{"id":25698,"date":"2023-04-20T19:39:22","date_gmt":"2023-04-20T12:39:22","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25698"},"modified":"2023-04-21T10:52:27","modified_gmt":"2023-04-21T03:52:27","slug":"tong-quan-ve-nhiem-lien-cau-khuan-nhom-b-o-tre-so-sinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/tong-quan-ve-nhiem-lien-cau-khuan-nhom-b-o-tre-so-sinh\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 nhi\u1ec5m li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m B \u1edf tr\u1ebb s\u01a1 sinh"},"content":{"rendered":"

Li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m B (Group B Streptococcus – GBS) l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p c\u1ee7a nhi\u1ec5m khu\u1ea9n huy\u1ebft s\u01a1 sinh s\u1edbm (NKHSSS). Theo s\u1ed1 li\u1ec7u c\u1ee7a Trung t\u00e2m ki\u1ec3m so\u00e1t v\u00e0 ph\u00f2ng ng\u1eeba d\u1ecbch b\u1ec7nh Hoa K\u1ef3 (Centers for Disease Control and prevention – CDC), GBS<\/a> chi\u1ebfm 45% nguy\u00ean nh\u00e2n NKHSSS \u1edf tr\u1ebb \u0111\u1ee7 th\u00e1ng, 25% \u1edf tr\u1ebb r\u1ea5t nh\u1eb9 c\u00e2n. T\u1ec9 l\u1ec7 t\u1eed vong do GBS \u1edf tr\u1ebb \u0111\u1ee7 th\u00e1ng l\u00e0 2,1% v\u00e0 tr\u1ebb non th\u00e1ng l\u00e0 19,2%. Tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m khu\u1ea9n huy\u1ebft do GBS x\u1ea3y ra r\u1ea5t s\u1edbm sau sinh, th\u01b0\u1eddng tr\u01b0\u1edbc 12 gi\u1edd tu\u1ed5i \u0111\u1ebfn 24 gi\u1edd tu\u1ed5i. 94,7% tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m GBS ph\u00e1t hi\u1ec7n trong v\u00f2ng 48 gi\u1edd \u0111\u1ea7u sau sinh.\u00a0<\/strong><\/p>\n

1. Ch\u1ec9 \u0111\u1ecbnh ph\u00f2ng ng\u1eeba li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m B<\/strong><\/h2>\n

1.1. Ch\u1ec9 \u0111\u1ecbnh ph\u00f2ng ng\u1eeba GBS \u1edf s\u1ea3n ph\u1ee5\u00a0<\/strong><\/p>\n

Ti\u1ec1n c\u0103n sinh con b\u1ecb nhi\u1ec5m GBS giai \u0111o\u1ea1n s\u01a1 sinh<\/p>\n

C\u00f3 1 trong c\u00e1c y\u1ebfu t\u1ed1 \u1edf thai k\u1ef3 hi\u1ec7n t\u1ea1i:<\/p>\n

+ C\u1ea5y GBS (+) khi thai \u2265 36 tu\u1ea7n<\/p>\n

+ Nhi\u1ec5m tr\u00f9ng ti\u1ec3u do GBS trong thai k\u1ef3<\/p>\n

Khi chuy\u1ec3n d\u1ea1 c\u00f3 1 trong c\u00e1c y\u1ebfu t\u1ed1:<\/p>\n

+GBS (+) (ph\u01b0\u01a1ng ph\u00e1p Real-time PCR)<\/p>\n

+ Kh\u00f4ng r\u00f5 t\u00ecnh tr\u1ea1ng nhi\u1ec5m GBS khi c\u00f3 chuy\u1ec3n d\u1ea1 ho\u1eb7c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m GBS (-) (ph\u01b0\u01a1ng ph\u00e1p Real-time PCR) V\u00c0 c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0: tu\u1ed5i thai <37 tu\u1ea7n, \u1ed1i v\u1ee1 \u2265 18 gi\u1edd, m\u1eb9 s\u1ed1t \u2265 38\u00b0C\u00a0)<\/p>\n

