{"id":6847,"date":"2021-01-13T16:58:13","date_gmt":"2021-01-13T09:58:13","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2021\/01\/13\/phuong-thuc-lay-truyen-cua-2019-ncov-va-kiem-soat-trong-nha-khoa-lam-sang\/"},"modified":"2024-03-17T05:48:49","modified_gmt":"2024-03-16T22:48:49","slug":"phuong-thuc-lay-truyen-cua-2019-ncov-va-kiem-soat-trong-nha-khoa-lam-sang","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/phuong-thuc-lay-truyen-cua-2019-ncov-va-kiem-soat-trong-nha-khoa-lam-sang\/","title":{"rendered":"Ph\u01b0\u01a1ng th\u1ee9c l\u00e2y truy\u1ec1n c\u1ee7a 2019-nCoV v\u00e0 ki\u1ec3m so\u00e1t trong nha khoa l\u00e2m s\u00e0ng"},"content":{"rendered":"<p><strong><em>B\u00e0i vi\u1ebft t\u1eeb C\u1ed5ng th\u00f4ng tin nha khoa DEPA (MTC Pharma)<\/em><\/strong><\/p>\n<p><em>Ph\u00f2ng th\u00ed nghi\u1ec7m tr\u1ecdng \u0111i\u1ec3m v\u1ec1 b\u1ec7nh r\u0103ng mi\u1ec7ng &amp; Trung t\u00e2m nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng qu\u1ed1c gia v\u1ec1 b\u1ec7nh r\u0103ng mi\u1ec7ng &amp; Khoa N\u1ed9i soi v\u00e0 N\u1ed9i nha, Trung t\u00e2m R\u0103ng h\u00e0m m\u1eb7t B\u1ec7nh vi\u1ec7n Hoa T\u00e2y, \u0110\u1ea1i h\u1ecdc T\u1ee9 Xuy\u00ean, Th\u00e0nh \u0110\u00f4, Trung Qu\u1ed1c\u00a0<\/em><em>Xian Peng, Xin Xu, Yuqing Li, Lei Cheng, Xuedong Zhou &amp; Biao Ren<\/em><\/p>\n<h2>T\u1ed5ng quan<\/h2>\n<p>M\u1ed9t ch\u1ee7ng Novel \u03b2-coronavirus (2019-nCoV) g\u00e2y vi\u00eam ph\u1ed5i n\u1eb7ng v\u1eeba \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u1ea1i ch\u1ee3 h\u1ea3i s\u1ea3n c\u1ee7a th\u00e0nh ph\u1ed1 V\u0169 H\u00e1n, t\u1ec9nh H\u1ed3 B\u1eafc, sau \u0111\u00f3 nhanh ch\u00f3ng lan sang c\u00e1c t\u1ec9nh kh\u00e1c c\u1ee7a Trung Qu\u1ed1c v\u00e0 c\u1ea3 c\u00e1c n\u01b0\u1edbc kh\u00e1c. 2019-nCoV kh\u00e1c v\u1edbi SARS-CoV, nh\u01b0ng s\u1eed d\u1ee5ng c\u00f9ng m\u1ed9t th\u1ee5 th\u1ec3 v\u1eadt ch\u1ee7 l\u00e0 enzyme chuy\u1ec3n \u0111\u1ed5i angiotensin 2 c\u1ee7a con ng\u01b0\u1eddi (ACE2). Ngu\u1ed3n d\u1eab truy\u1ec1n ngo\u00e0i t\u1ef1 nhi\u00ean c\u1ee7a 2019-nCoV c\u00f3 th\u1ec3 l\u00e0 d\u01a1i Rhinolophus afnis khi 2019-nCoV khi t\u00ecm th\u1ea5y s\u1ef1 t\u01b0\u01a1ng \u0111\u1ed3ng \u0111\u1ebfn 96,2% v\u1ec1 gen so v\u1edbi b\u1ed9 gen c\u1ee7a BatCoV RaTG13. C\u00e1c \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi c\u1ee7a 2019-nCoV bao g\u1ed3m truy\u1ec1n tr\u1ef1c ti\u1ebfp, ch\u1eb3ng h\u1ea1n nh\u01b0 ho, h\u1eaft h\u01a1i, truy\u1ec1n qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 truy\u1ec1n ti\u1ebfp x\u00fac, ch\u1eb3ng h\u1ea1n nh\u01b0 ti\u1ebfp x\u00fac v\u1edbi m\u00e0ng nh\u1ea7y mi\u1ec7ng, m\u0169i v\u00e0 m\u1eaft. Nh\u1eefng ng\u01b0\u1eddi tham gia quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb nha khoa c\u00f3 nguy c\u01a1 b\u1ecb nhi\u1ec5m 2019-nCoV r\u1ea5t l\u1edbn do t\u00ednh ch\u1ea5t c\u00f4ng vi\u1ec7c giao ti\u1ebfp m\u1eb7t \u0111\u1ed1i m\u1eb7t, ti\u1ebfp x\u00fac v\u1edbi n\u01b0\u1edbc b\u1ecdt, m\u00e1u v\u00e0 c\u00e1c ch\u1ea5t d\u1ecbch c\u01a1 th\u1ec3 kh\u00e1c, k\u00e8m vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 s\u1eafc nh\u1ecdn. C\u00e1c chuy\u00ean gia nha khoa \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c ng\u0103n ch\u1eb7n vi\u1ec7c truy\u1ec1n 2019-nCoV.<\/p>\n<h2>Gi\u1edbi thi\u1ec7u<\/h2>\n<p>M\u1ed9t \u1ed5 d\u1ecbch vi\u00eam ph\u1ed1i m\u1edbi xu\u1ea5t hi\u1ec7n c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb th\u00e0nh ph\u1ed1 V\u0169 H\u00e1n v\u00e0o cu\u1ed1i th\u00e1ng 12 n\u0103m 2019. Nhi\u1ec5m tr\u00f9ng vi\u00eam ph\u1ed5i \u0111\u00e3 nhanh ch\u00f3ng lan r\u1ed9ng t\u1eeb V\u0169 H\u00e1n \u0111\u1ebfn h\u1ea7u h\u1ebft c\u00e1c t\u1ec9nh kh\u00e1c v\u00e0 24 qu\u1ed1c gia. T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi \u0111\u00e3 tuy\u00ean b\u1ed1 t\u00ecnh tr\u1ea1ng kh\u1ea9n c\u1ea5p v\u1ec1 s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng v\u00ec lo ng\u1ea1i v\u1ec1 \u0111\u1ee3t b\u00f9ng ph\u00e1t vi\u00eam ph\u1ed5i to\u00e0n c\u1ea7u n\u00e0y v\u00e0o ng\u00e0y 30 th\u00e1ng 1 n\u0103m 2020. C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam ph\u1ed5i do virus m\u1edbi l\u00e0 s\u1ed1t, ho v\u00e0 \u0111au c\u01a1 ho\u1eb7c m\u1ec7t m\u1ecfi, CT ng\u1ef1c b\u1ea5t th\u01b0\u1eddng. C\u00e1c tri\u1ec7u ch\u1ee9ng \u00edt g\u1eb7p h\u01a1n l\u00e0 c\u00f3 \u0111\u1eddm, \u0111au \u0111\u1ea7u, ho ra m\u00e1u v\u00e0 ti\u00eau ch\u1ea3y. T\u00e1c nh\u00e2n truy\u1ec1n nhi\u1ec5m m\u1edbi n\u00e0y \u1ea3nh h\u01b0\u1edfng n\u1eb7ng \u0111\u1ebfn ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, g\u00e2y ra c\u00e1c b\u1ec7nh h\u00f4 h\u1ea5p nghi\u00eam tr\u1ecdng. M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng kh\u00e1c v\u1edbi h\u1ed9i ch\u1ee9ng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh n\u1eb7ng (SARS) do SARS coronavirus (SARS-CoV) x\u1ea3y ra v\u00e0o n\u0103m 2002. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u Trung Qu\u1ed1c \u0111\u00e3 nhanh ch\u00f3ng ph\u00e2n l\u1eadp m\u1ed9t lo\u1ea1i virus m\u1edbi t\u1eeb b\u1ec7nh nh\u00e2n v\u00e0 gi\u1ea3i m\u00e3 tr\u00ecnh t\u1ef1 b\u1ed9 gen c\u1ee7a n\u00f3 (29,903 nucleotide). B\u1ec7nh vi\u00eam ph\u1ed5i do virus x\u1ea3y ra \u1edf V\u0169 H\u00e1n cu\u1ed1i c\u00f9ng \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 m\u1ed9t lo\u1ea1i coronavirus m\u1edbi (2019-nCOV), th\u00e0nh vi\u00ean th\u1ee9 b\u1ea3y trong gia \u0111\u00ecnh c\u1ee7a coronavirus l\u00e2y nhi\u1ec5m cho ng\u01b0\u1eddi. V\u00e0o ng\u00e0y 11 th\u00e1ng 2 n\u0103m 2020, WHO \u0111\u00e3 \u0111\u1eb7t t\u00ean cho b\u1ec7nh vi\u00eam ph\u1ed5i do virus m\u1edbi l\u00e0 Corona Virus Disease (COVID19), trong khi \u1ee6y ban qu\u1ed1c t\u1ebf v\u1ec1 ph\u00e2n lo\u1ea1i virus (ICTV) \u0111\u00e3 \u0111\u1ec1 xu\u1ea5t t\u00ean coronavirus m\u1edbi n\u00e0y l\u00e0 virut SARS-CoV-2 d\u1ef1a tr\u00ean ph\u00e2n t\u00edch ph\u00e2n lo\u1ea1i c\u1ee7a Novel Coronavirus<\/p>\n<h2>\u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a 2019 Novel Coronavirus<\/h2>\n<p>C\u00e1c coronavirus thu\u1ed9c h\u1ecd coronaviridae, thu\u1ed9c b\u1ed9 Nidovirales, bao g\u1ed3m RNA l\u1edbn, \u0111\u01a1n, d\u1ea1ng chu\u1ed7i, nh\u01b0 b\u1ed9 gen chung. Hi\u1ec7n t\u1ea1i, c\u00f3 b\u1ed1n chi Coronavirus: \u03b1-CoV, \u03b2 -CoV, \u03b3 -CoV v\u00e0 \u03b4 -CoV. H\u1ea7u h\u1ebft c\u00e1c Coronavirus c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m \u1edf ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt c\u00f3 x\u01b0\u01a1ng s\u1ed1ng. \u03b1-CoV v\u00e0 \u03b2 -CoV ch\u1ee7 y\u1ebfu l\u00e2y nhi\u1ec5m qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi v\u00e0 \u0111\u1ed9ng v\u1eadt c\u00f3 v\u00fa, trong khi \u03b3 -CoV v\u00e0 \u03b4 -CoV ch\u1ee7 y\u1ebfu l\u00e2y nhi\u1ec5m cho chim.<\/p>\n<p>Th\u00f4ng th\u01b0\u1eddng, m\u1ed9t s\u1ed1 th\u00e0nh vi\u00ean c\u1ee7a Coronavirus g\u00e2y ra b\u1ec7nh h\u00f4 h\u1ea5p nh\u1eb9 \u1edf ng\u01b0\u1eddi; tuy nhi\u00ean, SARS-CoV v\u00e0 h\u1ed9i ch\u1ee9ng h\u00f4 h\u1ea5p Trung \u0110\u00f4ng Coronavirus (MERS-CoV) \u0111\u00e3 ph\u00e1t hi\u1ec7n l\u1ea7n l\u01b0\u1ee3t v\u00e0o n\u0103m 2002-2003 v\u00e0 n\u0103m 2012, g\u00e2y ra c\u00e1c b\u1ec7nh h\u00f4 h\u1ea5p nghi\u00eam tr\u1ecdng, SARS-CoV v\u00e0 MERS-CoV thu\u1ed9c v\u1ec1 \u03b2-CoV. 2019-nCoV \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf V\u0169 H\u00e1n c\u0169ng thu\u1ed9c v\u1ec1 \u03b2-CoV theo ph\u00e2n t\u00edch ph\u00e1t sinh gen d\u1ef1a tr\u00ean b\u1ed9 gen virus. M\u1eb7c d\u00f9 v\u1ec1 s\u1ef1 t\u01b0\u01a1ng \u0111\u1ed3ng v\u1ec1 tr\u00ecnh t\u1ef1 nucleotide \u00edt h\u01a1n 80% gi\u1eefa 2019-nCoV v\u00e0 SARS-CoV ( \u1edf kho\u1ea3ng 79%) ho\u1eb7c MERS-CoV (kho\u1ea3ng 50%), 2019-nCoV c\u0169ng c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec5m tr\u00f9ng thai nhi v\u00e0 l\u00e2y lan nhanh h\u01a1n hai lo\u1ea1i virus coronavirus kia. Chu\u1ed7i s\u1eafc gen nucleotide gi\u1eefa m\u1ed9t coronavirus (BatCoV RaTG13) ph\u00e1t hi\u1ec7n trong d\u01a1i Rhinolophus afnis t\u1eeb t\u1ec9nh V\u00e2n Nam, Trung Qu\u1ed1c, v\u00e0 2019-nCoV, l\u00e0 96,2%, ch\u1ec9 ra r\u1eb1ng v\u1eadt ch\u1ee7 t\u1ef1 nhi\u00ean c\u1ee7a 2019-nCoV c\u0169ng c\u00f3 th\u1ec3 l\u00e0 d\u01a1i Rhinolophus afnis. Tuy nhi\u00ean, s\u1ef1 kh\u00e1c bi\u1ec7t c\u0169ng g\u1ee3i \u00fd r\u1eb1ng c\u00f3 m\u1ed9t ho\u1eb7c nhi\u1ec1u v\u1eadt ch\u1ee7 trung gian gi\u1eefa d\u01a1i v\u00e0 ng\u01b0\u1eddi. M\u1ed9t nh\u00f3m nghi\u00ean c\u1ee9u t\u1eeb \u0110\u1ea1i h\u1ecdc N\u00f4ng nghi\u1ec7p Nam Trung Qu\u1ed1c \u0111\u00e3 \u0111\u1ea7u t\u01b0 h\u01a1n 1.000 m\u1eabu metagenomic t\u1eeb t\u00ea t\u00ea v\u00e0 ph\u00e1t hi\u1ec7n ra r\u1eb1ng 70% t\u00ea t\u00ea c\u00f3 ch\u1ee9a \u03b2CoV. M\u1ed9t trong nh\u1eefng coronavirus m\u00e0 h\u1ecd ph\u00e2n l\u1eadp \u0111\u01b0\u1ee3c t\u1eeb t\u00ea t\u00ea bao g\u1ed3m m\u1ed9t b\u1ed9 gen r\u1ea5t gi\u1ed1ng v\u1edbi 2019-nCoV, v\u00e0 \u0111\u1ed9 t\u01b0\u01a1ng \u0111\u1ed3ng tr\u00ecnh t\u1ef1 b\u1ed9 gen l\u00e0 99%, cho th\u1ea5y t\u00ea t\u00ea c\u00f3 th\u1ec3 l\u00e0 v\u1eadt ch\u1ee7 trung gian c\u1ee7a 2019-nCoV.