{"id":33849,"date":"2023-10-13T13:56:51","date_gmt":"2023-10-13T06:56:51","guid":{"rendered":"https:\/\/www.oucru.org\/?p=33849"},"modified":"2023-10-27T14:03:13","modified_gmt":"2023-10-27T07:03:13","slug":"nghien-cuu-moi-thu-nghiem-dung-dexamethasone-bo-tro-trong-dieu-tri-benh-nhan-lao-mang-naonguoi-lon-nhiem-hiv-thu-nghiem-act-hiv","status":"publish","type":"post","link":"https:\/\/test.oucru.org\/index.php\/2023\/10\/13\/nghien-cuu-moi-thu-nghiem-dung-dexamethasone-bo-tro-trong-dieu-tri-benh-nhan-lao-mang-naonguoi-lon-nhiem-hiv-thu-nghiem-act-hiv\/","title":{"rendered":"Nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u m\u00e1\u00bb\u203ai: Th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m d\u00c3\u00b9ng Dexamethasone b\u00e1\u00bb\u2022 tr\u00e1\u00bb\u00a3 trong \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o ng\u00c6\u00b0\u00e1\u00bb\u009di l\u00e1\u00bb\u203an nhi\u00e1\u00bb\u2026m HIV (Th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m ACT HIV)"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li>Th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m ACT HIV, \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c th\u00e1\u00bb\u00b1c hi\u00e1\u00bb\u2021n b\u00e1\u00bb\u0178i OUCRU, nh\u00e1\u00ba\u00b1m x\u00c3\u00a1c \u00c4\u2018\u00e1\u00bb\u2039nh xem Dexamethasone c\u00c3\u00b3 ph\u00e1\u00ba\u00a3i l\u00c3\u00a0 m\u00e1\u00bb\u2122t thu\u00e1\u00bb\u2018c b\u00e1\u00bb\u2022 tr\u00e1\u00bb\u00a3 hi\u00e1\u00bb\u2021u qu\u00e1\u00ba\u00a3, gi\u00c3\u00bap gi\u00e1\u00ba\u00a3m t\u00e1\u00bb\u00b7 l\u00e1\u00bb\u2021 t\u00e1\u00bb\u00ad vong, t\u00c3\u00a0n t\u00e1\u00ba\u00adt v\u00c3\u00a0 c\u00c3\u00a1c bi\u00e1\u00ba\u00bfn ch\u00e1\u00bb\u00a9ng kh\u00c3\u00a1c \u00e1\u00bb\u0178 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o ng\u00c6\u00b0\u00e1\u00bb\u009di l\u00e1\u00bb\u203an nhi\u00e1\u00bb\u2026m HIV hay kh\u00c3\u00b4ng.<\/li>\n\n\n\n<li>Th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m c\u00c3\u00b3 s\u00e1\u00bb\u00b1 tham gia c\u00e1\u00bb\u00a7a 520 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n t\u00e1\u00ba\u00a1i Indonesia v\u00c3\u00a0 Vi\u00e1\u00bb\u2021t Nam. K\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 cho th\u00e1\u00ba\u00a5y vi\u00e1\u00bb\u2021c b\u00e1\u00bb\u2022 tr\u00e1\u00bb\u00a3 Dexamethasone v\u00c3\u00a0o ph\u00c3\u00a1c \u00c4\u2018\u00e1\u00bb\u201c chu\u00e1\u00ba\u00a9n \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 lao m\u00c3\u00a0ng n\u00c3\u00a3o kh\u00c3\u00b4ng l\u00c3\u00a0m gi\u00e1\u00ba\u00a3m s\u00e1\u00bb\u2018 l\u00c6\u00b0\u00e1\u00bb\u00a3ng b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n t\u00e1\u00bb\u00ad vong trong v\u00c3\u00b2ng 12 th\u00c3\u00a1ng k\u00e1\u00bb\u0192 t\u00e1\u00bb\u00ab th\u00e1\u00bb\u009di \u00c4\u2018i\u00e1\u00bb\u0192m tham gia cu\u00e1\u00bb\u2122c th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m.