trung t\u00e2m (CLABSI) v\u00e0 ch\u01b0\u01a1ng tr\u00ecnh Qu\u1ea3n l\u00fd d\u1ef1 ph\u00f2ng kh\u00e1ng sinh (ATO)\u201d. C\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a d\u1ef1 \u00e1n bao g\u1ed3m:\u00a0<\/span><\/p>\n\n- Gi\u00e1m s\u00e1t chu\u1ea9n v\u00e0 d\u1ef1 ph\u00f2ng CLABSI\u00a0<\/span><\/li>\n
- Gi\u00e1m s\u00e1t & x\u00e2y d\u1ef1ng g\u00f3i d\u1ef1 ph\u00f2ng VAE<\/span><\/li>\n
- Ch\u01b0\u01a1ng tr\u00ecnh qu\u1ea3n l\u00fd v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh (ATO)<\/span><\/li>\n
- Ch\u01b0\u01a1ng tr\u00ecnh h\u1ed7 tr\u1ee3 c\u00e1c b\u1ec7nh vi\u1ec7n v\u1ec7 tinh th\u1ef1c hi\u1ec7n d\u1ef1 ph\u00f2ng CLABSI<\/span><\/li>\n<\/ul>\n
K\u1ebft qu\u1ea3 b\u01b0\u1edbc \u0111\u1ea7u c\u1ee7a d\u1ef1 \u00e1n<\/b><\/p>\n
Tr\u1ea3i qua 5 n\u0103m tri\u1ec3n khai d\u1ef1 \u00e1n, <\/span>B\u1ec7nh vi\u1ec7n \u0111\u00e3 c\u00f3 m\u1ed9t \u0111\u1ed9i ng\u0169 gi\u00e1m s\u00e1t nhi\u1ec5m khu\u1ea9n l\u00e0m vi\u1ec7c th\u01b0\u1eddng xuy\u00ean, chuy\u00ean nghi\u1ec7p, \u0111\u1eb7c bi\u1ec7t l\u00e0 gi\u00e1m s\u00e1t v\u00e0 d\u1ef1 ph\u00f2ng CLABSI c\u00f3 \u0111\u1ee7 kh\u1ea3 n\u0103ng so s\u00e1nh v\u1edbi c\u00e1c b\u1ec7nh vi\u1ec7n khu v\u1ef1c v\u00e0 qu\u1ed1c t\u1ebf.\u00a0<\/span><\/p>\nT\u00ednh ri\u00eang trong qu\u00fd I-II\/2021:<\/span><\/p>\n\n- T\u1ec9 l\u1ec7 nhi\u1ec5m khu\u1ea9n CLABSI t\u1ea1i b\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng hi\u1ec7n gi\u1ea3m c\u00f2n 1,3%.<\/span><\/li>\n
- T\u1ef7 l\u1ec7 s\u1eed d\u1ee5ng kh\u00e1ng sinh h\u1ee3p l\u00fd t\u1ea1i Trung t\u00e2m h\u00f4 h\u1ea5p v\u00e0 02 khoa t\u1ef1 nguy\u1ec7n BC t\u0103ng t\u1eeb 88% (\u0111\u1ea7u \u0111\u1ee3t) l\u00ean \u0111\u1ebfn 93%(cu\u1ed1i \u0111\u1ee3t gi\u00e1m s\u00e1t th\u00e1ng 4\/2021).\u00a0<\/span><\/li>\n
- T\u1ef7 l\u1ec7 s\u1eed d\u1ee5ng kh\u00e1ng sinh d\u1ef1 ph\u00f2ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt t\u1ea1i khoa Ch\u1ec9nh h\u00ecnh nhi (96% – \u0111\u1ee3t 1 & 100% -\u0111\u1ee3t 2); khoa S\u1ecd m\u1eb7t & T\u1ea1o h\u00ecnh (61%-\u0111\u1ee3t 1 & 82% \u0111\u1ee3t 2). Th\u1eddi \u0111i\u1ec3m ti\u00eam kh\u00e1ng sinh: 100% \u0111\u00fang th\u1eddi \u0111i\u1ec3m\u2026<\/span><\/li>\n<\/ul>\n
C\u0169ng trong khu\u00f4n kh\u1ed5 d\u1ef1 \u00e1n v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a HAIVN, b\u1ec7nh vi\u1ec7n \u0111\u00e3 tri\u1ec3n khai M\u00f4 h\u00ecnh h\u1ee3p t\u00e1c v\u1edbi c\u00e1c b\u1ec7nh vi\u1ec7n v\u1ec7 tinh \u0111\u1ec3 gi\u1ea3m t\u1ef7 l\u1ec7 Nhi\u1ec5m khu\u1ea9n huy\u1ebft li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng truy\u1ec1n trung t\u00e2m (CLABSI) t\u1ea1i 05 B\u1ec7nh vi\u1ec7n g\u1ed3m: B\u1ec7nh vi\u1ec7n S\u1ea3n Nhi Th\u00e1i B\u00ecnh, B\u1ec7nh vi\u1ec7n S\u1ea3n Nhi Qu\u1ea3ng Ninh, B\u1ec7nh vi\u1ec7n S\u1ea3n Nhi Thanh H\u00f3a, B\u1ec7nh vi\u1ec7n Tr\u1ebb em H\u1ea3i Ph\u00f2ng, B\u1ec7nh vi\u1ec7n Ph\u1ee5 s\u1ea3n H\u00e0 N\u1ed9i. C\u00e1c \u0111\u01a1n