<\/p>\n<p>2019-nCoV s\u1edf h\u1eefu c\u1ea5u tr\u00fac coronavirus \u201cgai v\u01b0\u01a1ng mi\u1ec7n protein\u201d \u0111i\u1ec3n h\u00ecnh, trong m\u00e0ng b\u1ecdc c\u0169ng xu\u1ea5t hi\u1ec7n c\u00e1c polyprotein kh\u00e1c, nucleoprotein v\u00e0 protein m\u00e0ng nh\u01b0 RNA polymerase protease 3 chymotrypsin like protease glycoprotein v\u00e0 protein 2\/7 nucleoprotein v\u00e0 protein m\u00e0ng, nh\u01b0 RNA polymerase, protease 3-chymotrypsin \u2013 like, protease, glycoprotein v\u00e0 protein ph\u1ee5. Protein S t\u1eeb coronavirus c\u00f3 th\u1ec3 li\u00ean k\u1ebft v\u1edbi c\u00e1c th\u1ee5 th\u1ec3 c\u1ee7a v\u1eadt ch\u1ee7 \u0111\u1ec3 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho virus x\u00e2m nh\u1eadp v\u00e0o c\u00e1c t\u1ebf b\u00e0o \u0111\u00edch. M\u1eb7c d\u00f9 c\u00f3 b\u1ed1n bi\u1ebfn th\u1ec3 axit amin c\u1ee7a protein S gi\u1eefa 2019-nCoV v\u00e0 SARS-CoV, 2019-nCoV v\u1eabn c\u00f3 th\u1ec3 li\u00ean k\u1ebft v\u1edbi enzyme chuy\u1ec3n \u0111\u1ed5i angiotensin 2 c\u1ee7a con ng\u01b0\u1eddi (ACE2), c\u00f9ng m\u1ed9t th\u1ee5 th\u1ec3 c\u1ee7a SARS-CoV, nh\u01b0 2019-nCoV c\u00f3 th\u1ec3 li\u00ean k\u1ebft v\u1edbi th\u1ee5 th\u1ec3 ACE2 t\u1eeb c\u00e1c t\u1ebf b\u00e0o t\u1eeb ng\u01b0\u1eddi, d\u01a1i, m\u00e8o c\u1ea7y v\u00e0 l\u1ee3n, nh\u01b0ng n\u00f3 kh\u00f4ng th\u1ec3 li\u00ean k\u1ebft v\u1edbi c\u00e1c t\u1ebf b\u00e0o m\u00e0 kh\u00f4ng c\u00f3 ACE2. M\u1ed9t t\u00e1i t\u1ed5 h\u1ee3p ACE2-Ig kh\u00e1ng th\u1ec3, kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng nh\u00e2n SARS-CoV c\u1ee5 th\u1ec3, v\u00e0 huy\u1ebft thanh t\u1eeb m\u1ed9t b\u1ec7nh nh\u00e2n nhi\u1ec5m SARS-CoV \u0111\u00e3 ch\u1eefa kh\u1ecfi, c\u00f3 th\u1ec3 v\u00f4 hi\u1ec7u h\u00f3a 2019-nCoV, kh\u1eb3ng \u0111\u1ecbnh ACE2 nh\u01b0 c\u00e1c th\u1ee5 th\u1ec3 ch\u1ee7 cho 2019-nCoV. M\u1ed1i quan h\u1ec7 m\u1eadt thi\u1ebft gi\u1eefa protein ACE2 v\u00e0 2019- nCoV S c\u0169ng cho th\u1ea5y r\u1eb1ng ng\u01b0\u1eddi c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n ACE2 cao c\u00f3 th\u1ec3 d\u1ec5 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi 2019-nCoV. Protease serine t\u1ebf b\u00e0o TMPRSS2 c\u0169ng g\u00f3p ph\u1ea7n v\u00e0o qu\u00e1 tr\u00ecnh m\u1ed3i S-protein 2019-nCoV, ch\u1ec9 ra r\u1eb1ng ch\u1ea5t \u1ee9c ch\u1ebf TMPRSS2 c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h2>C\u00e1c \u0111\u01b0\u1eddng truy\u1ec1n c\u1ee7a 2019-nCoV<\/h2>\n<p>C\u00e1c \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n ph\u1ed5 bi\u1ebfn c\u1ee7a coronavirus m\u1edbi bao g\u1ed3m l\u00e2y truy\u1ec1n tr\u1ef1c ti\u1ebfp (ho, h\u1eaft h\u01a1i v\u00e0 truy\u1ec1n qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p) v\u00e0 truy\u1ec1n ti\u1ebfp x\u00fac (ti\u1ebfp x\u00fac v\u1edbi m\u00e0ng nh\u1ea7y mi\u1ec7ng, m\u0169i v\u00e0 m\u1eaft). M\u1eb7c d\u00f9 c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng ph\u1ed5 bi\u1ebfn c\u1ee7a nhi\u1ec5m coronavirus m\u1edbi kh\u00f4ng bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1ec1 m\u1eaft, nh\u01b0ng vi\u1ec7c ph\u00e2n t\u00edch c\u00e1c m\u1eabu k\u1ebft m\u1ea1c t\u1eeb nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn c\u1ee7a 2019-nCoV cho th\u1ea5y r\u1eb1ng vi\u1ec7c truy\u1ec1n 2019-nCoV kh\u00f4ng b\u1ecb gi\u1edbi h\u1ea1n \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, v\u00e0 vi\u1ec7c ti\u1ebfp x\u00fac v\u1edbi m\u1eaft c\u00f3 th\u1ec3 cung c\u1ea5p m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 \u0111\u1ec3 virus x\u00e2m nh\u1eadp v\u00e0o c\u01a1 th\u1ec3.<\/p>\n<p>Ngo\u00e0i ra, c\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng virus \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u00f3 th\u1ec3 truy\u1ec1n t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi th\u00f4ng qua ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp ho\u1eb7c gi\u00e1n ti\u1ebfp. \u0110\u00e1ng ch\u00fa \u00fd, m\u1ed9t b\u00e1o c\u00e1o v\u1ec1 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m 2019-nCoV \u1edf \u0110\u1ee9c ch\u1ec9 ra r\u1eb1ng vi\u1ec7c truy\u1ec1n virus c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra th\u00f4ng qua ti\u1ebfp x\u00fac v\u1edbi b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n<h2>\u0110\u01b0\u1eddng truy\u1ec1n c\u1ee7a 2019-nCoV t\u1ea1i c\u00e1c ph\u00f2ng kh\u00e1m nha khoa<\/h2>\n<p>2019-nCoV c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c truy\u1ec1n tr\u1ef1c ti\u1ebfp t\u1eeb ng\u01b0\u1eddi n\u00e0y sang ng\u01b0\u1eddi kh\u00e1c b\u1eb1ng c\u00e1c gi\u1ecdt h\u00f4 h\u1ea5p, qua ti\u1ebfp x\u00fac c\u00e1c b\u1ec1 m\u1eb7t truy\u1ec1n b\u1ec7nh. Ngo\u00e0i ra, th\u1eddi gian \u1ee7 b\u1ec7nh kh\u00f4ng tri\u1ec7u ch\u1ee9ng cho nh\u1eefng ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m 2019-nCov \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 kho\u1ea3ng 14 ng\u00e0y. Ng\u01b0\u1eddi ta \u0111\u00e3 x\u00e1c nh\u1eadn r\u1eb1ng 2019-nCov x\u00e2m nh\u1eadp v\u00e0o t\u1ebf b\u00e0o theo c\u00f9ng m\u1ed9t \u0111\u01b0\u1eddng v\u1edbi SARS coronavirus, ngh\u0129a l\u00e0 th\u00f4ng qua th\u1ee5 th\u1ec3 t\u1ebf b\u00e0o ACE2. 