<\/li>\n\n\n\n<li>Nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u n\u00c3\u00a0y nh\u00e1\u00ba\u00a5n m\u00e1\u00ba\u00a1nh nhu c\u00e1\u00ba\u00a7u c\u00e1\u00ba\u00a5p thi\u00e1\u00ba\u00bft to\u00c3\u00a0n c\u00e1\u00ba\u00a7u v\u00e1\u00bb\u0081 vi\u00e1\u00bb\u2021c ph\u00c3\u00a1t hi\u00e1\u00bb\u2021n v\u00c3\u00a0 \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 s\u00e1\u00bb\u203am HIV v\u00c3\u00a0 lao m\u00c3\u00a0ng n\u00c3\u00a3o. \u00c4\u0090\u00e1\u00bb\u201cng th\u00e1\u00bb\u009di, n\u00c3\u00b3 c\u00c5\u00a9ng cho th\u00e1\u00ba\u00a5y t\u00e1\u00ba\u00a7m quan tr\u00e1\u00bb\u008dng c\u00e1\u00bb\u00a7a s\u00e1\u00bb\u00b1 h\u00e1\u00bb\u00a3p t\u00c3\u00a1c nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u gi\u00e1\u00bb\u00afa hai n\u00c6\u00b0\u00e1\u00bb\u203ac Vi\u00e1\u00bb\u2021t Nam v\u00c3\u00a0 Indonesia trong vi\u00e1\u00bb\u2021c ti\u00e1\u00ba\u00bfn h\u00c3\u00a0nh c\u00c3\u00a1c cu\u00e1\u00bb\u2122c th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m quan tr\u00e1\u00bb\u008dng.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>VI\u00e1\u00bb\u2020T NAM, TH\u00c3\u20acNH PH\u00e1\u00bb\u0090 H\u00e1\u00bb\u2019 CH\u00c3\u008d MINH <\/strong>\u00e2\u20ac\u201c V\u00c3\u00a0o ng\u00c3\u00a0y 12\/10\/2023, k\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 c\u00e1\u00bb\u00a7a <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2216218\">Th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m d\u00c3\u00b9ng Dexamethasone b\u00e1\u00bb\u2022 tr\u00e1\u00bb\u00a3 trong \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o ng\u00c6\u00b0\u00e1\u00bb\u009di l\u00e1\u00bb\u203an nhi\u00e1\u00bb\u2026m HIV (Th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m ACT HIV)<\/a> s\u00e1\u00ba\u00bd \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c c\u00c3\u00b4ng b\u00e1\u00bb\u2018 tr\u00c3\u00aan t\u00e1\u00ba\u00a1p ch\u00c3\u00ad <em>New England Journal of Medicine<\/em>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e1\u00bb\u2021nh lao do vi khu\u00e1\u00ba\u00a9n <em>Mycobacterium tuberculosis<\/em> g\u00c3\u00a2y ra v\u00c3\u00a0 l\u00c3\u00a0 nguy\u00c3\u00aan nh\u00c3\u00a2n g\u00c3\u00a2y t\u00e1\u00bb\u00ad vong cho kho\u00e1\u00ba\u00a3ng 1,5 tri\u00e1\u00bb\u2021u ng\u00c6\u00b0\u00e1\u00bb\u009di m\u00e1\u00bb\u2014i n\u00c4\u0192m. Lao m\u00c3\u00a0ng n\u00c3\u00a3o l\u00c3\u00a0 th\u00e1\u00bb\u0192 lao nguy hi\u00e1\u00bb\u0192m nh\u00e1\u00ba\u00a5t