v\u1ecb tham gia d\u1ef1 \u00e1n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o, h\u1ed7 tr\u1ee3 gi\u00e1m s\u00e1t chuy\u00ean m\u00f4n ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n trong v\u00f2ng 12 th\u00e1ng. B\u1ec7nh vi\u1ec7n \u0111\u00e3 t\u1ed5 ch\u1ee9c c\u00e1c ho\u1ea1t \u0111\u1ed9ng nh\u01b0:<\/span><\/p>\n\n- H\u1ed9i th\u1ea3o tr\u1ef1c tuy\u1ebfn v\u1ec1 \u201cHo\u00e0n thi\u1ec7n g\u00f3i d\u1ef1 ph\u00f2ng CLABSI\u201d.<\/span><\/li>\n
- T\u1eadp hu\u1ea5n c\u00e1c quy tr\u00ecnh chuy\u00ean m\u00f4n v\u00e0 c\u00f4ng c\u1ee5 gi\u00e1m s\u00e1t cho c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf.<\/span><\/li>\n
- T\u1ed5 ch\u1ee9c c\u00e1c phi\u00ean h\u1ed7 tr\u1ee3 k\u1ef9 thu\u1eadt tr\u1ef1c tuy\u1ebfn gi\u1edbi thi\u1ec7u h\u1ec7 th\u1ed1ng theo d\u00f5i v\u00e0 gi\u00e1m s\u00e1t d\u1ef1 ph\u00f2ng CLABSI.<\/span><\/li>\n
- T\u1ed5 ch\u1ee9c v\u00e0 h\u01b0\u1edbng d\u1eabn k\u1ef9 thu\u1eadt v\u1ec1 ph\u00e2n t\u00edch nguy\u00ean nh\u00e2n g\u1ed1c r\u1ec5 ca CLABSI cho c\u00e1n b\u1ed9 m\u1ea1ng l\u01b0\u1edbi KSNK v\u00e0 nh\u00e2n vi\u00ean ch\u1ee7 ch\u1ed1t t\u1ea1i c\u00e1c khoa ICU.\u00a0<\/span><\/li>\n<\/ul>\n
Qua \u0111\u00f3, gi\u1ea3m t\u1ef7 xu\u1ea5t CLABSI t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n v\u1ec7 tinh, c\u1ea3i thi\u1ec7n th\u1ef1c h\u00e0nh ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n.<\/span><\/p>\n![\"\"](\"https:\/\/e1ship.com\/wp-content\/uploads\/2022\/02\/DSC07606.png\")
<\/p>\n
Ph\u00e1t bi\u1ec3u t\u1ea1i h\u1ed9i ngh\u1ecb, v\u1edbi t\u01b0 c\u00e1ch l\u00e0 \u0111\u01a1n v\u1ecb t\u00e0i tr\u1ee3 cho D\u1ef1 \u00e1n, <\/span>TS. Todd Pollak, Gi\u00e1m \u0111\u1ed1c HAIVN t\u1ea1i Vi\u1ec7t Nam, <\/span>\u0111\u00e3 ch\u00fac m\u1eebng nh\u1eefng th\u00e0nh c\u00f4ng c\u1ee7a D\u1ef1 \u00e1n v\u00e0 mong mu\u1ed1n \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c h\u1ee3p t\u00e1c v\u1edbi B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng trong l\u0129nh v\u1ef1c ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\nPh\u00e1t bi\u1ec3u ch\u1ec9 \u0111\u1ea1o t\u1ea1i h\u1ed9i ngh\u1ecb PGS.TS Tr\u1ea7n Minh \u0110i\u1ec3n \u2013 Gi\u00e1m \u0111\u1ed1c B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng, \u0111\u00e1nh gi\u00e1 cao k\u1ebft qu\u1ea3 d\u1ef1 \u00e1n \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c, \u0111\u1ed3ng th\u1eddi ch\u1ec9 th\u1ecb c\u00f4ng vi\u1ec7c ti\u1ebfp theo cho c\u00e1c \u0111\u01a1n v\u1ecb trong B\u1ec7nh vi\u1ec7n v\u00e0 c\u00e1c khoa \u0111\u01b0\u1ee3c ch\u1ecdn l\u00e0m \u0111i\u1ec3m v\u00e0 g\u1eedi l\u1eddi c\u00e1m \u01a1n <\/span>TS.Todd Pollak, Gi\u00e1m \u0111\u1ed1c HAIVN t\u1ea1i Vi\u1ec7t Nam n\u00f3i ri\u00eang v\u00e0 T\u1ed5 ch\u1ee9c H\u1ee3p t\u00e1c ph\u00e1t tri\u1ec3n y t\u1ebf Vi\u1ec7t Nam (HAIVN) <\/span>trong vi\u1ec7c gi\u00fap \u0111\u1ee1 B\u1ec7nh vi\u1ec7n tri\u1ec3n khai th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng D\u1ef1 \u00e1n.