2019-nCoV c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng hi\u1ec7u qu\u1ea3 ACE2 nh\u01b0 m\u1ed9t th\u1ee5 th\u1ec3 \u0111\u1ec3 x\u00e2m chi\u1ebfm c\u00e1c t\u1ebf b\u00e0o, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 th\u00fac \u0111\u1ea9y s\u1ef1 l\u00e2y truy\u1ec1n t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi. C\u00e1c t\u1ebf b\u00e0oACE2 \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ea5y c\u00f3 m\u1eb7t nhi\u1ec1u trong \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, c\u0169ng nh\u01b0 c\u00e1c t\u1ebf b\u00e0o t\u01b0\u01a1ng th\u00edch v\u1ec1 m\u1eb7t h\u00ecnh th\u00e1i v\u1edbi bi\u1ec3u m\u00f4 tuy\u1ebfn n\u01b0\u1edbc b\u1ecdt trong mi\u1ec7ng c\u1ee7a con ng\u01b0\u1eddi. C\u00e1c t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 ACE2 c\u1ee7a \u1ed1ng tuy\u1ebfn n\u01b0\u1edbc b\u1ecdt \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 m\u1ee5c ti\u00eau ban \u0111\u1ea7u c\u1ee7a nhi\u1ec5m SARS-CoV, v\u00e0 2019-nCoV c\u00f3 th\u1ec3 l\u00e0 t\u00ecnh tr\u1ea1ng t\u01b0\u01a1ng t\u1ef1, m\u1eb7c d\u00f9 cho \u0111\u1ebfn nay ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u n\u00e0o \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/p>\n<p>B\u1ec7nh nh\u00e2n nha khoa v\u00e0 b\u00e1c s\u0129, nh\u00e2n vi\u00ean c\u00f3 th\u1ec3 ti\u1ebfp x\u00fac v\u1edbi c\u00e1c vi sinh v\u1eadt g\u00e2y b\u1ec7nh, bao g\u1ed3m virus v\u00e0 vi khu\u1ea9n l\u00e2y nhi\u1ec5m v\u00e0o khoang mi\u1ec7ng v\u00e0 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. C\u00e1c c\u01a1 s\u1edf ch\u0103m s\u00f3c nha khoa lu\u00f4n c\u00f3 nguy c\u01a1 b\u1ecb nhi\u1ec5m 2019-nCoV do t\u00ednh \u0111\u1eb7c th\u00f9 c\u1ee7a quy tr\u00ecnh, bao g\u1ed3m giao ti\u1ebfp m\u1eb7t \u0111\u1ed1i m\u1eb7t v\u1edbi b\u1ec7nh nh\u00e2n v\u00e0 th\u01b0\u1eddng xuy\u00ean ti\u1ebfp x\u00fac v\u1edbi n\u01b0\u1edbc b\u1ecdt, m\u00e1u v\u00e0 c\u00e1c ch\u1ea5t d\u1ecbch c\u01a1 th\u1ec3 kh\u00e1c k\u00e8m theo d\u1ee5ng c\u1ee5 s\u1eafc nh\u1ecdn. M\u1ea7m b\u1ec7nh t\u1eeb c\u00e1c gi\u1ecdt v\u00e0 kh\u00ed dung c\u00f3 ch\u1ee9a vi sinh v\u1eadt c\u1ee7a m\u1ed9t ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m b\u1ec7nh, ph\u00e1t t\u00e1n b\u1eb1ng ho, n\u00f3i chuy\u1ec7n kh\u00f4ng \u0111eo kh\u1ea9u trang, c\u00f3 th\u1ec3 \u0111\u1ebfn tr\u1ef1c ti\u1ebfp v\u1edbi k\u1ebft m\u1ea1c, m\u0169i ho\u1eb7c ni\u00eam m\u1ea1c mi\u1ec7ng c\u1ee7a ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, ho\u1eb7c ti\u1ebfp x\u00fac gi\u00e1n ti\u1ebfp v\u1edbi c\u00e1c d\u1ee5ng c\u1ee5 b\u1ecb \u00f4 nhi\u1ec5m v\u00e0\/ho\u1eb7c b\u1ec1 m\u1eb7t m\u00f4i tr\u01b0\u1eddng.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-32252 aligncenter\" src=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2020\/03\/phuong-thuc-lay-truyen-cua-2019-ncov-va-kiem-soat-trong-nha-khoa-lam-sang.png\" alt=\"Ph\u01b0\u01a1ng th\u1ee9c l\u00e2y truy\u1ec1n c\u1ee7a 2019-nCoV v\u00e0 ki\u1ec3m so\u00e1t trong nha khoa l\u00e2m s\u00e0ng\" width=\"888\" height=\"431\" \/><\/p>\n<p style=\"text-align: center;\"><em>Minh h\u1ecda v\u1ec1 \u0111\u01b0\u1eddng truy\u1ec1n 2019-nCoV t\u1ea1i c\u00e1c ph\u00f2ng kh\u00e1m v\u00e0 b\u1ec7nh vi\u1ec7n nha khoa<\/em><\/p>\n<h2>L\u00e2y lan<\/h2>\n<p>S\u1ef1 l\u00e2y lan c\u1ee7a SARS-Cov trong kh\u00f4ng kh\u00ed (h\u1ed9i ch\u1ee9ng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh n\u1eb7ng coronavirus) \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u0111\u1ea7y \u0111\u1ee7 trong nhi\u1ec1u t\u00e0i li\u1ec7u. C\u00e1c t\u00e0i li\u1ec7u nha khoa cho th\u1ea5y nhi\u1ec1u quy tr\u00ecnh nha khoa t\u1ea1o ra c\u00e1c kh\u00ed dung v\u00e0 v\u00e0 gi\u1ecdt dung d\u1ecbch ch\u1ee9a virus. Do \u0111\u00f3, vi\u1ec7c ng\u0103n ng\u1eeba ti\u1ebfp x\u00fac kh\u00ed dung hay gi\u1ecdt dung d\u1ecbch c\u00f9ng v\u1edbi n\u01b0\u1edbc b\u1ecdt, th\u1eadm ch\u00ed m\u00e1u ch\u1ee9a 2019-nCoV l\u00e0 m\u1ed1i quan t\u00e2m l\u1edbn nh\u1ea5t t\u1ea1i c\u00e1c ph\u00f2ng kh\u00e1m v\u00e0 b\u1ec7nh vi\u1ec7n nha khoa, ngo\u00e0i \u0111\u01b0\u1eddng ho v\u00e0 th\u1edf c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m b\u1ec7nh, c\u00e1c thi\u1ebft b\u1ecb nha khoa nh\u01b0 tay khoan\u00a0nha khoa t\u1ed1c \u0111\u1ed9 cao s\u1eed d\u1ee5ng kh\u00ed \u0111\u1ec3 l\u00e1i tuabin quay v\u00e0 