+ Kh\u00f4ng r\u00f5 t\u00ecnh tr\u1ea1ng nhi\u1ec5m GBS khi c\u00f3 chuy\u1ec3n d\u1ea1 V\u00c0 nhi\u1ec5m GBS \u1edf\u00a0 thai k\u1ef3 tr\u01b0\u1edbc<\/p>\n

1.2. \u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng GBS \u0111\u1ee7\u00a0<\/strong><\/p>\n

N\u1ebfu m\u0119 c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u1ef1 ph\u00f2ng GBS khi chuy\u1ec3n d\u1ea1 v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kh\u00e1ng sinh d\u1ef1 ph\u00f2ng (KSDP) \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch Ampicillin ho\u1eb7c Cefazolin \u2265 4 gi\u1edd tr\u01b0\u1edbc khi sinh.<\/p>\n

1.3. \u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng GBS kh\u00f4ng \u0111\u1ee7\u00a0<\/strong><\/p>\n

D\u1ef1 ph\u00f2ng GBS b\u1eb1ng c\u00e1c kh\u00e1ng sinh kh\u00e1c nh\u01b0 Clindamycin ho\u1eb7c Vancomycin (s\u1eed d\u1ee5ng \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p nguy c\u01a1 cao ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7 v\u1edbi Penicillin) ho\u1eb7c th\u1eddi gian s\u1eed d\u1ee5ng kh\u00e1ng sinh <4 gi\u1edd.<\/p>\n

1.4. Nhi\u1ec5m khu\u1ea9n huy\u1ebft s\u1edbm do GBS<\/p>\n

Ph\u00e2n l\u1eadp \u0111\u01b0\u1ee3c GBS t\u1eeb m\u00e1u, d\u1ecbch n\u00e3o tu\u1ef7 ho\u1eb7c c\u00e1c v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng l\u00e0 v\u00f4 khu\u1ea9n t\u1eeb th\u1eddi \u0111i\u1ec3m sau sinh \u0111\u1ebfn 6 ng\u00e0y tu\u1ed5i.<\/p>\n

1.5. Nhi\u1ec5m khu\u1ea9n huy\u1ebft mu\u1ed9n do GBS<\/p>\n

Ph\u00e2n l\u1eadp \u0111\u01b0\u1ee3c GBS t\u1eeb m\u00e1u, d\u1ecbch n\u00e3o tu\u1ef7 ho\u1eb7c c\u00e1c v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng l\u00e0 v\u00f4 khu\u1ea9n t\u1eeb 7 ng\u00e0y tu\u1ed5i \u0111\u1ebfn 89 ng\u00e0y tu\u1ed5i.<\/p>\n

2. Y\u1ebfu t\u1ed1 nguy c\u01a1 nhi\u1ec5m li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m B<\/h2>\n
    \n
  • Sinh non<\/li>\n
  • \u1ed0i v\u1ee1 > 18 gi\u1edd<\/li>\n
  • M\u1eb9 s\u1ed1t trong khi sinh (t\u1eeb khi chuy\u1ec3n d\u1ea1 \u0111\u1ebfn l\u00fac s\u1ed5 nhau)<\/li>\n
  • M\u1eb9 c\u00f3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m GBS v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng GBS kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7<\/li>\n
  • Ti\u1ec1n s\u1eed m\u1eb9 sinh con b\u1ecb nhi\u1ec5m GBS<\/li>\n<\/ul>\n