c\u00e1\u00bb\u00a7a b\u00e1\u00bb\u2021nh lao, gi\u00e1\u00ba\u00bft ch\u00e1\u00ba\u00bft ho\u00e1\u00ba\u00b7c g\u00c3\u00a2y t\u00c3\u00a0n t\u00e1\u00ba\u00adt h\u00c6\u00a1n m\u00e1\u00bb\u2122t n\u00e1\u00bb\u00ada s\u00e1\u00bb\u2018 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao \u00c4\u2018\u00e1\u00bb\u201cng nhi\u00e1\u00bb\u2026m HIV, k\u00e1\u00bb\u0192 c\u00e1\u00ba\u00a3 nh\u00e1\u00bb\u00afng ng\u00c6\u00b0\u00e1\u00bb\u009di \u00c4\u2018\u00c3\u00a3 \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 b\u00e1\u00ba\u00b1ng c\u00c3\u00a1c lo\u00e1\u00ba\u00a1i thu\u00e1\u00bb\u2018c \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 lao t\u00e1\u00bb\u2018t nh\u00e1\u00ba\u00a5t trong 12 th\u00c3\u00a1ng. Vi\u00e1\u00bb\u2021c b\u00e1\u00bb\u2022 tr\u00e1\u00bb\u00a3 Corticosteroid Dexamethasone v\u00c3\u00a0o ph\u00c3\u00a1c \u00c4\u2018\u00e1\u00bb\u201c \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 b\u00e1\u00bb\u2021nh lao gi\u00c3\u00bap gi\u00e1\u00ba\u00a3m t\u00e1\u00bb\u00b7 l\u00e1\u00bb\u2021 t\u00e1\u00bb\u00ad vong \u00e1\u00bb\u0178 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o kh\u00c3\u00b4ng nhi\u00e1\u00bb\u2026m HIV. Tuy nhi\u00c3\u00aan, t\u00c3\u00a1c d\u00e1\u00bb\u00a5ng c\u00e1\u00bb\u00a7a Demamethasone \u00c4\u2018\u00e1\u00bb\u2018i v\u00e1\u00bb\u203ai b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o nhi\u00e1\u00bb\u2026m HIV v\u00e1\u00ba\u00abn ch\u00c6\u00b0a \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c l\u00c3\u00a0m r\u00c3\u00b5, d\u00c3\u00b9 cho \u00c4\u2018a s\u00e1\u00bb\u2018 c\u00c3\u00a1c h\u00c6\u00b0\u00e1\u00bb\u203ang d\u00e1\u00ba\u00abn \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 \u00c4\u2018\u00e1\u00bb\u0081u khuy\u00e1\u00ba\u00bfn ngh\u00e1\u00bb\u2039 s\u00e1\u00bb\u00ad d\u00e1\u00bb\u00a5ng n\u00c3\u00b3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m ACT HIV nh\u00e1\u00ba\u00b1m x\u00c3\u00a1c \u00c4\u2018\u00e1\u00bb\u2039nh xem Dexamethasone c\u00c3\u00b3 ph\u00e1\u00ba\u00a3i l\u00c3\u00a0 m\u00e1\u00bb\u2122t thu\u00e1\u00bb\u2018c b\u00e1\u00bb\u2022 tr\u00e1\u00bb\u00a3 hi\u00e1\u00bb\u2021u qu\u00e1\u00ba\u00a3, gi\u00c3\u00bap gi\u00e1\u00ba\u00a3m t\u00e1\u00bb\u00b7 l\u00e1\u00bb\u2021 t\u00e1\u00bb\u00ad vong, t\u00c3\u00a0n t\u00e1\u00ba\u00adt v\u00c3\u00a0 c\u00c3\u00a1c bi\u00e1\u00ba\u00bfn ch\u00e1\u00bb\u00a9ng kh\u00c3\u00a1c \u00e1\u00bb\u0178 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o ng\u00c6\u00b0\u00e1\u00bb\u009di l\u00e1\u00bb\u203an nhi\u00e1\u00bb\u2026m HIV hay kh\u00c3\u00b4ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trong 4 n\u00c4\u0192m, 520 