{"id":5509,"date":"2026-03-10T16:36:54","date_gmt":"2026-03-10T09:36:54","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=5509"},"modified":"2026-03-10T16:36:54","modified_gmt":"2026-03-10T09:36:54","slug":"phac-do-dieu-tri-viem-phoi-cong-dong","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/phac-do-dieu-tri-viem-phoi-cong-dong\/","title":{"rendered":"Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng"},"content":{"rendered":"<p><strong>T\u1ed5ng quan v\u00e0 ph\u00e2n lo\u1ea1i<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>VPC\u0110 l\u00e0 nguy\u00ean nh\u00e2n t\u1eed vong h\u00e0ng \u0111\u1ea7u \u1edf tr\u1ebb em d\u01b0\u1edbi 5 tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t t\u1ea1i c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n.<\/li>\n<li>Ph\u00e2n lo\u1ea1i theo WHO: Vi\u00eam ph\u1ed5i (th\u1edf nhanh),\u00a0vi\u00eam ph\u1ed5i n\u1eb7ng (co l\u00f5m ng\u1ef1c),\u00a0v\u00e0 vi\u00eam ph\u1ed5i r\u1ea5t n\u1eb7ng (t\u00edm t\u00e1i, co gi\u1eadt, li b\u00ec ho\u1eb7c kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c).<\/li>\n<\/ul>\n<p><strong>T\u00ecnh h\u00ecnh kh\u00e1ng thu\u1ed1c v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>T\u1ea1i Vi\u1ec7t Nam, t\u00ecnh tr\u1ea1ng kh\u00e1ng thu\u1ed1c c\u1ee7a\u00a0<i>S. pneumoniae<\/i>\u00a0r\u1ea5t cao.\u00a0Amoxicillin li\u1ec1u cao l\u00e0 kh\u00e1ng sinh \u0111\u01b0\u1eddng u\u1ed1ng c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng.<\/li>\n<li><strong>Ch\u1ea9n \u0111o\u00e1n:<\/strong>\u00a0\u0110o SpO2 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho t\u1ea5t c\u1ea3 tr\u1ebb nghi ng\u1edd thi\u1ebfu oxy.\u00a0Kh\u00f4ng n\u00ean ch\u1ee5p X-quang th\u01b0\u1eddng quy cho ngo\u1ea1i tr\u00fa,\u00a0nh\u01b0ng n\u00ean ch\u1ee5p cho b\u1ec7nh nh\u00e2n n\u1ed9i tr\u00fa \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 bi\u1ebfn ch\u1ee9ng.\u00a0C\u00f4ng th\u1ee9c m\u00e1u \u00edt \u0111\u1eb7c hi\u1ec7u v\u00e0 kh\u00f4ng h\u1ed7 tr\u1ee3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c ph\u00e2n bi\u1ec7t nguy\u00ean nh\u00e2n do vi khu\u1ea9n hay virus.<\/li>\n<\/ul>\n<p><strong>H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li><strong>Ngo\u1ea1i tr\u00fa:<\/strong>\n<ul class=\"gdAMzb\">\n<li>Tr\u1ebb &lt; 5 tu\u1ed5i: \u01afu ti\u00ean Amoxicillin li\u1ec1u cao (80-90mg\/kg\/ng\u00e0y).<\/li>\n<li>Tr\u1ebb &gt; 5 tu\u1ed5i: K\u1ebft h\u1ee3p Amoxicillin ho\u1eb7c Amox-clavulanic v\u1edbi Azithromycin.<\/li>\n<\/ul>\n<\/li>\n<li><strong>N\u1ed9i tr\u00fa:<\/strong>\n<ul class=\"gdAMzb\">\n<li>Tr\u1ebb &lt; 2 th\u00e1ng: S\u1eed d\u1ee5ng Ampicillin k\u1ebft h\u1ee3p Gentamycin.<\/li>\n<li>Tr\u1ebb &lt; 5 tu\u1ed5i: Ampicillin ho\u1eb7c Penicillin G cho tr\u1ebb kh\u1ecfe m\u1ea1nh, ch\u1ee7ng ng\u1eeba \u0111\u1ea7y \u0111\u1ee7.\u00a0S\u1eed d\u1ee5ng Cefotaxim ho\u1eb7c Ceftriaxone cho tr\u1ebb ch\u01b0a ch\u1ee7ng ng\u1eeba \u0111\u1ea7y \u0111\u1ee7 ho\u1eb7c nghi ng\u1edd kh\u00e1ng thu\u1ed1c.