    3. Ch\u1ea9n \u0111o\u00e1n<\/strong><\/h2>\n

    3.1. L\u00e2m s\u00e0ng\u00a0<\/strong><\/p>\n

    Tr\u1ebb c\u00f3 l\u00e2m s\u00e0ng b\u1ea5t th\u01b0\u1eddng n\u1ebfu:<\/p>\n

      \n
    • Sinh hi\u1ec7u (nhi\u1ec7t \u0111\u1ed9, nh\u1ecbp th\u1edf, nh\u1ecbp tim) b\u1ea5t th\u01b0\u1eddng<\/li>\n
    • C\u1ea7n s\u1eed d\u1ee5ng Oxy v\u00e0 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p, kh\u00f4ng ng\u01b0ng \u0111\u01b0\u1ee3c sau 4 gi\u1edd tu\u1ed5i<\/li>\n
    • C\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c v\u1eadn m\u1ea1ch<\/li>\n<\/ul>\n

      3.2. C\u1eadn l\u00e2m s\u00e0ng\u00a0<\/strong><\/p>\n

      C\u1ea5y m\u00e1u tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng kh\u00e1ng sinh n\u1ebfu tr\u1ebb c\u00f3 l\u00e2m s\u00e0ng b\u1ea5t th\u01b0\u1eddng.<\/p>\n

      Theo d\u00f5i di\u1ec5n ti\u1ebfn v\u00e0 quy\u1ebft \u0111\u1ecbnh ng\u01b0ng kh\u00e1ng sinh d\u1ef1a v\u00e0o CRP (ch\u1ec9 \u0111\u1ecbnh 18-24 gi\u1edd sau sinh) v\u00e0 t\u1ed5ng ph\u00e2n t\u00edch t\u1ebf b\u00e0o m\u00e1u (TPTTBM) trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.<\/p>\n

      S\u1eed d\u1ee5ng procalcitonin \u0111\u1ec3 theo d\u00f5i di\u1ec5n ti\u1ebfn v\u00e0 quy\u1ebft \u0111\u1ecbnh ng\u01b0ng kh\u00e1ng sinh n\u1ebfu tr\u1ebb c\u00f3 l\u00e2m s\u00e0ng b\u1ea5t th\u01b0\u1eddng v\u00e0 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m khu\u1ea9n huy\u1ebft.<\/p>\n

      Ch\u1ecdc d\u00f2 t\u1ee7y s\u1ed1ng n\u1ebfu:<\/p>\n

      + C\u1ea5y m\u00e1u d\u01b0\u01a1ng t\u00ednh ho\u1eb7c<\/p>\n

      + Kh\u00f4ng \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh ban \u0111\u1ea7u<\/p>\n

      – PCR d\u1ecbch n\u00e3o tu\u1ef7 n\u1ebfu tr\u1ebb <34 tu\u1ea7n tu\u1ed5i thai v\u00e0 c\u00f3 l\u00e2m s\u00e0ng b\u1ea5t th\u01b0\u1eddng.<\/p>\n

      \"minh-hoa-lien-cau-khuan-nhom-B\"<\/h2>\n

      4. X\u1eed tr\u00ed<\/h2>\n

      4.1. X\u1eed tr\u00ed cho tr\u1ebb s\u01a1 sinh > 35 tu\u1ea7n tu\u1ed5i thai\u00a0<\/strong><\/p>\n\n\n\n\n\n\n\n
      T\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng<\/p>\n

       <\/td>\n

      		X\u1eed tr\u00ed<\/p>\n

       <\/td>\n<\/tr>\n

      Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng b\u1ea5t th\u01b0\u1eddng<\/p>\n

       <\/td>\n

      		C\u1ea5y m\u00e1u, kh\u00e1ng sinh;<\/p>\n

      TPTTBM v\u00e0 CRP l\u00fac 48 gi\u1edd tu\u1ed5i<\/td>\n<\/tr>\n

      M\u1eb9 s\u1ed1t > 38\u00b0C<\/td>\nC\u1ea5y m\u00e1u, kh\u00e1ng sinh;<\/p>\n

      TPTTBM v\u00e0 CRP l\u00fac 48 gi\u1edd tu\u1ed5i<\/p>\n

       <\/td>\n<\/tr>\n

      M\u1eb9 kh\u00f4ng s\u1ed1t, c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u1ef1 ph\u00f2ng\u00a0GBS v\u00e0 d\u1ef1 ph\u00f2ng kh\u00f4ng \u0111\u1ee7<\/p>\n