d\u00f9ng n\u01b0\u1edbc l\u00e0m m\u00e1t c\u0169ng l\u00e0 m\u1ed9t \u0111\u01b0\u1eddng l\u00e2y nhi\u1ec5m. Khi c\u00e1c thi\u1ebft b\u1ecb nha khoa ho\u1ea1t \u0111\u1ed9ng trong khoang mi\u1ec7ng c\u1ee7a b\u1ec7nh nh\u00e2n, m\u1ed9t l\u01b0\u1ee3ng l\u1edbn kh\u00ed dung v\u00e0 c\u00e1c gi\u1ecdt nh\u1ecf tr\u1ed9n v\u1edbi n\u01b0\u1edbc b\u1ecdt c\u1ee7a b\u1ec7nh nh\u00e2n ho\u1eb7c th\u1eadm ch\u00ed l\u00e0 m\u00e1u s\u1ebd \u0111\u01b0\u1ee3c t\u1ea1o ra. C\u00e1c h\u1ea1t dung d\u1ecbch \u0111\u1ee7 nh\u1ecf \u0111\u1ec3 gi\u1eef trong kh\u00f4ng kh\u00ed trong m\u1ed9t th\u1eddi gian d\u00e0i tr\u01b0\u1edbc khi ch\u00fang l\u1eafng xu\u1ed1ng b\u1ec1 m\u1eb7t m\u00f4i tr\u01b0\u1eddng ho\u1eb7c \u0111i v\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. Do \u0111\u00f3, 2019-nCoV c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y lan cao t\u1eeb c\u00e1c c\u00e1 nh\u00e2n b\u1ecb nhi\u1ec5m b\u1ec7nh \u0111\u1ebfn nh\u00e2n vi\u00ean v\u00e0 b\u1ec7nh nh\u00e2n kh\u00e1c t\u1ea1i ph\u00f2ng kh\u00e1m v\u00e0 b\u1ec7nh vi\u1ec7n nha khoa.<\/p>\n<h2>B\u1ec1 m\u1eb7t \u00f4 nhi\u1ec5m lan r\u1ed9ng<\/h2>\n<p>C\u00e1c coronavirus \u1edf ng\u01b0\u1eddi nh\u01b0 SARS-CoV, Trung \u0110\u00f4ng coronavirus (MERS-CoV) ho\u1eb7c coronavirus \u1edf ng\u01b0\u1eddi (HCoV) \u0111\u1eb7c h\u1eefu c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i tr\u00ean c\u00e1c b\u1ec1 m\u1eb7t nh\u01b0 kim lo\u1ea1i, th\u1ee7y tinh ho\u1eb7c nh\u1ef1a trong v\u00e0i ng\u00e0y. Do \u0111\u00f3, c\u00e1c b\u1ec1 m\u1eb7t b\u1ecb \u00f4 nhi\u1ec5m th\u01b0\u1eddng xuy\u00ean ti\u1ebfp x\u00fac trong m\u00f4i tr\u01b0\u1eddng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe l\u00e0 ngu\u1ed3n l\u00e2y truy\u1ec1n coronavirus ti\u1ec1m n\u0103ng, c\u00e1c h\u1ea1t mang virus, c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m l\u01b0u b\u00e1m tr\u00ean to\u00e0n b\u1ed9 b\u1ec1 m\u1eb7t ph\u00f2ng kh\u00e1m nha khoa. Ngo\u00e0i ra, \u1edf nhi\u1ec7t \u0111\u1ed9 ph\u00f2ng cho th\u1ea5y HCoV v\u1eabn s\u1ed1ng s\u00f3t t\u1eeb 2 gi\u1edd \u0111\u1ebfn 9 ng\u00e0y v\u00e0 t\u1ed1t h\u01a1n 50% so v\u1edbi \u0111\u1ed9 \u1ea9m t\u01b0\u01a1ng \u0111\u1ed1i 30%. Do \u0111\u00f3, gi\u1eef m\u1ed9t m\u00f4i tr\u01b0\u1eddng s\u1ea1ch s\u1ebd v\u00e0 kh\u00f4 r\u00e1o trong ph\u00f2ng kh\u00e1m nha khoa s\u1ebd gi\u00fap l\u00e0m gi\u1ea3m s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a 2019-nCoV.<\/p>\n<h2>Ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n cho nha khoa<\/h2>\n<p>C\u00e1c b\u00e1c s\u0129 nha khoa n\u00ean n\u1eafm r\u00f5 c\u00e1ch l\u00e2y lan 2019-nCoV, c\u00e1ch x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m 2019-nCoV v\u00e0 nh\u1eefng bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 b\u1ed5 sung n\u00e0o n\u00ean \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong qu\u00e1 tr\u00ecnh th\u1ef1c h\u00e0nh, \u0111\u1ec3 ng\u0103n ch\u1eb7n vi\u1ec7c truy\u1ec1n 2019-nCoV. \u1ede \u0111\u00e2y, ch\u00fang t\u00f4i \u0111\u1ec1 xu\u1ea5t c\u00e1c bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t nhi\u1ec5m tr\u00f9ng n\u00ean \u0111\u01b0\u1ee3c c\u00e1c chuy\u00ean gia nha khoa tu\u00e2n theo, \u0111\u1eb7c bi\u1ec7t l\u00e0 xem x\u00e9t th\u1ef1c t\u1ebf r\u1eb1ng gi\u1ecdt mang virus \u0111\u01b0\u1ee3c coi l\u00e0 con \u0111\u01b0\u1eddng l\u00e2y lan ch\u00ednh c\u1ee7a n\u0103m 2019-nCoV. Khuy\u1ebfn ngh\u1ecb c\u1ee7a ch\u00fang t\u00f4i \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean c\u00e1c H\u01b0\u1edbng d\u1eabn cho ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee7a Novel Coronavirus Vi\u00eam ph\u1ed5i (phi\u00ean b\u1ea3n 5)(<a href=\"http:\/\/www.nhc.gov.cn\/yzygj\/s7653p\/202002\/3b09b894ac9b4204a79db5b8912d4440.shtml\" target=\"_blank\" rel=\"noopener\">http:\/\/www.nhc.gov.cn\/yzygj\/s7653p\/202002\/3b09b894ac9b4204a79db5b8912d4440.shtml<\/a>), c\u00e1c H\u01b0\u1edbng d\u1eabn v\u1ec1 Ng\u0103n ng\u1eeba v\u00e0 Ki\u1ec3m so\u00e1t b\u1ec7nh vi\u00eam ph\u1ed5i Novel coronavirus t\u1ea1i c\u00e1c vi\u1ec7n y t\u1ebf (phi\u00ean b\u1ea3n (<a href=\"http:\/\/www.nhc.gov.cn\/yzygj\/s7659\/202001\/b91fdab7c304431eb082d67847d27e14.shtml\" target=\"_blank\" rel=\"noopener\">http:\/\/www.nhc.gov.cn\/yzygj\/s7659\/202001\/b91fdab7c304431eb082d67847d27e14.shtml<\/a>), v\u00e0 c\u00e1c H\u01b0\u1edbng d\u1eabn cho vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb b\u1ea3o v\u1ec7 y t\u1ebf trong ph\u00f2ng ch\u1ed1ng v\u00e0 ki\u1ec3m so\u00e1t c\u1ee7a Novel Coronavirus Vi\u00eam ph\u1ed5i (<a href=\"http:\/\/www.nhc.gov.cn\/yzygj\/s7659\/202001\/e71c5de925a64eafbe1ce790debab5c6.shtml\" target=\"_blank\" rel=\"noopener\">http:\/\/www.nhc.gov.cn\/yzygj\/s7659\/202001\/e71c5de925a64eafbe1ce790debab5c6.shtml<\/a>) \u0111\u01b0\u1ee3c ph\u00e1t h\u00e0nh b\u1edfi \u1ee6y ban Y t\u1ebf Qu\u1ed1c gia c\u1ee7a C\u1ed9ng h\u00f2a Nh\u00e2n d\u00e2n Trung Hoa, v\u00e0 kinh nghi\u1ec7m th\u1ef1c h\u00e0nh v\u1ec1 s\u1ef1 b\u00f9ng ph\u00e1t 2019-nCoV Trung t\u00e2m R\u0103ng H\u00e0m M\u1eb7t B\u1ec7nh vi\u1ec7n Hoa T\u00e2y \u2013 \u0110\u1ea1i h\u1ecdc T\u1ee9 Xuy\u00ean.