<\/li>\n<li>Tr\u1ebb &gt; 5 tu\u1ed5i: \u00c1p d\u1ee5ng ph\u00e1c \u0111\u1ed3 nh\u01b0 tr\u1ebb d\u01b0\u1edbi 5 tu\u1ed5i k\u00e8m th\u00eam Macrolides.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Ph\u00f2ng ng\u1eeba<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>Khuy\u1ebfn kh\u00edch r\u1eeda tay th\u01b0\u1eddng xuy\u00ean.<\/li>\n<li>Duy tr\u00ec b\u00fa s\u1eefa m\u1eb9.<\/li>\n<li>H\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac v\u1edbi kh\u00f3i thu\u1ed1c l\u00e1 v\u00e0 tr\u00e1nh ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi c\u00e1c tr\u1ebb kh\u00e1c.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-5510\" src=\"https:\/\/ykhoataynguyen.com\/site\/wp-content\/uploads\/2026\/03\/Screenshot-2026-03-10-163537.png\" alt=\"\" width=\"938\" height=\"614\" title=\"\" srcset=\"https:\/\/ykhoataynguyen.com\/site\/wp-content\/uploads\/2026\/03\/Screenshot-2026-03-10-163537.png 938w, https:\/\/ykhoataynguyen.com\/site\/wp-content\/uploads\/2026\/03\/Screenshot-2026-03-10-163537-300x196.png 300w, https:\/\/ykhoataynguyen.com\/site\/wp-content\/uploads\/2026\/03\/Screenshot-2026-03-10-163537-768x503.png 768w\" sizes=\"auto, (max-width: 938px) 100vw, 938px\" \/><\/p>\n<p>Link:<a href=\"https:\/\/drive.google.com\/drive\/folders\/1eOOiGz7rwiLjROvfFpRv1GCkmAspKfnD\" rel=\"noopener\">https:\/\/drive.google.com\/drive\/folders\/1eOOiGz7rwiLjROvfFpRv1GCkmAspKfnD<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ed5ng quan v\u00e0 ph\u00e2n lo\u1ea1i VPC\u0110 l\u00e0 nguy\u00ean nh\u00e2n t\u1eed vong h\u00e0ng \u0111\u1ea7u \u1edf tr\u1ebb em d\u01b0\u1edbi 5 tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t t\u1ea1i c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n. Ph\u00e2n lo\u1ea1i theo WHO: Vi\u00eam ph\u1ed5i (th\u1edf nhanh),\u00a0vi\u00eam ph\u1ed5i n\u1eb7ng (co l\u00f5m ng\u1ef1c),\u00a0v\u00e0 vi\u00eam ph\u1ed5i r\u1ea5t n\u1eb7ng (t\u00edm t\u00e1i, co gi\u1eadt, li b\u00ec ho\u1eb7c kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c). T\u00ecnh &hellip;<\/p>\n","protected":false},"author":23,"featured_media":5510,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53,51],"tags":[],"class_list":["post-5509","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-noi-tong-quat","category-noi-khoa"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5509","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/23"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=5509"}],"version-history":[{"count":2,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5509\/revisions"}],"predecessor-version":[{"id":5512,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5509\/revisions\/5512"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/5510"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=5509"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=5509"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=5509"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}