       <\/td>\n

      		X\u00e9t nghi\u1ec7m (*) v\u00e0 theo d\u00f5i l\u00e2m s\u00e0ng (**)<\/td>\n<\/tr>\n
      M\u1eb9 kh\u00f4ng s\u1ed1t, c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u1ef1 ph\u00f2ng GBS v\u00e0 d\u1ef1 ph\u00f2ng \u0111\u1ee7<\/td>\nCh\u0103m s\u00f3c th\u01b0\u1eddng quy<\/p>\n

       <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

       <\/p>\n

      (*) X\u00e9t nghi\u1ec7m: c\u1ea5y m\u00e1u v\u00e0 TPTTBM l\u00fac 6-12 gi\u1edd tu\u1ed5i; TPTTBM v\u00e0 CRP l\u00fac 48 gi\u1edd tu\u1ed5i.<\/p>\n

      (**) Theo d\u00f5i l\u00e2m s\u00e0ng: h\u1ed9 sinh theo d\u00f5i l\u00e2m s\u00e0ng c\u1ee7a tr\u1ebb m\u1ed7i 12 gi\u1edd, ghi nh\u1eadn v\u00e0o phi\u1ebfu ch\u0103m s\u00f3c. B\u00e1c s\u0129 kh\u00e1m l\u00e2m s\u00e0ng m\u1ed7i bu\u1ed5i s\u00e1ng ho\u1eb7c khi c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng, ng\u01b0ng theo d\u00f5i l\u00fac 48 gi\u1edd tu\u1ed5i n\u1ebfu l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m b\u00ecnh th\u01b0\u1eddng.<\/p>\n

      4.2. X\u1eed tr\u00ed cho tr\u1ebb s\u01a1 sinh < 35 tu\u1ea7n tu\u1ed5i thai\u00a0<\/strong><\/p>\n\n\n\n\n\n\n\n\n
      T\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng<\/p>\n

       <\/td>\n

      		X\u1eed tr\u00ed<\/p>\n

       <\/td>\n<\/tr>\n

      Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng b\u1ea5t th\u01b0\u1eddng<\/p>\n

       <\/td>\n

      		C\u1ea5y m\u00e1u v\u00e0 kh\u00e1ng sinh ngay sau sinh TPTTBM v\u00e0 CRP l\u00fac 48 gi\u1edd tu\u1ed5i<\/td>\n<\/tr>\n
      M\u1eb9 b\u1ecb nhi\u1ec5m tr\u00f9ng \u1ed1i ho\u1eb7c<\/p>\n

      Chuy\u1ec3n d\u1ea1 sinh non (t\u1ef1 ph\u00e1t) ho\u1eb7c<\/p>\n

      \u1ed0i v\u1ee1 non<\/p>\n

       <\/td>\n

      		C\u1ea5y m\u00e1u v\u00e0 kh\u00e1ng sinh ngay sau sinh<\/p>\n

       <\/td>\n<\/tr>\n

      M\u1eb9 c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u1ef1 ph\u00f2ng GBS | C\u00e2y m\u00e1u v\u00e0 kh\u00e1ng sinh ngay sau sinh<\/p>\n

      v\u00e0 d\u1ef1 ph\u00f2ng kh\u00f4ng \u0111\u1ee7<\/p>\n

       <\/td>\n

      		C\u1ea5y m\u00e1u v\u00e0 kh\u00e1ng sinh ngay sau sinh<\/p>\n

       <\/td>\n<\/tr>\n

      M\u1eb9 c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u1ef1 ph\u00f2ng GBS v\u00e0 d\u1ef1 ph\u00f2ng \u0111\u1ee7; kh\u00f4ng nhi\u1ec5m tr\u00f9ng \u1ed1i,\u00a0kh\u00f4ng chuy\u1ec3n d\u1ea1 sinh non (t\u1ef1 ph\u00e1t),\u00a0 kh\u00f4ng \u1ed1i v\u1ee1 non<\/p>\n