<\/p>\n<h2>\u0110\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n<\/h2>\n<p>Tr\u01b0\u1edbc h\u1ebft, c\u00e1c chuy\u00ean gia nha khoa s\u1ebd c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ed9t tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd COVID-19 b\u1eb1ng c\u00e1ch \u0111\u00e1nh gi\u00e1 s\u01a1 b\u1ed9. Cho \u0111\u1ebfn ng\u00e0y b\u00e0i vi\u1ebft n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c so\u1ea1n th\u1ea3o, \u1ee6y ban Y t\u1ebf Qu\u1ed1c gia C\u1ed9ng h\u00f2a Nh\u00e2n d\u00e2n Trung Hoa \u0111\u00e3 ph\u00e1t h\u00e0nh phi\u00ean b\u1ea3n th\u1ee9 5 c\u1ee7a H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam ph\u1ed5i Novel coronavirus. M\u1ed9t b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 \u0111ang trong giai \u0111o\u1ea1n s\u1ed1t cao c\u1ee7a b\u1ec7nh khuy\u1ebfn c\u00e1o kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u1ebfn th\u0103m ph\u00f2ng kh\u00e1m nha khoa. Chuy\u00ean gia nha khoa sau khi nghi ng\u1edd b\u1ec7nh nh\u00e2n nhi\u1ec5m khu\u1ea9n 2019-nCoV, th\u00ec kh\u00f4ng n\u00ean \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n t\u1ea1i ph\u00f2ng kh\u00e1m nha khoa, ngay l\u1eadp t\u1ee9c c\u00e1ch ly b\u1ec7nh nh\u00e2n v\u00e0 b\u00e1o c\u00e1o cho b\u1ed9 ph\u1eadn ki\u1ec3m so\u00e1t nhi\u1ec5m tr\u00f9ng c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, \u0111\u1eb7c bi\u1ec7t trong giai \u0111o\u1ea1n d\u1ecbch b\u1ec7nh 2019-nCoV.<\/p>\n<p>Nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c \u0111o ngay t\u1eeb \u0111\u1ea7u. Nhi\u1ec7t k\u1ebf \u0111o tr\u00e1n \u2013 kh\u00f4ng ti\u1ebfp x\u00fac ph\u1ea3i \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb \u0111\u1ec3 s\u00e0ng l\u1ecdc b\u1ec7nh nh\u00e2n. M\u1ed9t b\u1ea3ng c\u00e2u h\u1ecfi so\u1ea1n s\u1eb5n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 nhi\u1ec5m 2019-nCoV trong th\u1eddi gian ch\u1edd \u0111\u1ee3i tr\u01b0\u1edbc khi h\u1ecd \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn ph\u00f2ng \u0111i\u1ec1u tr\u1ecb. Nh\u1eefng c\u00e2u h\u1ecfi n\u00e0y n\u00ean bao g\u1ed3m nh\u1eefng \u0111i\u1ec1u sau \u0111\u00e2y:<\/p>\n<ul>\n<li>B\u1ea1n c\u00f3 b\u1ecb s\u1ed1t ho\u1eb7c b\u1ecb s\u1ed1t trong v\u00f2ng 14 ng\u00e0y qua kh\u00f4ng?<\/li>\n<li>G\u1ea7n \u0111\u00e2y b\u1ea1n c\u00f3 g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 h\u00f4 h\u1ea5p, ch\u1eb3ng h\u1ea1n nh\u01b0 ho ho\u1eb7c kh\u00f3 th\u1edf trong v\u00f2ng 14 ng\u00e0y qua?<\/li>\n<li>Trong v\u00f2ng 14 ng\u00e0y qua, b\u1ea1n c\u00f3 \u0111i \u0111\u1ebfn c\u00e1c \u0111i\u1ec3m n\u00f3ng v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi nhi\u1ec5m 2019-nCoV?<\/li>\n<li>B\u1ea1n c\u00f3 ti\u1ebfp x\u00fac v\u1edbi m\u1ed9t b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m 2019-nCoV \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn trong v\u00f2ng 14 ng\u00e0y qua kh\u00f4ng?<\/li>\n<li>B\u1ea1n c\u00f3 ti\u1ebfp x\u00fac v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u0111\u1ebfn t\u1eeb c\u00e1c khu v\u1ef1c c\u00f3 ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m, ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi b\u1ecb s\u1ed1t ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p \u0111\u01b0\u1ee3c ghi nh\u1eadn g\u1ea7n \u0111\u00e2y trong v\u00f2ng 14 ng\u00e0y qua?<\/li>\n<li>G\u1ea7n \u0111\u00e2y b\u1ea1n c\u00f3 tham gia v\u00e0o b\u1ea5t k\u1ef3 cu\u1ed9c t\u1ee5 h\u1ecdp, h\u1ed9i h\u1ecdp ho\u1eb7c ti\u1ebfp x\u00fac g\u1ea7n g\u0169i v\u1edbi nhi\u1ec1u ng\u01b0\u1eddi kh\u00f4ng quen bi\u1ebft kh\u00f4ng?<\/li>\n<\/ul>\n<p>N\u1ebfu m\u1ed9t b\u1ec7nh nh\u00e2n tr\u1ea3 l\u1eddi \u201cc\u00f3\u201d cho b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi s\u00e0ng l\u1ecdc n\u00e0o d\u00f9 nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 c\u1ee7a h\u1ecd d\u01b0\u1edbi 37,3 \u00b0 C, b\u00e1c s\u0129 v\u1eabn n\u00ean ho\u00e3n \u0111i\u1ec1u tr\u1ecb sau 14 ng\u00e0y. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn t\u1ef1 c\u00e1ch ly t\u1ea1i nh\u00e0 v\u00e0 b\u00e1o c\u00e1o m\u1ecdi d\u1ea5u hi\u1ec7u s\u1ed1t ho\u1eb7c h\u1ed9i ch\u1ee9ng gi\u1ed1ng c\u00fam cho s\u1edf y t\u1ebf \u0111\u1ecba ph\u01b0\u01a1ng.