{"id":36663,"date":"2024-02-08T17:21:10","date_gmt":"2024-02-08T10:21:10","guid":{"rendered":"https:\/\/www.oucru.org\/nghien-cuu-cua-oucru-phat-trien-cong-cu-chan-doan-moi-cho-lao-mang-nao-o-nguoi-lon\/"},"modified":"2024-02-08T19:33:50","modified_gmt":"2024-02-08T12:33:50","slug":"chan-doan-lao-mang-nao","status":"publish","type":"post","link":"https:\/\/test.oucru.org\/index.php\/2024\/02\/08\/chan-doan-lao-mang-nao\/","title":{"rendered":"Nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u c\u00e1\u00bb\u00a7a OUCRU ph\u00c3\u00a1t tri\u00e1\u00bb\u0192n c\u00c3\u00b4ng c\u00e1\u00bb\u00a5 ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n m\u00e1\u00bb\u203ai cho lao m\u00c3\u00a0ng n\u00c3\u00a3o \u00e1\u00bb\u0178 ng\u00c6\u00b0\u00e1\u00bb\u009di l\u00e1\u00bb\u203an"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">B\u00e1\u00bb\u2021nh lao ph\u00e1\u00bb\u2022i do vi khu\u00e1\u00ba\u00a9n <a href=\"https:\/\/www.cdc.gov\/tb\/topic\/basics\/default.htm\"><em>Mycobacterium<\/em> <em>tuberculosis<\/em><\/a> (<em>Mtb<\/em>) x\u00c3\u00a2m nh\u00e1\u00ba\u00adp c\u00e1\u00ba\u00a5u tr\u00c3\u00bac m\u00c3\u00a0ng n\u00c3\u00a3o g\u00c3\u00a2y ra, l\u00c3\u00a0 d\u00e1\u00ba\u00a1ng bi\u00e1\u00ba\u00bfn ch\u00e1\u00bb\u00a9ng nguy hi\u00e1\u00bb\u0192m nh\u00e1\u00ba\u00a5t c\u00e1\u00bb\u00a7a b\u00e1\u00bb\u2021nh lao. Lao m\u00c3\u00a0ng n\u00c3\u00a3o t\u00c3\u00a1c \u00c4\u2018\u00e1\u00bb\u2122ng \u00c4\u2018\u00e1\u00ba\u00bfn c\u00c3\u00a1c l\u00e1\u00bb\u203ap m\u00c3\u00a0ng b\u00e1\u00ba\u00a3o v\u00e1\u00bb\u2021 n\u00c3\u00a3o v\u00c3\u00a0 t\u00e1\u00bb\u00a7y s\u00e1\u00bb\u2018ng. N\u00e1\u00ba\u00bfu kh\u00c3\u00b4ng \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c can thi\u00e1\u00bb\u2021p k\u00e1\u00bb\u2039p th\u00e1\u00bb\u009di, b\u00e1\u00bb\u2021nh th\u00c6\u00b0\u00e1\u00bb\u009dng d\u00e1\u00ba\u00abn \u00c4\u2018\u00e1\u00ba\u00bfn c\u00c3\u00a1i ch\u00e1\u00ba\u00bft. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n lao m\u00c3\u00a0ng n\u00c3\u00a3o s\u00e1\u00bb\u203am v\u00c3\u00a0 ch\u00c3\u00adnh x\u00c3\u00a1c l\u00c3\u00a0 c\u00e1\u00bb\u00b1c k\u00e1\u00bb\u00b3 c\u00e1\u00ba\u00a5p thi\u00e1\u00ba\u00bft. Tuy nhi\u00c3\u00aan, qu\u00c3\u00a1 tr\u00c3\u00acnh n\u00c3\u00a0y \u00c4\u2018\u00e1\u00ba\u00a7y r\u00e1\u00ba\u00aby kh\u00c3\u00b3 kh\u00c4\u0192n do thi\u00e1\u00ba\u00bfu ph\u00c6\u00b0\u00c6\u00a1ng ph\u00c3\u00a1p x\u00c3\u00a9t nghi\u00e1\u00bb\u2021m chu\u00e1\u00ba\u00a9n m\u00e1\u00bb\u00b1c, nhanh ch\u00c3\u00b3ng v\u00c3\u00a0 ch\u00c3\u00adnh x\u00c3\u00a1c. Tr\u00c6\u00b0\u00e1\u00bb\u203ac \u00c4\u2018\u00c3\u00a2y, vi\u00e1\u00bb\u2021c ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n lao m\u00c3\u00a0ng n\u00c3\u00a3o ph\u00e1\u00bb\u00a5 thu\u00e1\u00bb\u2122c nhi\u00e1\u00bb\u0081u v\u00c3\u00a0o kinh nghi\u00e1\u00bb\u2021m v\u00c3\u00a0 nh\u00e1\u00ba\u00adn \u00c4\u2018\u00e1\u00bb\u2039nh ch\u00e1\u00bb\u00a7 quan c\u00e1\u00bb\u00a7a b\u00c3\u00a1c s\u00c4\u00a9. <a href=\"https:\/\/bmcinfectdis.biomedcentral.com\/articles\/10.1186\/s12879-024-08992-z\">Nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u m\u00e1\u00bb\u203ai c\u00e1\u00bb\u00a7a OUCRU<\/a> \u00c4\u2018\u00c3\u00a3 \u00c4\u2018\u00c6\u00b0a ra ph\u00c6\u00b0\u00c6\u00a1ng ph\u00c3\u00a1p ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n c\u00e1\u00ba\u00a3i ti\u00e1\u00ba\u00bfn gi\u00c3\u00bap b\u00c3\u00a1c s\u00c4\u00a9 c\u00c3\u00b3 th\u00e1\u00bb\u0192 ph\u00c3\u00a1t hi\u00e1\u00bb\u2021n lao m\u00c3\u00a0ng n\u00c3\u00a3o s\u00e1\u00bb\u203am, c\u00c3\u00b3 th\u00e1\u00bb\u0192 ngay t\u00e1\u00bb\u00ab khi b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c nh\u00e1\u00ba\u00adp vi\u00e1\u00bb\u2021n. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n lao m\u00c3\u00a0ng n\u00c3\u00a3o <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c th\u00e1\u00bb\u00b1c hi\u00e1\u00bb\u2021n b\u00e1\u00bb\u0178i <a href=\"https:\/\/www.oucru.org\/vi\/people\/dong-huu-khanh-trinh\/\">Ti\u00e1\u00ba\u00bfn s\u00c4\u00a9 \u00c4\u0090\u00e1\u00bb\u201cng H\u00e1\u00bb\u00afu Kh\u00c3\u00a1nh Tr\u00c3\u00acnh<\/a>, <a href=\"https:\/\/www.oucru.org\/vi\/people\/pgs-ronald-geskus\/\">Ph\u00c3\u00b3 Gi\u00c3\u00a1o s\u00c6\u00b0 Ronald Geskus<\/a> v\u00c3\u00a0 c\u00e1\u00bb\u2122ng s\u00e1\u00bb\u00b1, \u00c4\u2018\u00c3\u00a3 ph\u00c3\u00a2n t\u00c3\u00adch d\u00e1\u00bb\u00af li\u00e1\u00bb\u2021u t\u00e1\u00bb\u00ab 659 b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n t\u00e1\u00bb\u00ab 16 tu\u00e1\u00bb\u2022i tr\u00e1\u00bb\u0178 l\u00c3\u00aan b\u00e1\u00bb\u2039 nghi ng\u00e1\u00bb\u009d nhi\u00e1\u00bb\u2026m tr\u00c3\u00b9ng n\u00c3\u00a3o nh\u00e1\u00ba\u00adp vi\u00e1\u00bb\u2021n t\u00e1\u00ba\u00a1i <a href=\"https:\/\/bvbnd.vn\/\">B\u00e1\u00bb\u2021nh vi\u00e1\u00bb\u2021nB\u00e1\u00bb\u2021nh Nhi\u00e1\u00bb\u2021t \u00c4\u2018\u00e1\u00bb\u203ai Th\u00c3\u00a0nh ph\u00e1\u00bb\u2018 H\u00e1\u00bb\u201c Ch\u00c3\u00ad Minh.