<\/span><\/p>\nT\u1ea1i h\u1ed9i ngh\u1ecb, c\u00e1c \u0111\u1ea1i bi\u1ec3u c\u0169ng \u0111\u00e3 th\u1ea3o lu\u1eadn v\u00e0 g\u00f3p \u00fd v\u1ec1 c\u00e1ch th\u1ee9c ti\u1ebfn h\u00e0nh d\u1ef1 \u00e1n, \u0111\u1ed3ng th\u1eddi \u0111\u1ecbnh h\u01b0\u1edbng x\u00e2y d\u1ef1ng c\u00e1c ho\u1ea1t \u0111\u1ed9ng trong th\u1eddi gian t\u1edbi.<\/span><\/p>\nM\u1ed9t s\u1ed1 h\u00ecnh \u1ea3nh t\u1ea1i H\u1ed9i ngh\u1ecb:<\/span><\/p>\n![\"\"](\"https:\/\/e1ship.com\/wp-content\/uploads\/2022\/02\/DSC07567.png\")
Th.s BS \u0110\u00e0m T\u00f9ng L\u00e2m, \u0110i\u1ec1u ph\u1ed1i d\u1ef1 \u00e1n HAIVN t\u1ea1i Vi\u1ec7t Nam b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 th\u1ef1c hi\u1ec7n D\u1ef1 \u00e1n<\/p><\/div>\n
![\"\"](\"https:\/\/e1ship.com\/wp-content\/uploads\/2022\/02\/DSC07583.png\")
TS.BS L\u00ea Ki\u1ebfn Ng\u00e3i \u2013 Tr\u01b0\u1edfng Khoa ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng chia s\u1ebb v\u1ec1 ch\u01b0\u01a1ng tr\u00ecnh gi\u00e1m s\u00e1t chu\u1ea9n v\u00e0 d\u1ef1 ph\u00f2ng CLABSI<\/p><\/div>\n
![\"\"](\"https:\/\/e1ship.com\/wp-content\/uploads\/2022\/02\/DSC07587.png\")
TS.BS \u0110\u1ed7 Minh Loan \u2013 Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m ch\u1ec9 \u0111\u1ea1o tuy\u1ebfn chia s\u1ebb v\u1ec1 ch\u01b0\u01a1ng tr\u00ecnh h\u1ed7 tr\u1ee3 c\u00e1c b\u1ec7nh vi\u1ec7n v\u1ec7 tinh th\u1ef1c hi\u1ec7n d\u1ef1 ph\u00f2ng CLABSI<\/p><\/div>\n
![\"\"](\"https:\/\/e1ship.com\/wp-content\/uploads\/2022\/02\/DSC07591.png\")
TS.BS Tr\u1ecbnh Xu\u00e2n Long \u2013 Tr\u01b0\u1edfng ph\u00f2ng Qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng, B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng chia s\u1ebb v\u1ec1 ch\u01b0\u01a1ng tr\u00ecnh qu\u1ea3n l\u00fd s\u1eed d\u1ee5ng kh\u00e1ng sinh (ATO)<\/p><\/div>\n
Vy Hi\u1ebfu – Ph\u00f2ng Th\u00f4ng tin \u0111i\u1ec7n t\u1eed<\/strong><\/p>\n\u1ea2nh: L\u00ea Hi\u1ebfu<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"Nh\u1eb1m b\u00e1o c\u00e1o k\u1ebft qu\u1ea3, chia s\u1ebb kinh nghi\u1ec7m v\u00e0 c\u00f3 k\u1ebf ho\u1ea1ch duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng d\u1ef1 \u00e1n \u201cPh\u00f2ng ng\u1eeba nhi\u1ec5m khu\u1ea9n huy\u1ebft li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng truy\u1ec1n trung t\u00e2m (CLABSI) v\u00e0 \u201cQu\u1ea3n l\u00fd s\u1eed d\u1ee5ng kh\u00e1ng sinh (ATO)\u201d t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng. Ng\u00e0y 12\/1 B\u1ec7nh vi\u1ec7n Nhi Trung \u01b0\u01a1ng \u0111\u00e3 t\u1ed5 ch\u1ee9c h\u1ed9i ngh\u1ecb tr\u1ef1c tuy\u1ebfn t\u1ed5ng k\u1ebft d\u1ef1 \u00e1n.<\/p>\n","protected":false},"author":8,"featured_media":28041,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[98,128],"tags":[],"class_list":["post-28040","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chi-dao-tuyen","category-hop-tac-quoc-te"],"yoast_head":"\n
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