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o nhi\u00e1\u00bb\u2026m HIV \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c ng\u00e1\u00ba\u00abu nhi\u00c3\u00aan chia th\u00c3\u00a0nh hai nh\u00c3\u00b3m, m\u00e1\u00bb\u2122t nh\u00c3\u00b3m nh\u00e1\u00ba\u00adn b\u00e1\u00bb\u2022 tr\u00e1\u00bb\u00a3 Dexamethasone trong 6-8 tu\u00e1\u00ba\u00a7n v\u00c3\u00a0 m\u00e1\u00bb\u2122t nh\u00c3\u00b3m nh\u00e1\u00ba\u00adn gi\u00e1\u00ba\u00a3 d\u00c6\u00b0\u00e1\u00bb\u00a3c t\u00c6\u00b0\u00c6\u00a1ng t\u00e1\u00bb\u00b1, song song v\u00e1\u00bb\u203ai thu\u00e1\u00bb\u2018c \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 lao. K\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 cho th\u00e1\u00ba\u00a5y vi\u00e1\u00bb\u2021c b\u00e1\u00bb\u2022 tr\u00e1\u00bb\u00a3 Dexamethasone kh\u00c3\u00b4ng l\u00c3\u00a0m gi\u00e1\u00ba\u00a3m s\u00e1\u00bb\u2018 l\u00c6\u00b0\u00e1\u00bb\u00a3ng b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n t\u00e1\u00bb\u00ad vong trong v\u00c3\u00b2ng 12 th\u00c3\u00a1ng k\u00e1\u00bb\u0192 t\u00e1\u00bb\u00ab th\u00e1\u00bb\u009di \u00c4\u2018i\u00e1\u00bb\u0192m tham gia th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m. T\u00e1\u00bb\u00b7 l\u00e1\u00bb\u2021 t\u00e1\u00bb\u00ad vong c\u00e1\u00bb\u00a7a nh\u00c3\u00b3m nh\u00e1\u00ba\u00adn Dexamethasone l\u00c3\u00a0 116\/263 (44.1%), v\u00c3\u00a0 c\u00e1\u00bb\u00a7a nh\u00c3\u00b3m nh\u00e1\u00ba\u00adn gi\u00e1\u00ba\u00a3 d\u00c6\u00b0\u00e1\u00bb\u00a3c l\u00c3\u00a0 126\/257 (49.0%). S\u00e1\u00bb\u00b1 ch\u00c3\u00aanh l\u00e1\u00bb\u2021ch n\u00c3\u00a0y kh\u00c3\u00b4ng c\u00c3\u00b3 \u00c3\u00bd ngh\u00c4\u00a9a th\u00e1\u00bb\u2018ng k\u00c3\u00aa. Ngo\u00c3\u00a0i ra, c\u00c5\u00a9ng kh\u00c3\u00b4ng t\u00c3\u00acm th\u00e1\u00ba\u00a5y l\u00e1\u00bb\u00a3i \u00c3\u00adch kh\u00c3\u00a1c c\u00e1\u00bb\u00a7a Dexamethasone.<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p><em>\u00e2\u20ac\u0153WHO khuy\u00e1\u00ba\u00bfn c\u00c3\u00a1o vi\u00e1\u00bb\u2021c s\u00e1\u00bb\u00ad d\u00e1\u00bb\u00a5ng Dexamethasone cho t\u00e1\u00ba\u00a5t c\u00e1\u00ba\u00a3 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o, b\u00e1\u00ba\u00a5t k\u00e1\u00bb\u0192 t\u00c3\u00acnh tr\u00e1\u00ba\u00a1ng nhi\u00e1\u00bb\u2026m HIV c\u00e1\u00bb\u00a7a h\u00e1\u00bb\u008d. K\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 c\u00e1\u00bb\u00a7a th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m ACT HIV cung c\u00e1\u00ba\u00a5p b\u00e1\u00ba\u00b1ng ch\u00e1\u00bb\u00a9ng quan tr\u00e1\u00bb\u008dng \u00c4\u2018\u00e1\u00bb\u0192 WHO c\u00e1\u00ba\u00adp nh\u00e1\u00ba\u00adt khuy\u00e1\u00ba\u00bfn c\u00c3\u00a1o d\u00c3\u00a0nh cho \u00c4\u2018\u00e1\u00bb\u2018i