{"id":4082,"date":"2019-03-09T03:57:47","date_gmt":"2019-03-08T20:57:47","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=4082"},"modified":"2019-03-09T04:00:17","modified_gmt":"2019-03-08T21:00:17","slug":"to-chuc-y-te-the-gioi-who-canh-bao-ve-nguy-co-ton-thuong-mat-lien-quan-den-viec-su-dung-chlorhexidine-gluconate-71","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/to-chuc-y-te-the-gioi-who-canh-bao-ve-nguy-co-ton-thuong-mat-lien-quan-den-viec-su-dung-chlorhexidine-gluconate-71\/","title":{"rendered":"T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi (WHO) c\u1ea3nh b\u00e1o v\u1ec1 nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng m\u1eaft li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng chlorhexidine gluconate 7,1%"},"content":{"rendered":"

WHO \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c m\u1ed9t lo\u1ea1t b\u00e1o c\u00e1o t\u1eeb 9 n\u01b0\u1edbc v\u00f9ng c\u1eadn sa m\u1ea1c Sahara Ch\u00e2u Phi v\u1ec1 nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng m\u1eaft (bao g\u1ed3m c\u1ea3 m\u00f9 l\u00f2a) li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng dung d\u1ecbch chlorhexidine gluconate 7.1%.<\/p>\n

Chlorhexidine gluconate (CHX) l\u01b0u h\u00e0nh tr\u00ean th\u1ecb tr\u01b0\u1eddng d\u01b0\u1edbi d\u1ea1ng c\u1ea3 dung d\u1ecbch v\u00e0 d\u1ea1ng gel (4% chlorhexidine) \u0111\u1ec3 ch\u0103m s\u00f3c d\u00e2y r\u1ed1n cho tr\u1ebb s\u01a1 sinh v\u00e0 c\u00f3 m\u1eb7t trong danh m\u1ee5c thu\u1ed1c thi\u1ebft y\u1ebfu c\u1ee7a WHO (WHO Essential Medicines List).<\/p>\n

WHO khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng chlorhexidine (4%) h\u00e0ng ng\u00e0y \u0111\u1ec3 v\u1ec7 sinh ch\u00e2n r\u1ed1n c\u00f2n l\u1ea1i trong tu\u1ea7n \u0111\u1ea7u ti\u00ean sau khi tr\u1ebb ch\u00e0o \u0111\u1eddi, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng tr\u1ebb \u0111\u01b0\u1ee3c sinh t\u1ea1i nh\u00e0 \u1edf nh\u1eefng v\u00f9ng c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong s\u01a1 sinh cao (> 30 tr\u1ebb t\u1eed vong tr\u00ean 1000 tr\u1ebb ch\u00e0o \u0111\u1eddi). Vi\u1ec7c gi\u1eef cu\u1ed1ng r\u1ed1n kh\u00f4, s\u1ea1ch c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u1edf nh\u1eefng c\u01a1 s\u1edf y t\u1ebf v\u00e0 nh\u1eefng v\u00f9ng c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong s\u01a1 sinh th\u1ea5p. Vi\u1ec7c s\u1eed d\u1ee5ng chlorhexidine trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c \u00a0coi l\u00e0 s\u1ef1 thay th\u1ebf duy nh\u1ea5t cho nh\u1eefng lo\u1ea1i thu\u1ed1c c\u1ed5 truy\u1ec1n c\u00f3 h\u1ea1i (v\u00ed d\u1ee5 nh\u01b0 ph\u00e2n b\u00f2) th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111\u1eafp v\u00e0o cu\u1ed1ng r\u1ed1n tr\u1ebb s\u01a1 sinh \u1edf m\u1ed9t s\u1ed1 v\u00f9ng c\u1ee7a Ch\u00e2u Phi. V\u00ec v\u1eady, chlorhexidine \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf nhi\u1ec1u n\u01b0\u1edbc (v\u00f9ng Nam \u00c1 v\u00e0 c\u1eadn sa m\u1ea1c Sahara Ch\u00e2u Phi) nh\u01b0 l\u00e0 m\u1ed9t th\u00e0nh ph\u1ea7n c\u1ee7a g\u00f3i can thi\u1ec7p thi\u1ebft y\u1ebfu nh\u1eb1m gi\u1ea3m thi\u1ec3u vi\u00eam r\u1ed1n s\u01a1 sinh.<\/p>\n

Tuy nhi\u00ean, n\u1ebfu nh\u1ecf nh\u1ea7m chlorhexidine v\u00e0o m\u1eaft c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng m\u1eaft nghi\u00eam tr\u1ecdng. T\u1eeb n\u0103m 2015 \u0111\u1ebfn nay c\u00f3 tr\u00ean 40 ca d\u00f9ng nh\u1ea7m chlorhexidine nh\u01b0 v\u1eady \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o, li\u00ean quan \u0111\u1ebfn c\u1ea3 d\u1ea1ng dung d\u1ecbch l\u1eabn d\u1ea1ng gel.<\/p>\n