<br \/>\nN\u1ebfu b\u1ec7nh nh\u00e2n tr\u1ea3 l\u1eddi \u201cc\u00f3\u201d cho b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi s\u00e0ng l\u1ecdc n\u00e0o v\u00e0 nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 c\u1ee7a h\u1ecd tr\u00ean 37,3 \u00b0 C, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c c\u00e1ch ly ngay l\u1eadp t\u1ee9c v\u00e0 c\u00e1c chuy\u00ean gia nha khoa n\u00ean b\u00e1o c\u00e1o cho b\u1ed9 ph\u1eadn ki\u1ec3m so\u00e1t d\u1ecbch b\u1ec7nh c\u1ee7a b\u1ec7nh vi\u1ec7n ho\u1eb7c s\u1edf y t\u1ebf \u0111\u1ecba ph\u01b0\u01a1ng.<br \/>\nN\u1ebfu m\u1ed9t b\u1ec7nh nh\u00e2n tr\u1ea3 l\u1eddi \u201ckh\u00f4ng\u201d cho t\u1ea5t c\u1ea3 c\u00e1c c\u00e2u h\u1ecfi s\u00e0ng l\u1ecdc, v\u00e0 nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 c\u1ee7a h\u1ecd d\u01b0\u1edbi 37,3 \u00b0 C, nha s\u0129 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 th\u00eam, v\u00e0 h\u1ea1n ch\u1ebf th\u1ea5p nh\u00e2t c\u00e1c quy tr\u00ecnh t\u1ea1o b\u1ecdt kh\u00ed ho\u1eb7c kh\u00ed dung.<\/p>\n<h2>V\u1ec7 sinh tay<\/h2>\n<p>M\u1eb7c d\u00f9 v\u1ec7 sinh tay \u0111\u1ea7y \u0111\u1ee7 l\u00e0 \u0111i\u1ec1u ki\u1ec7n ti\u00ean quy\u1ebft th\u01b0\u1eddng xuy\u00ean \u0111\u1ed1i v\u1edbi nha khoa l\u00e2m s\u00e0ng, nh\u01b0ng vi\u1ec7c tu\u00e2n th\u1ee7 r\u1eeda tay trong th\u1ef1c t\u1ebf t\u01b0\u01a1ng \u0111\u1ed1i th\u1ea5p, \u0111i\u1ec1u n\u00e0y c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c ch\u00fa \u00fd \u0111\u1eb7c bi\u1ec7t trong t\u00ecnh d\u00ecnh d\u1ecbch 2019-nCoV. H\u01b0\u1edbng d\u1eabn v\u1ec7 sinh tay hai tr\u01b0\u1edbc v\u00e0 ba sau \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t b\u1edfi b\u1ed9 ph\u1eadn ki\u1ec3m so\u00e1t nhi\u1ec5m tr\u00f9ng c\u1ee7a Trung t\u00e2m R\u0103ng h\u00e0m m\u1eb7t, B\u1ec7nh vi\u1ec7n Hoa T\u00e2y, \u0110\u1ea1i h\u1ecdc T\u1ee9 Xuy\u00ean, \u0111\u1ec3 c\u1ee7ng c\u1ed1 vi\u1ec7c tu\u00e2n th\u1ee7 r\u1eeda tay. C\u1ee5 th\u1ec3, c\u00e1c b\u00e1c s\u0129 v\u00e0 nh\u00e2n vi\u00ean nha khoa n\u00ean r\u1eeda tay tr\u01b0\u1edbc khi kh\u00e1m cho b\u1ec7nh nh\u00e2n, tr\u01b0\u1edbc khi l\u00e0m th\u1ee7 thu\u1eadt nha khoa, sau khi ch\u1ea1m v\u00e0o b\u1ec7nh nh\u00e2n, sau khi ch\u1ea1m v\u00e0o m\u00f4i tr\u01b0\u1eddng xung quanh v\u00e0 thi\u1ebft b\u1ecb m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c kh\u1eed tr\u00f9ng, v\u00e0 sau khi ch\u1ea1m v\u00e0o ni\u00eam m\u1ea1c mi\u1ec7ng, da ho\u1eb7c v\u1ebft th\u01b0\u01a1ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng, m\u00e1u, d\u1ecbch c\u01a1 th\u1ec3, v\u00e0 b\u00e0i ti\u1ebft, c\u1ea7n tr\u00e1nh ch\u1ea1m v\u00e0o m\u1eaft, mi\u1ec7ng v\u00e0 m\u0169i c\u1ee7a ch\u00ednh h\u1ecd.<\/p>\n<h2>C\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 c\u00e1 nh\u00e2n cho c\u00e1c b\u00e1c s\u0129 nha khoa<\/h2>\n<p>Hi\u1ec7n t\u1ea1i, kh\u00f4ng c\u00f3 h\u01b0\u1edbng d\u1eabn c\u1ee5 th\u1ec3 \u0111\u1ec3 b\u1ea3o v\u1ec7 c\u00e1c b\u00e1c s\u0129 kh\u1ecfi ph\u01a1i nhi\u1ec5m 2019-nCoV t\u1ea1i c\u00e1c ph\u00f2ng kh\u00e1m v\u00e0 b\u1ec7nh vi\u1ec7n nha khoa. M\u1eb7c d\u00f9 kh\u00f4ng c\u00f3 b\u00e1c s\u0129 hay nh\u00e2n vi\u00ean nha khoa n\u00e0o \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o m\u1eafc b\u1ec7nh nhi\u1ec5m khu\u1ea9n 2019-nCoV cho \u0111\u1ebfn ng\u00e0y b\u00e0i b\u00e1o \u0111\u01b0\u1ee3c so\u1ea1n th\u1ea3o, nh\u01b0ng kinh nghi\u1ec7m v\u1edbi SARS coronavirus \u0111\u00e3 cho th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00e1c b\u1ec7nh nh\u00e2n l\u00e0 nh\u00e2n vi\u00ean y t\u1ebf m\u1eafc ph\u1ea3i t\u1ea1i b\u1ec7nh vi\u1ec7n. C\u00e1c thi\u1ebft b\u1ecb b\u1ea3o v\u1ec7 ch\u1eb7n vi khu\u1ea9n, bao g\u1ed3m k\u00ednh b\u1ea3o h\u1ed9, kh\u1ea9u trang, g\u0103ng tay, m\u0169, t\u1ea5m che m\u1eb7t v\u00e0 qu\u1ea7n \u00e1o b\u1ea3o h\u1ed9, \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u trang b\u1ecb cho m\u1ecdi nh\u00e2n vi\u00ean trong ph\u00f2ng kh\u00e1m\/b\u1ec7nh vi\u1ec7n \u1edf giai \u0111o\u1ea1n d\u1ecbch b\u1ec7nh 2019-nCoV.<\/p>\n<p>D\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng l\u00e2y lan c\u1ee7a nhi\u1ec5m khu\u1ea9n 2019-nCoV, c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 ba c\u1ea5p \u0111\u1ed9 cho nh\u00e2n vi\u00ean nha khoa \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb cho c\u00e1c t\u00ecnh hu\u1ed1ng c\u1ee5 th\u1ec3.