t\u00c6\u00b0\u00e1\u00bb\u00a3ng lao m\u00c3\u00a0ng n\u00c3\u00a3o \u00c4\u2018\u00e1\u00bb\u201cng nhi\u00e1\u00bb\u2026m HIV v\u00c3\u00a0 t\u00e1\u00bb\u00ab \u00c4\u2018\u00c3\u00b3, c\u00e1\u00ba\u00adp nh\u00e1\u00ba\u00adt c\u00c3\u00a1ch ti\u00e1\u00ba\u00bfp c\u00e1\u00ba\u00adn trong \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 \u00c4\u2018\u00e1\u00bb\u2018i v\u00e1\u00bb\u203ai nh\u00c3\u00b3m \u00c4\u2018\u00e1\u00bb\u2018i t\u00c6\u00b0\u00e1\u00bb\u00a3ng n\u00c3\u00a0y trong t\u00c6\u00b0\u00c6\u00a1ng lai.\u00e2\u20ac\u009d<\/em><\/p><cite>Ts.Bs. Nguy\u00e1\u00bb\u2026n H\u00e1\u00bb\u00afu L\u00c3\u00a2n, Gi\u00c3\u00a1m \u00c4\u2018\u00e1\u00bb\u2018c &nbsp;B\u00e1\u00bb\u2021nh vi\u00e1\u00bb\u2021n Ph\u00e1\u00ba\u00a1m Ng\u00e1\u00bb\u008dc Th\u00e1\u00ba\u00a1ch<\/cite><\/blockquote><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">K\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m n\u00c3\u00a0y c\u00c3\u00b3 \u00c3\u00bd ngh\u00c4\u00a9a quan tr\u00e1\u00bb\u008dng. N\u00c3\u00b3 cho th\u00e1\u00ba\u00a5y kh\u00c3\u00a1c v\u00e1\u00bb\u203ai \u00e1\u00bb\u0178 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o kh\u00c3\u00b4ng nhi\u00e1\u00bb\u2026m HIV, Dexamethasone kh\u00c3\u00b4ng c\u00c3\u00b3 nhi\u00e1\u00bb\u0081u l\u00e1\u00bb\u00a3i \u00c3\u00adch \u00c4\u2018\u00e1\u00bb\u2018i v\u00e1\u00bb\u203ai b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o nhi\u00e1\u00bb\u2026m HIV. Th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m c\u00c5\u00a9ng nh\u00e1\u00ba\u00a5n m\u00e1\u00ba\u00a1nh t\u00e1\u00bb\u00b7 l\u00e1\u00bb\u2021 t\u00e1\u00bb\u00ad vong cao b\u00e1\u00bb\u0178i vi\u00c3\u00aam m\u00c3\u00a0ng n\u00c3\u00a3o v\u00e1\u00bb\u203ai b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n HIV, v\u00c3\u00a0 nhu c\u00e1\u00ba\u00a7u c\u00e1\u00ba\u00a5p thi\u00e1\u00ba\u00bft to\u00c3\u00a0n c\u00e1\u00ba\u00a7u trong vi\u00e1\u00bb\u2021c ph\u00c3\u00a1t hi\u00e1\u00bb\u2021n v\u00c3\u00a0 \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 HIV v\u00c3\u00a0 lao m\u00c3\u00a0ng n\u00c3\u00a3o s\u00e1\u00bb\u203am h\u00c6\u00a1n, hi\u00e1\u00bb\u2021u qu\u00e1\u00ba\u00a3 h\u00c6\u00a1n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ts.Bs. Nguy\u00e1\u00bb\u2026n H\u00e1\u00bb\u00afu L\u00c3\u00a2n, Gi\u00c3\u00a1m \u00c4\u2018\u00e1\u00bb\u2018c &nbsp;B\u00e1\u00bb\u2021nh vi\u00e1\u00bb\u2021n Ph\u00e1\u00ba\u00a1m Ng\u00e1\u00bb\u008dc Th\u00e1\u00ba\u00a1ch: <em>\u00e2\u20ac\u0153WHO khuy\u00e1\u00ba\u00bfn c\u00c3\u00a1o vi\u00e1\u00bb\u2021c s\u00e1\u00bb\u00ad d\u00e1\u00bb\u00a5ng Dexamethasone cho t\u00e1\u00ba\u00a5t c\u00e1\u00ba\u00a3 