       <\/td>\n

      		Theo d\u00f5i l\u00e2m s\u00e0ng (**)<\/td>\n<\/tr>\n
      Sinh m\u1ed5 do ch\u1ec9 \u0111\u1ecbnh s\u1ea3n khoa\/thai v\u00e0 \u1ed1i c\u00f2n tr\u01b0\u1edbc m\u1ed5<\/td>\nTheo d\u00f5i l\u00e2m s\u00e0ng (**)<\/p>\n

       <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

       <\/p>\n

      (**) Theo d\u00f5i l\u00e2m s\u00e0ng: h\u1ed9 sinh theo d\u00f5i l\u00e2m s\u00e0ng c\u1ee7a tr\u1ebb m\u1ed7i 12 gi\u1edd, ghi nh\u1eadn v\u00e0o phi\u1ebfu ch\u0103m s\u00f3c. B\u00e1c s\u0129 kh\u00e1m l\u00e2m s\u00e0ng m\u1ed7i bu\u1ed5i s\u00e1ng ho\u1eb7c khi c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng, ng\u01b0ng theo d\u00f5i l\u00fac 48 gi\u1edd tu\u1ed5i n\u1ebfu l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m b\u00ecnh th\u01b0\u1eddng.<\/p>\n

      4.3. Ch\u1ec9 \u0111\u1ecbnh kh\u00e1ng sinh\u00a0<\/strong><\/p>\n

      C\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng b\u1ea5t th\u01b0\u1eddng<\/p>\n

      Tr\u1ebb > 35 tu\u1ea7n tu\u1ed5i thai v\u00e0 m\u1eb9 s\u1ed1t \u2265 38C<\/p>\n

      Tr\u1ebb < 35 tu\u1ea7n tu\u1ed5i thai v\u00e0 m\u1eb9 b\u1ecb nhi\u1ec5m tr\u00f9ng \u1ed1i ho\u1eb7c chuy\u1ec3n d\u1ea1 sinh non (t\u1ef1 ph\u00e1t) ho\u1eb7c \u1ed1i v\u1ee1 non<\/p>\n

      Tr\u1ebb < 35 tu\u1ea7n tu\u1ed5i thai v\u00e0 m\u1eb9 c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u1ef1 ph\u00f2ng GBS v\u00e0 d\u1ef1 ph\u00f2ng\u00a0 kh\u00f4ng \u0111\u1ee7<\/p>\n

      4.4. Ch\u1ecdn l\u1ef1a kh\u00e1ng sinh\u00a0<\/strong><\/p>\n

      Ch\u1ecdn l\u1ef1a kh\u00e1ng sinh ban \u0111\u1ea7u: Ampicillin v\u00e0 Aminoglycoside (Tobramycin ho\u1eb7c Gentamicin)<\/p>\n

      N\u1ebfu \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00e1p \u1ee9ng, ch\u1ecdn l\u1ef1a kh\u00e1ng sinh ti\u1ebfp theo d\u1ef1a v\u00e0o kh\u00e1ng sinh \u0111\u1ed3 ho\u1eb7c h\u1ed9i ch\u1ea9n khoa.<\/p>\n

      4.5. Th\u1eddi gian s\u1eed d\u1ee5ng kh\u00e1ng sinh\u00a0<\/strong><\/p>\n

      Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh:<\/p>\n

      + Ng\u01b0ng kh\u00e1ng sinh sau 36-48 gi\u1edd n\u1ebfu l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m b\u00ecnh\u00a0 th\u01b0\u1eddng ho\u1eb7c khuynh h\u01b0\u1edbng ti\u1ebfn tri\u1ec3n t\u1ed1t.<\/p>\n