V\u00ec v\u1eady WHO \u0111\u01b0a ra c\u1ea3nh b\u00e1o khi s\u1eed d\u1ee5ng chlorhexidine g\u1eedi t\u1edbi t\u1ea5t c\u1ea3 c\u00e1c c\u00e1 nh\u00e2n v\u00e0 \u0111\u01a1n v\u1ecb li\u00ean quan \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng ch\u0103m s\u00f3c r\u1ed1n c\u1ee7a tr\u1ebb s\u01a1 sinh \u0111\u1ec3 tr\u00e1nh nh\u1ea7m l\u1eabn v\u1ec1 \u0111\u01b0\u1eddng d\u00f9ng c\u1ee7a thu\u1ed1c, d\u1eabn t\u1edbi nh\u1eefng t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng. T\u1ea5t c\u1ea3 c\u00e1n b\u1ed9 y t\u1ebf, ng\u01b0\u1eddi ch\u0103m s\u00f3c, c\u00e1c \u0111\u01a1n v\u1ecb ph\u00e2n ph\u1ed1i, s\u1eed d\u1ee5ng v\u00e0 c\u1ea5p ph\u00e1t thu\u1ed1c c\u1ea7n c\u1ea9n tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1eed d\u1ee5ng \u0111\u00fang thu\u1ed1c v\u00e0 \u0111\u00fang \u0111\u01b0\u1eddng d\u00f9ng. WHO c\u0169ng \u0111\u01b0a ra khuy\u1ebfn c\u00e1o chung cho h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe sinh s\u1ea3n c\u1ea5p qu\u1ed1c gia nh\u01b0 sau:<\/p>\n

– N\u1ebfu c\u00f3 l\u01b0u h\u00e0nh c\u00e1c ch\u1ebf ph\u1ea9m ch\u1ee9a chlorhexidine, c\u1ea7n thay \u0111\u1ed5i bao b\u00ec s\u1ea3n ph\u1ea9m \u0111\u1ec3 ph\u00e2n bi\u1ec7t r\u00f5 c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c<\/p>\n

– C\u1eadp nh\u1eadt th\u00f4ng tin c\u1ea3nh b\u00e1o n\u00e0y trong t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n

– Cung c\u1ea5p nh\u1eefng h\u01b0\u1edbng d\u1eabn chi ti\u1ebft cho ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c (t\u1edd r\u01a1i, poster\u2026) \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh v\u00e0 \u0111\u00fang \u0111\u01b0\u1eddng d\u00f9ng.<\/p>\n

– T\u1eadp hu\u1ea5n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u1ea5t c\u1ea3 c\u00e1c th\u00f4ng tin v\u1ec1 ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, c\u00e1ch s\u1eed d\u1ee5ng v\u00e0 \u0111\u01b0\u1eddng d\u00f9ng c\u1ee7a chlorhexidine \u0111\u01b0\u1ee3c c\u00e1n b\u1ed9 y t\u1ebf hi\u1ec3u bi\u1ebft \u0111\u1ea7y \u0111\u1ee7.<\/p>\n

– B\u00e1o c\u00e1o t\u1ea5t c\u1ea3 c\u00e1c t\u1ed5n th\u01b0\u01a1ng m\u1eaft c\u00f3 th\u1ec3 x\u1ea3y ra khi s\u1eed d\u1ee5ng chlorhexidine v\u1ec1 c\u00e1c Trung t\u00e2m C\u1ea3nh gi\u00e1c d\u01b0\u1ee3c.<\/p>\n

To\u00e0n v\u0103n th\u00f4ng b\u00e1o c\u1ee7a WHO xin t\u1ea3i t\u1ea1i \u0111\u00e2y:\u00a0Alert No_133_Chlorhexidine and eye injury<\/a><\/p>\n

Ng\u01b0\u1eddi t\u1ed5ng h\u1ee3p: DS. Nguy\u1ec5n Ph\u01b0\u01a1ng Th\u00fay<\/p>\n

Ngu\u1ed3n: Trung t\u00e2m DI & ADR Qu\u1ed1c gia.<\/p>\n","protected":false},"excerpt":{"rendered":"

WHO \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c m\u1ed9t lo\u1ea1t b\u00e1o c\u00e1o t\u1eeb 9 n\u01b0\u1edbc v\u00f9ng c\u1eadn sa m\u1ea1c Sahara Ch\u00e2u Phi v\u1ec1 nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng m\u1eaft (bao g\u1ed3m c\u1ea3 m\u00f9 l\u00f2a) li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng dung d\u1ecbch chlorhexidine gluconate 7.1%. Chlorhexidine gluconate (CHX) l\u01b0u h\u00e0nh tr\u00ean th\u1ecb tr\u01b0\u1eddng d\u01b0\u1edbi d\u1ea1ng c\u1ea3 dung d\u1ecbch v\u00e0 d\u1ea1ng […]\n","protected":false},"author":1,"featured_media":4085,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4082","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4082","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=4082"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4082\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/4085"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=4082"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=4082"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=4082"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}