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o, b\u00e1\u00ba\u00a5t k\u00e1\u00bb\u0192 t\u00c3\u00acnh tr\u00e1\u00ba\u00a1ng nhi\u00e1\u00bb\u2026m HIV c\u00e1\u00bb\u00a7a h\u00e1\u00bb\u008d. K\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 c\u00e1\u00bb\u00a7a th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m ACT HIV cung c\u00e1\u00ba\u00a5p b\u00e1\u00ba\u00b1ng ch\u00e1\u00bb\u00a9ng quan tr\u00e1\u00bb\u008dng \u00c4\u2018\u00e1\u00bb\u0192 WHO c\u00e1\u00ba\u00adp nh\u00e1\u00ba\u00adt khuy\u00e1\u00ba\u00bfn c\u00c3\u00a1o d\u00c3\u00a0nh cho \u00c4\u2018\u00e1\u00bb\u2018i t\u00c6\u00b0\u00e1\u00bb\u00a3ng lao m\u00c3\u00a0ng n\u00c3\u00a3o \u00c4\u2018\u00e1\u00bb\u201cng nhi\u00e1\u00bb\u2026m HIV v\u00c3\u00a0 t\u00e1\u00bb\u00ab \u00c4\u2018\u00c3\u00b3, c\u00e1\u00ba\u00adp nh\u00e1\u00ba\u00adt c\u00c3\u00a1ch ti\u00e1\u00ba\u00bfp c\u00e1\u00ba\u00adn trong \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 \u00c4\u2018\u00e1\u00bb\u2018i v\u00e1\u00bb\u203ai nh\u00c3\u00b3m \u00c4\u2018\u00e1\u00bb\u2018i t\u00c6\u00b0\u00e1\u00bb\u00a3ng n\u00c3\u00a0y trong t\u00c6\u00b0\u00c6\u00a1ng lai \u00e2\u20ac\u009d<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m l\u00c3\u00a0 k\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 h\u00e1\u00bb\u00a3p t\u00c3\u00a1c gi\u00e1\u00bb\u00afa c\u00c3\u00a1c nh\u00c3\u00a0 nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u t\u00e1\u00ba\u00a1i \u00c4\u0090\u00c6\u00a1n v\u00e1\u00bb\u2039 Nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u L\u00c3\u00a2m s\u00c3\u00a0ng \u00c4\u0090\u00e1\u00ba\u00a1i h\u00e1\u00bb\u008dc Oxford (OUCRU) t\u00e1\u00ba\u00a1i Vi\u00e1\u00bb\u2021t Nam v\u00c3\u00a0 Indonesia, c\u00c3\u00b9ng v\u00e1\u00bb\u203ai B\u00e1\u00bb\u2021nh vi\u00e1\u00bb\u2021n B\u00e1\u00bb\u2021nh nhi\u00e1\u00bb\u2021t \u00c4\u2018\u00e1\u00bb\u203ai v\u00c3\u00a0 B\u00e1\u00bb\u2021nh vi\u00e1\u00bb\u2021n Ph\u00e1\u00ba\u00a1m Ng\u00e1\u00bb\u008dc Th\u00e1\u00ba\u00a1ch t\u00e1\u00ba\u00a1i Th\u00c3\u00a0nh ph\u00e1\u00bb\u2018 H\u00e1\u00bb\u201c Ch\u00c3\u00ad Minh, Vi\u00e1\u00bb\u2021t Nam, B\u00e1\u00bb\u2021nh vi\u00e1\u00bb\u2021n Trung \u00c6\u00b0\u00c6\u00a1ng Cipto Mangunkusumo v\u00c3\u00a0 B\u00e1\u00bb\u2021nh vi\u00e1\u00bb\u2021n Trung \u00c6\u00b0\u00c6\u00a1ng \u00c4\u0090\u00e1\u00bb\u0081 \u00c3\u00a1n H\u00c3\u00b4 h\u00e1\u00ba\u00a5p Qu\u00e1\u00bb\u2018c gia Persahabatan, th\u00e1\u00bb\u00a7 \u00c4\u2018\u00c3\u00b4 Jakarta, Indonesia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cu\u00e1\u00bb\u2122c th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c t\u00c3\u00a0i tr\u00e1\u00bb\u00a3 b\u00e1\u00bb\u0178i Wellcome Trust, V\u00c6\u00b0\u00c6\u00a1ng Qu\u00e1\u00bb\u2018c Anh.