<\/a> Nh\u00c3\u00b3m nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u \u00c4\u2018\u00c3\u00a3 x\u00c3\u00a2y d\u00e1\u00bb\u00b1ng c\u00c3\u00b4ng c\u00e1\u00bb\u00a5 d\u00e1\u00bb\u00b1a tr\u00c3\u00aan m\u00c3\u00b4 h\u00c3\u00acnh l\u00e1\u00bb\u203ap ti\u00e1\u00bb\u0081m \u00e1\u00ba\u00a9n, s\u00e1\u00bb\u00ad d\u00e1\u00bb\u00a5ng c\u00c3\u00a1c d\u00e1\u00bb\u00af li\u00e1\u00bb\u2021u l\u00c3\u00a2m s\u00c3\u00a0ng, sinh h\u00c3\u00b3a v\u00c3\u00a0 huy\u00e1\u00ba\u00bft h\u00e1\u00bb\u008dc ban \u00c4\u2018\u00e1\u00ba\u00a7u \u00c4\u2018\u00e1\u00bb\u0192 \u00c4\u2018\u00c3\u00a1nh gi\u00c3\u00a1 kh\u00e1\u00ba\u00a3 n\u00c4\u0192ng b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n c\u00c3\u00b3 th\u00e1\u00bb\u0192 m\u00e1\u00ba\u00afc lao m\u00c3\u00a0ng n\u00c3\u00a3o tr\u00c6\u00b0\u00e1\u00bb\u203ac c\u00e1\u00ba\u00a3 khi c\u00c3\u00b3 k\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 x\u00c3\u00a9t nghi\u00e1\u00bb\u2021m <em>Mtb<\/em>. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00c3\u00a1c d\u00e1\u00bb\u00b1 \u00c4\u2018o\u00c3\u00a1n c\u00e1\u00bb\u00a7a m\u00c3\u00b4 h\u00c3\u00acnh \u00c4\u2018\u00c3\u00a3 \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c ki\u00e1\u00bb\u0192m ch\u00e1\u00bb\u00a9ng m\u00c3\u00b9 v\u00e1\u00bb\u203ai ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n th\u00e1\u00bb\u00b1c t\u00e1\u00ba\u00bf c\u00e1\u00bb\u00a7a t\u00e1\u00bb\u00abng b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n, v\u00c3\u00a0 qua \u00c4\u2018\u00c3\u00a1nh gi\u00c3\u00a1 \u00c4\u2018\u00e1\u00bb\u2122c l\u00e1\u00ba\u00adp c\u00e1\u00bb\u00a7a c\u00c3\u00a1c chuy\u00c3\u00aan gia t\u00e1\u00ba\u00a1i B\u00e1\u00bb\u2021nh vi\u00e1\u00bb\u2021n B\u00e1\u00bb\u2021nh Nhi\u00e1\u00bb\u2021t \u00c4\u2018\u00e1\u00bb\u203ai (v\u00c3\u00a0o th\u00e1\u00bb\u009di \u00c4\u2018i\u00e1\u00bb\u0192m b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n qua \u00c4\u2018\u00e1\u00bb\u009di ho\u00e1\u00ba\u00b7c \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c xu\u00e1\u00ba\u00a5t vi\u00e1\u00bb\u2021n). K\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 cho th\u00e1\u00ba\u00a5y m\u00c3\u00b4 h\u00c3\u00acnh c\u00c3\u00b3 \u00c4\u2018\u00e1\u00bb\u2122 ch\u00c3\u00adnh x\u00c3\u00a1c cao (v\u00e1\u00bb\u203ai Di\u00e1\u00bb\u2021n t\u00c3\u00adch d\u00c6\u00b0\u00e1\u00bb\u203ai \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u009dng cong t\u00e1\u00bb\u203ai 94%). M\u00c3\u00b4 h\u00c3\u00acnh n\u00c3\u00a0y c\u00c3\u00b3 nhi\u00e1\u00bb\u0081u tri\u00e1\u00bb\u0192n v\u00e1\u00bb\u008dng, \u00c4\u2018\u00e1\u00ba\u00b7c bi\u00e1\u00bb\u2021t l\u00c3\u00a0 \u00e1\u00bb\u0178 nh\u00e1\u00bb\u00afng khu v\u00e1\u00bb\u00b1c thi\u00e1\u00ba\u00bfu ngu\u00e1\u00bb\u201cn l\u00e1\u00bb\u00b1c nh\u00c6\u00b0 Vi\u00e1\u00bb\u2021t Nam, n\u00c6\u00a1i khan hi\u00e1\u00ba\u00bfm c\u00c3\u00a1c ph\u00c6\u00b0\u00c6\u00a1ng ph\u00c3\u00a1p x\u00c3\u00a9t nghi\u00e1\u00bb\u2021m ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n ti\u00c3\u00aan ti\u00e1\u00ba\u00bfn. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6364555\/\">Ph\u00c3\u00a2n t\u00c3\u00adch Bayes<\/a> l\u00c3\u00a0 m\u00e1\u00bb\u2122t c\u00c3\u00b4ng c\u00e1\u00bb\u00a5 th\u00e1\u00bb\u2018ng k\u00c3\u00aa c\u00c3\u00b3 th\u00e1\u00bb\u0192 cung c\u00e1\u00ba\u00a5p c\u00c3\u00a1i nh\u00c3\u00acn r\u00c3\u00b5 r\u00c3\u00a0ng h\u00c6\u00a1n trong nh\u00e1\u00bb\u00afng t\u00c3\u00acnh hu\u00e1\u00bb\u2018ng m\u00c3\u00a0 c\u00c3\u00a1c ph\u00c3\u00a9p \u00c4\u2018o v\u00e1\u00ba\u00abn c\u00c3\u00b2n m\u00c6\u00a1 h\u00e1\u00bb\u201c v\u00c3\u00a0 thi\u00e1\u00ba\u00bfu ch\u00c3\u00adnh x\u00c3\u00a1c, v\u00c3\u00ad d\u00e1\u00bb\u00a5 nh\u00c6\u00b0 ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n lao m\u00c3\u00a0ng n\u00c3\u00a3o. Ph\u00c6\u00b0\u00c6\u00a1ng ph\u00c3\u00a1p suy lu\u00e1\u00ba\u00adn tinh vi n\u00c3\u00a0y d\u00e1\u00bb\u00b1a tr\u00c3\u00aan vi\u00e1\u00bb\u2021c t\u00e1\u00bb\u2022ng h\u00e1\u00bb\u00a3p c\u00c3\u00a1c th\u00c3\u00b4ng tin gi\u00c3\u00a1n ti\u00e1\u00ba\u00bfp &#8211; bao g\u00e1\u00bb\u201cm tri\u00e1\u00bb\u2021u ch\u00e1\u00bb\u00a9ng v\u00c3\u00a0 k\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 x\u00c3\u00a9t nghi\u00e1\u00bb\u2021m &#8211; \u00c4\u2018\u00e1\u00bb\u0192 k\u00e1\u00ba\u00bft lu\u00e1\u00ba\u00adn v\u00e1\u00bb\u0081 b\u00e1\u00bb\u2021nh l\u00c3\u00bd c\u00e1\u00bb\u00a5 th\u00e1\u00bb\u0192. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00c3\u00a1ch ti\u00e1\u00ba\u00bfp c\u00e1\u00ba\u00adn n\u00c3\u00a0y cho ph\u00c3\u00a9p c\u00c3\u00a1c b\u00c3\u00a1c s\u00c4\u00a9 \u00c4\u2018\u00c6\u00b0a ra quy\u00e1\u00ba\u00bft \u00c4\u2018\u00e1\u00bb\u2039nh s\u00c3\u00a1ng su\u00e1\u00bb\u2018t h\u00c6\u00a1n v\u00e1\u00bb\u0081 ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n v\u00c3\u00a0 \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039, ngay c\u00e1\u00ba\u00a3 khi kh\u00c3\u00b4ng c\u00c3\u00b3 k\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 x\u00c3\u00a9t nghi\u00e1\u00bb\u2021m tr\u00e1\u00bb\u00b1c ti\u00e1\u00ba\u00bfp ho\u00e1\u00ba\u00b7c r\u00c3\u00b5 r\u00c3\u00a0ng. \u00c4\u0090\u00c3\u00a2y l\u00c3\u00a0 ph\u00c6\u00b0\u00c6\u00a1ng ph\u00c3\u00a1p li\u00c3\u00aan k\u00e1\u00ba\u00bft c\u00c3\u00a1c d\u00e1\u00bb\u00af li\u00e1\u00bb\u2021u ri\u00c3\u00aang l\u00e1\u00ba\u00bb th\u00c3\u00a0nh m\u00e1\u00bb\u2122t h\u00c3\u00acnh \u00e1\u00ba\u00a3nh t\u00e1\u00bb\u2022ng th\u00e1\u00bb\u0192, r\u00c3\u00b5 r\u00c3\u00a0ng h\u00c6\u00a1n v\u00e1\u00bb\u0081 t\u00c3\u00acnh tr\u00e1\u00ba\u00a1ng s\u00e1\u00bb\u00a9c kh\u00e1\u00bb\u008fe c\u00e1\u00bb\u00a7a