      + C\u1ea5y m\u00e1u d\u01b0\u01a1ng t\u00ednh: \u00edt nh\u1ea5t 7 ng\u00e0y ho\u1eb7c 2 ng\u00e0y sau khi c\u1ea5y m\u00e1u ki\u1ec3m\u00a0 tra \u00e2m t\u00ednh.<\/p>\n

      + C\u1ea5y m\u00e1u \u00e2m t\u00ednh nh\u01b0ng l\u00e2m s\u00e0ng c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m khu\u1ea9n huy\u1ebft:\u00a0 7 ng\u00e0y.<\/p>\n

      + Vi\u00eam m\u00e0ng n\u00e3o do GBS: \u00edt nh\u1ea5t 14 ng\u00e0y.<\/p>\n

      Ch\u1ecdc d\u00f2 tu\u1ef7 s\u1ed1ng 48-72 gi\u1edd sau \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh \u0111\u1ed1i v\u1edbi vi\u00eam m\u00e0ng n\u00e3o. Ch\u1ecdc d\u00f2 tu\u1ef7 s\u1ed1ng ho\u1eb7c ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh s\u1ecd n\u00e3o n\u1ebfu k\u1ebft qu\u1ea3 d\u1ecbch n\u00e3o t\u1ee7y kh\u00f4ng t\u1ed1t h\u01a1n.<\/p>\n

      L\u01b0u \u00fd: trong tr\u01b0\u1eddng h\u1ee3p \u0111a thai, c\u1ea7n \u0111\u00e1nh gi\u00e1 tr\u1ebb c\u00f2n l\u1ea1i n\u1ebfu 1 tr\u1ebb b\u1ecb nhi\u1ec5m GBS, \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh n\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng.<\/p>\n

      T\u00c0I LI\u1ec6U THAM KH\u1ea2O\u00a0<\/strong><\/p>\n

        \n
      1. American Academy of Pediatrics, Management of Infants at Risk for Group B Streptoccal Disease, PEDIATRICS Volume 144, number 2, August 2019:e20191881.<\/li>\n
      2. Control of Disease Center, Prevention of Perinatal Sreptococcal Disease, Revised Guide lines from CDC, Recommendations and Reports, November 19, 2010; Vol.59, No. RR-10.<\/li>\n
      3. Ph\u00e1c \u0111\u1ed3 \u201cNhi\u1ec5m khu\u1ea9n huy\u1ebft s\u1edbm do Li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m B \u1edf tr\u1ebb s\u01a1 sinh\u201d t\u1ea1i B\u1ec7nh vi\u1ec7n T\u1eeb D\u0169 .<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

        Li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m B (Group B Streptococcus – GBS) l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p c\u1ee7a nhi\u1ec5m khu\u1ea9n huy\u1ebft s\u01a1 sinh s\u1edbm (NKHSSS). Theo s\u1ed1 li\u1ec7u c\u1ee7a Trung t\u00e2m ki\u1ec3m so\u00e1t v\u00e0 ph\u00f2ng ng\u1eeba d\u1ecbch b\u1ec7nh Hoa K\u1ef3 (Centers for Disease Control and prevention – CDC), GBS chi\u1ebfm 45% nguy\u00ean nh\u00e2n NKHSSS […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[15,33],"tags":[3],"yoast_head":"\nT\u1ed5ng quan v\u1ec1 nhi\u1ec5m li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m B \u1edf tr\u1ebb s\u01a1 sinh - Vinmec<\/title>\n<meta name=\"description\" content=\"Li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m B (Group B Streptococcus - GBS) l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p c\u1ee7a nhi\u1ec5m khu\u1ea9n huy\u1ebft s\u01a1 sinh s\u1edbm (NKHSSS).\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u1ed5ng quan v\u1ec1 nhi\u1ec5m li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m B \u1edf tr\u1ebb s\u01a1 sinh - 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