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.oucru.org\/wp-content\/uploads\/2023\/10\/image-1.png\"><img loading=\"lazy\" decoding=\"async\" width=\"791\" height=\"1024\" src=\"https:\/\/www.oucru.org\/wp-content\/uploads\/2023\/10\/image-1-791x1024.png\" alt=\"\" class=\"wp-image-33850\" srcset=\"https:\/\/test.oucru.org\/wp-content\/uploads\/2023\/10\/image-1-791x1024.png 791w, https:\/\/test.oucru.org\/wp-content\/uploads\/2023\/10\/image-1-232x300.png 232w, https:\/\/test.oucru.org\/wp-content\/uploads\/2023\/10\/image-1-768x994.png 768w, https:\/\/test.oucru.org\/wp-content\/uploads\/2023\/10\/image-1.png 800w\" sizes=\"auto, (max-width: 791px) 100vw, 791px\" \/><\/a><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>VI\u00e1\u00bb\u2020T NAM, TH\u00c3\u20acNH PH\u00e1\u00bb\u0090 H\u00e1\u00bb\u2019 CH\u00c3\u008d MINH \u00e2\u20ac\u201c V\u00c3\u00a0o ng\u00c3\u00a0y 12\/10\/2023, k\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 c\u00e1\u00bb\u00a7a Th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m d\u00c3\u00b9ng Dexamethasone b\u00e1\u00bb\u2022 tr\u00e1\u00bb\u00a3 trong \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n lao m\u00c3\u00a0ng n\u00c3\u00a3o ng\u00c6\u00b0\u00e1\u00bb\u009di l\u00e1\u00bb\u203an nhi\u00e1\u00bb\u2026m HIV (Th\u00e1\u00bb\u00ad nghi\u00e1\u00bb\u2021m ACT HIV) s\u00e1\u00ba\u00bd \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c c\u00c3\u00b4ng b\u00e1\u00bb\u2018 tr\u00c3\u00aan t\u00e1\u00ba\u00a1p ch\u00c3\u00ad New England Journal of Medicine. B\u00e1\u00bb\u2021nh lao do vi khu\u00e1\u00ba\u00a9n Mycobacterium tuberculosis [&hellip;]<\/p>\n","protected":false},"author":39,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[291],"tags":[],"class_list":["post-33849","post","type-post","status-publish","format-standard","hentry","category-oucru-ho-chi-minh"],"_links":{"self":[{"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/posts\/33849","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/users\/39"}],"replies":[{"embeddable":true,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/comments?post=33849"}],"version-history":[{"count":2,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/posts\/33849\/revisions"}],"predecessor-version":[{"id":33854,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/posts\/33849\/revisions\/33854"}],"wp:attachment":[{"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/media?parent=33849"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/categories?post=33849"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/tags?post=33849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}