b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n, th\u00c3\u00b4ng qua vi\u00e1\u00bb\u2021c s\u00e1\u00bb\u00ad d\u00e1\u00bb\u00a5ng k\u00e1\u00ba\u00bft h\u00e1\u00bb\u00a3p th\u00c3\u00b4ng tin th\u00e1\u00bb\u00b1c t\u00e1\u00ba\u00bf v\u00c3\u00a0 ki\u00e1\u00ba\u00bfn th\u00e1\u00bb\u00a9c \u00c4\u2018\u00c3\u00a3 t\u00c3\u00adch l\u00c5\u00a9y t\u00e1\u00bb\u00ab kinh nghi\u00e1\u00bb\u2021m tr\u00c6\u00b0\u00e1\u00bb\u203ac \u00c4\u2018\u00c3\u00b3. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u00c3\u0081p d\u00e1\u00bb\u00a5ng trong th\u00e1\u00bb\u00b1c h\u00c3\u00a0nh l\u00c3\u00a2m s\u00c3\u00a0ng <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u \u00c4\u2018\u00c3\u00a3 ph\u00c3\u00a1t hi\u00e1\u00bb\u2021n ra r\u00e1\u00ba\u00b1ng c\u00c3\u00a1c y\u00e1\u00ba\u00bfu t\u00e1\u00bb\u2018 nh\u00c6\u00b0 nhi\u00e1\u00bb\u2026m HIV, b\u00e1\u00bb\u2021nh lao ngo\u00c3\u00a0i ph\u00e1\u00bb\u2022i, th\u00e1\u00bb\u009di gian xu\u00e1\u00ba\u00a5t hi\u00e1\u00bb\u2021n tri\u00e1\u00bb\u2021u ch\u00e1\u00bb\u00a9ng k\u00c3\u00a9o d\u00c3\u00a0i, c\u00c3\u00b9ng v\u00e1\u00bb\u203ai s\u00e1\u00bb\u00b1 t\u00c4\u0192ng s\u00e1\u00bb\u2018 l\u00c6\u00b0\u00e1\u00bb\u00a3ng t\u00e1\u00ba\u00bf b\u00c3\u00a0o lympho trong d\u00e1\u00bb\u2039ch n\u00c3\u00a3o t\u00e1\u00bb\u00a7y, \u00c4\u2018\u00e1\u00bb\u0081u l\u00c3\u00a0 nh\u00e1\u00bb\u00afng ch\u00e1\u00bb\u2030 b\u00c3\u00a1o l\u00c3\u00a0m t\u00c4\u0192ng nguy c\u00c6\u00a1 m\u00e1\u00ba\u00afc b\u00e1\u00bb\u2021nh lao m\u00c3\u00a0ng n\u00c3\u00a3o. Ngo\u00c3\u00a0i ra, nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u c\u00c3\u00b2n ch\u00e1\u00bb\u2030 ra r\u00e1\u00ba\u00b1ng b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n m\u00e1\u00ba\u00afc lao m\u00c3\u00a0ng n\u00c3\u00a3o \u00c4\u2018\u00e1\u00bb\u201cng th\u00e1\u00bb\u009di nhi\u00e1\u00bb\u2026m HIV th\u00c6\u00b0\u00e1\u00bb\u009dng c\u00c3\u00b3 s\u00e1\u00bb\u2018 l\u00c6\u00b0\u00e1\u00bb\u00a3ng t\u00e1\u00ba\u00bf b\u00c3\u00a0o lympho trong d\u00e1\u00bb\u2039ch n\u00c3\u00a3o t\u00e1\u00bb\u00a7y (CSF) gi\u00e1\u00ba\u00a3m v\u00c3\u00a0 n\u00e1\u00bb\u201cng \u00c4\u2018\u00e1\u00bb\u2122 protein CSF cao h\u00c6\u00a1n, \u00c4\u2018i\u00e1\u00bb\u0081u n\u00c3\u00a0y li\u00c3\u00aan quan \u00c4\u2018\u00e1\u00ba\u00bfn m\u00e1\u00bb\u00a9c \u00c4\u2018\u00e1\u00bb\u2122 nhi\u00e1\u00bb\u2026m mycobacteria trong c\u00c6\u00a1 th\u00e1\u00bb\u0192 cao h\u00c6\u00a1n. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u00c3\u00b4 h\u00c3\u00acnh ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n n\u00c3\u00a0y c\u00c5\u00a9ng \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c \u00c4\u2018\u00c6\u00a1n gi\u00e1\u00ba\u00a3n h\u00c3\u00b3a b\u00e1\u00ba\u00b1ng c\u00c3\u00a1ch s\u00e1\u00bb\u00ad d\u00e1\u00bb\u00a5ng b\u00e1\u00ba\u00a3ng t\u00c3\u00adnh \u00c4\u2018i\u00e1\u00bb\u0192m th\u00e1\u00bb\u00a7 c\u00c3\u00b4ng d\u00e1\u00bb\u00b1a tr\u00c3\u00aan th\u00c3\u00b4ng tin l\u00c3\u00a2m s\u00c3\u00a0ng v\u00c3\u00a0 h\u00c3\u00acnh \u00e1\u00ba\u00a3nh ch\u00e1\u00bb\u00a5p X-quang ng\u00e1\u00bb\u00b1c \u00c4\u2018\u00e1\u00bb\u0192 ti\u00e1\u00ba\u00bfn h\u00c3\u00a0nh s\u00c3\u00a0ng l\u00e1\u00bb\u008dc s\u00e1\u00bb\u203am. Ph\u00c6\u00b0\u00c6\u00a1ng ph\u00c3\u00a1p n\u00c3\u00a0y c\u00c3\u00b3 th\u00e1\u00bb\u0192 r\u00e1\u00ba\u00a5t h\u00e1\u00bb\u00afu d\u00e1\u00bb\u00a5ng t\u00e1\u00ba\u00a1i c\u00c3\u00a1c khu v\u00e1\u00bb\u00b1c kh\u00c3\u00b4ng c\u00c3\u00b3 kh\u00e1\u00ba\u00a3 n\u00c4\u0192ng ti\u00e1\u00ba\u00bfn h\u00c3\u00a0nh ph\u00c3\u00a2n t\u00c3\u00adch d\u00e1\u00bb\u2039ch n\u00c3\u00a3o t\u00e1\u00bb\u00a7y m\u00e1\u00bb\u2122t c\u00c3\u00a1ch to\u00c3\u00a0n di\u00e1\u00bb\u2021n. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1\u00ba\u00a3 hai m\u00c3\u00b4 h\u00c3\u00acnh ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n \u00c4\u2018\u00e1\u00bb\u0081u c\u00c3\u00b3 s\u00e1\u00ba\u00b5n d\u00c6\u00b0\u00e1\u00bb\u203ai h\u00c3\u00acnh th\u00e1\u00bb\u00a9c <a href=\"https:\/\/trinhdong.shinyapps.io\/TBMLCA\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u00e1\u00bb\u00a9ng d\u00e1\u00bb\u00a5ng web ti\u00c3\u00aan ti\u00e1\u00ba\u00bfn<\/a>, gi\u00c3\u00bap \u00c4\u2018\u00c6\u00b0a c\u00c3\u00b4ng c\u00e1\u00bb\u00a5 m\u00e1\u00bb\u203ai n\u00c3\u00a0y \u00c4\u2018\u00e1\u00ba\u00bfn tay c\u00c3\u00a1c y b\u00c3\u00a1c s\u00c4\u00a9 l\u00c3\u00a2m s\u00c3\u00a0ng \u00e1\u00bb\u0178 m\u00e1\u00bb\u008di n\u00c6\u00a1i tr\u00c3\u00aan th\u00e1\u00ba\u00bf gi\u00e1\u00bb\u203ai. \u00e1\u00bb\u00a8ng d\u00e1\u00bb\u00a5ng web n\u00c3\u00a0y kh\u00c3\u00b4ng ch\u00e1\u00bb\u2030 d\u00e1\u00bb\u2026 s\u00e1\u00bb\u00ad d\u00e1\u00bb\u00a5ng m\u00c3\u00a0 c\u00c3\u00b2n t\u00c6\u00b0\u00c6\u00a1ng th\u00c3\u00adch v\u00e1\u00bb\u203ai nhi\u00e1\u00bb\u0081u lo\u00e1\u00ba\u00a1i thi\u00e1\u00ba\u00bft b\u00e1\u00bb\u2039, \u00c4\u2018\u00e1\u00ba\u00a3m b\u00e1\u00ba\u00a3o r\u00e1\u00ba\u00b1ng c\u00c3\u00a1c b\u00c3\u00a1c s\u00c4\u00a9 c\u00c3\u00b3 th\u00e1\u00bb\u0192 \u00c3\u00a1p d\u00e1\u00bb\u00a5ng c\u00c3\u00b4ng c\u00e1\u00bb\u00a5 n\u00c3\u00a0y m\u00e1\u00bb\u2122t c\u00c3\u00a1ch hi\u00e1\u00bb\u2021u qu\u00e1\u00ba\u00a3 trong vi\u00e1\u00bb\u2021c ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n lao m\u00c3\u00a0ng n\u00c3\u00a3o, t\u00e1\u00bb\u00ab \u00c4\u2018\u00c3\u00b3 t\u00c4\u0192ng t\u00e1\u00bb\u2018c \u00c4\u2018\u00e1\u00bb\u2122 x\u00e1\u00bb\u00ad l\u00c3\u00bd v\u00c3\u00a0 c\u00e1\u00ba\u00a3i thi\u00e1\u00bb\u2021n kh\u00e1\u00ba\u00a3 n\u00c4\u0192ng ph\u00e1\u00bb\u00a5c h\u00e1\u00bb\u201ci c\u00e1\u00bb\u00a7a b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.oucru.org\/vi\/people\/dong-huu-khanh-trinh\/\">Ti\u00e1\u00ba\u00bfn s\u00c4\u00a9 \u00c4\u0090\u00e1\u00bb\u201cng H\u00e1\u00bb\u00afu Kh\u00c3\u00a1nh Tr\u00c3\u00acnh<\/a>, t\u00c3\u00a1c gi\u00e1\u00ba\u00a3 th\u00e1\u00bb\u00a9 nh\u00e1\u00ba\u00a5t c\u00e1\u00bb\u00a7a nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u, nh\u00e1\u00ba\u00a5n m\u00e1\u00ba\u00a1nh v\u00e1\u00bb\u0081 ti\u00e1\u00bb\u0081m n\u00c4\u0192ng c\u00e1\u00bb\u00a7a m\u00c3\u00b4 h\u00c3\u00acnh n\u00c3\u00a0y: &#8220;C\u00c3\u00b4ng c\u00e1\u00bb\u00a5 ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n n\u00c3\u00a0y c\u00c3\u00b3 ti\u00e1\u00bb\u0081m n\u00c4\u0192ng tr\u00e1\u00bb\u0178 th\u00c3\u00a0nh tr\u00e1\u00bb\u00a3 l\u00c3\u00bd \u00c4\u2018\u00e1\u00ba\u00afc l\u00e1\u00bb\u00b1c cho c\u00c3\u00a1c b\u00c3\u00a1c s\u00c4\u00a9 l\u00c3\u00a2m s\u00c3\u00a0ng. Vi\u00e1\u00bb\u2021c ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n nhanh ch\u00c3\u00b3ng v\u00c3\u00a0 ch\u00c3\u00adnh x\u00c3\u00a1c b\u00e1\u00bb\u2021nh \u00c4\u2018\u00e1\u00ba\u00a3m b\u00e1\u00ba\u00a3o vi\u00e1\u00bb\u2021c ti\u00e1\u00ba\u00bfn h\u00c3\u00a0nh \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 \u00c4\u2018\u00c3\u00bang \u00c4\u2018\u00e1\u00ba\u00afn v\u00c3\u00a0 k\u00e1\u00bb\u2039p th\u00e1\u00bb\u009di, v\u00c3\u00a0 \u00c4\u2018\u00c3\u00a2y c\u00c3\u00b3 th\u00e1\u00bb\u0192 l\u00c3\u00a0 ch\u00c3\u00aca kh\u00c3\u00b3a c\u00e1\u00bb\u00a9u s\u00e1\u00bb\u2018ng cho b\u00e1\u00bb\u2021nh nh\u00c3\u00a2n.&#8221; <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c4\u0090\u00e1\u00bb\u0192 \u00c4\u2018\u00e1\u00bb\u008dc to\u00c3\u00a0n b\u00e1\u00bb\u2122 nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u, truy c\u00e1\u00ba\u00adp: <a href=\"https:\/\/doi.org\/10.1186\/s12879-024-08992-z\" target=\"_blank\" rel=\"noreferrer noopener\">A novel diagnostic model for tuberculous meningitis using Bayesian latent class analysis<\/a> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c t\u00c3\u00a0i tr\u00e1\u00bb\u00a3 b\u00e1\u00bb\u0178i <a href=\"http:\/\/wellcome.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">qu\u00e1\u00bb\u00b9 Wellcome<\/a>. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nh\u00c3\u00b3m nghi\u00c3\u00aan c\u00e1\u00bb\u00a9u t\u00e1\u00ba\u00a1i OUCRU \u00c4\u2018\u00c3\u00a3 ph\u00c3\u00a1t tri\u00e1\u00bb\u0192n m\u00e1\u00bb\u2122t ph\u00c6\u00b0\u00c6\u00a1ng ph\u00c3\u00a1p ch\u00e1\u00ba\u00a9n \u00c4\u2018o\u00c3\u00a1n m\u00e1\u00bb\u203ai cho b\u00e1\u00bb\u2021nh lao m\u00c3\u00a0ng n\u00c3\u00a3o (TBM) \u00e1\u00bb\u0178 ng\u00c6\u00b0\u00e1\u00bb\u009di l\u00e1\u00bb\u203an. Ph\u00c6\u00b0\u00c6\u00a1ng ph\u00c3\u00a1p n\u00c3\u00a0y kh\u00c3\u00b4ng d\u00e1\u00bb\u00b1a v\u00c3\u00a0o c\u00c3\u00a1c x\u00c3\u00a9t nghi\u00e1\u00bb\u2021m vi sinh truy\u00e1\u00bb\u0081n th\u00e1\u00bb\u2018ng m\u00c3\u00a0 s\u00e1\u00bb\u00ad d\u00e1\u00bb\u00a5ng ph\u00c3\u00a2n t\u00c3\u00adch Bayesian ti\u00e1\u00bb\u0081m \u00e1\u00ba\u00a9n \u00c4\u2018\u00e1\u00bb\u0192 n\u00c3\u00a2ng cao \u00c4\u2018\u00e1\u00bb\u2122 ch\u00c3\u00adnh x\u00c3\u00a1c trong vi\u00e1\u00bb\u2021c x\u00c3\u00a1c \u00c4\u2018\u00e1\u00bb\u2039nh b\u00e1\u00bb\u2021nh. Ph\u00c6\u00b0\u00c6\u00a1ng ph\u00c3\u00a1p m\u00e1\u00bb\u203ai n\u00c3\u00a0y, v\u00e1\u00bb\u00aba \u00c4\u2018\u00c6\u00b0\u00e1\u00bb\u00a3c c\u00c3\u00b4ng b\u00e1\u00bb\u2018 trong t\u00e1\u00ba\u00a1p ch\u00c3\u00ad BMC Infectious Diseases, m\u00e1\u00bb\u0178 ra tri\u00e1\u00bb\u0192n v\u00e1\u00bb\u008dng c\u00e1\u00ba\u00a3i thi\u00e1\u00bb\u2021n kh\u00e1\u00ba\u00a3 n\u00c4\u0192ng ph\u00c3\u00a1t hi\u00e1\u00bb\u2021n v\u00c3\u00a0 \u00c4\u2018i\u00e1\u00bb\u0081u tr\u00e1\u00bb\u2039 m\u00e1\u00bb\u2122t trong nh\u00e1\u00bb\u00afng bi\u00e1\u00ba\u00bfn ch\u00e1\u00bb\u00a9ng nguy hi\u00e1\u00bb\u0192m nh\u00e1\u00ba\u00a5t c\u00e1\u00bb\u00a7a b\u00e1\u00bb\u2021nh lao. <\/p>\n","protected":false},"author":28,"featured_media":36655,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[291],"tags":[],"class_list":["post-36663","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oucru-ho-chi-minh"],"_links":{"self":[{"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/posts\/36663","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\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/comments?post=36663"}],"version-history":[{"count":1,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/posts\/36663\/revisions"}],"predecessor-version":[{"id":36670,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/posts\/36663\/revisions\/36670"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/media\/36655"}],"wp:attachment":[{"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/media?parent=36663"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/categories?post=36663"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/test.oucru.org\/index.php\/wp-json\/wp\/v2\/tags?post=36663"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}