<\/p>\n<ul>\n<li>B\u1ea3o v\u1ec7 ch\u00ednh (b\u1ea3o v\u1ec7 ti\u00eau chu\u1ea9n cho nh\u00e2n vi\u00ean trong m\u00f4i tr\u01b0\u1eddng l\u00e2m s\u00e0ng). \u0110\u1ed9i m\u0169 l\u00e0m vi\u1ec7c d\u00f9ng m\u1ed9t l\u1ea7n, m\u1eb7t n\u1ea1 ph\u1eabu thu\u1eadt d\u00f9ng m\u1ed9t l\u1ea7n v\u00e0 qu\u1ea7n \u00e1o l\u00e0m vi\u1ec7c (\u00e1o kho\u00e1c tr\u1eafng), s\u1eed d\u1ee5ng k\u00ednh b\u1ea3o h\u1ed9 ho\u1eb7c t\u1ea5m ch\u1eafn m\u1eb7t, v\u00e0 g\u0103ng tay cao su d\u00f9ng m\u1ed9t l\u1ea7n ho\u1eb7c g\u0103ng tay nitrile n\u1ebfu c\u1ea7n thi\u1ebft.<\/li>\n<li>B\u1ea3o v\u1ec7 th\u1ee9 c\u1ea5p (b\u1ea3o v\u1ec7 n\u00e2ng cao cho c\u00e1c b\u00e1c s\u0129 nha khoa). \u0110\u1ed9i m\u0169 ph\u1eabu thu\u1eadt d\u00f9ng m\u1ed9t l\u1ea7n, m\u1eb7t n\u1ea1 ph\u1eabu thu\u1eadt d\u00f9ng m\u1ed9t l\u1ea7n, k\u00ednh b\u1ea3o h\u1ed9, t\u1ea5m ch\u1eafn m\u1eb7t v\u00e0 qu\u1ea7n \u00e1o l\u00e0m vi\u1ec7c (\u00e1o tr\u1eafng) v\u1edbi qu\u1ea7n \u00e1o c\u00e1ch ly d\u00f9ng m\u1ed9t l\u1ea7n ho\u1eb7c qu\u1ea7n \u00e1o ph\u1eabu thu\u1eadt b\u00ean ngo\u00e0i v\u00e0 g\u0103ng tay cao su d\u00f9ng m\u1ed9t l\u1ea7n.<\/li>\n<li>B\u1ea3o v\u1ec7 c\u1ea5p ba (t\u0103ng c\u01b0\u1eddng b\u1ea3o v\u1ec7 khi ti\u1ebfp x\u00fac v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb nghi ng\u1edd ho\u1eb7c \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn nhi\u1ec5m 2019-nCoV). M\u1eb7c d\u00f9 m\u1ed9t b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m 2019-nCoV d\u1ef1 ki\u1ebfn s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i ph\u00f2ng kh\u00e1m nha khoa, trong tr\u01b0\u1eddng h\u1ee3p b\u1ea5t kh\u1ea3 kh\u00e1ng, v\u00e0 b\u00e1c s\u0129 nha khoa kh\u00f4ng th\u1ec3 tr\u00e1nh ti\u1ebfp x\u00fac g\u1ea7n, c\u1ea7n c\u00f3 \u00e1o b\u1ea3o v\u1ec7 \u0111\u1eb7c bi\u1ec7t. N\u1ebfu qu\u1ea7n \u00e1o b\u1ea3o h\u1ed9 kh\u00f4ng c\u00f3 s\u1eb5n, n\u00ean m\u1eb7c qu\u1ea7n \u00e1o b\u1ea3o h\u1ed9 lao \u0111\u1ed9ng (\u00e1o kho\u00e1c tr\u1eafng) v\u1edbi qu\u1ea7n \u00e1o b\u1ea3o h\u1ed9 d\u00f9ng m\u1ed9t l\u1ea7n b\u00ean ngo\u00e0i. Ngo\u00e0i ra, n\u00ean \u0111eo m\u0169 ph\u1eabu thu\u1eadt d\u00f9ng m\u1ed9t l\u1ea7n, k\u00ednh b\u1ea3o h\u1ed9, t\u1ea5m ch\u1eafn m\u1eb7t, m\u1eb7t n\u1ea1 ph\u1eabu thu\u1eadt d\u00f9ng m\u1ed9t l\u1ea7n, g\u0103ng tay cao su d\u00f9ng m\u1ed9t l\u1ea7n v\u00e0 b\u1ecdc gi\u00e0y kh\u00f4ng th\u1ea5m n\u01b0\u1edbc.<\/li>\n<\/ul>\n<h2>S\u00fac mi\u1ec7ng tr\u01b0\u1edbc khi l\u00e0m th\u1ee7 thu\u1eadt nha khoa<\/h2>\n<p>Th\u00f4ng th\u01b0\u1eddng, m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng khu\u1ea9n tr\u01b0\u1edbc ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u0111\u01b0\u1ee3c cho l\u00e0 l\u00e0m gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng vi khu\u1ea9n \u0111\u01b0\u1eddng mi\u1ec7ng. Tuy nhi\u00ean, theo h\u01b0\u1edbng d\u1eabn c\u1ee7a H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam ph\u1ed5i Novel coronavirus (phi\u00ean b\u1ea3n th\u1ee9 5) do \u1ee6y ban Y t\u1ebf Qu\u1ed1c gia C\u1ed9ng h\u00f2a Nh\u00e2n d\u00e2n Trung Qu\u1ed1c ph\u00e1t h\u00e0nh, chlorhexidine, th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0m thu\u1ed1c s\u00fac mi\u1ec7ng trong th\u1ef1c h\u00e0nh nha khoa, c\u00f3 th\u1ec3 kh\u00f4ng hi\u1ec7u qu\u1ea3 \u0111\u1ec3 gi\u1ebft 2019-nCoV. Lo\u1ea1i 2019-nCoV d\u1ec5 b\u1ecb oxy h\u00f3a, n\u00ean d\u00f9ng n\u01b0\u1edbc s\u00fac mi\u1ec7ng ti\u1ec1n ph\u1eabu thu\u1eadt c\u00f3 ch\u1ee9a c\u00e1c ch\u1ea5t oxy h\u00f3a nh\u01b0 1% hydro peroxide ho\u1eb7c 0,2% Povidone, v\u1edbi m\u1ee5c \u0111\u00edch gi\u1ea3m t\u1ea3i vi khu\u1ea9n trong n\u01b0\u1edbc b\u1ecdt. S\u1eed d\u1ee5ng s\u00fac mi\u1ec7ng tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb r\u1ea5t h\u1eefu \u00edch trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng \u0111\u00ea cao su.<\/p>\n<h2>C\u00e1ch ly \u0111\u00ea cao su<\/h2>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u00ea cao su c\u00f3 th\u1ec3 gi\u1ea3m thi\u1ec3u \u0111\u00e1ng k\u1ec3 vi\u1ec7c h\u00ecnh th\u00e0nh kh\u00ed dung v\u00e0 n\u01b0\u1edbc b\u1ecdt b\u1ecb l\u1eabn m\u00e1u, \u0111\u1eb7c bi\u1ec7t trong tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng tay khoan t\u1ed1c \u0111\u1ed9 cao v\u00e0 thi\u1ebft b\u1ecb rung si\u00eau \u00e2m nha khoa. C\u00e1c b\u00e1o c\u00e1o ch\u1ec9 ra r\u1eb1ng vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u00ea cao su c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 70% c\u00e1c h\u1ea1t trong kh\u00f4ng kh\u00ed t\u1eeb \u0111\u01b0\u1eddng k\u00ednh ~ 3 feet (g\u1ea7n 100cm). Ngo\u00e0i ra, n\u00ean s\u1eed d\u1ee5ng m\u00e1y h\u00fat v\u1edbi l\u1ef1c h\u00fat m\u1ea1nh \u0111\u1ec3 kh\u00f4ng b\u1ecf s\u00f3t kh\u00ed dung. N\u1ebfu kh\u00f4ng th\u1ec3 c\u00e1ch ly \u0111\u00ea cao su trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, c\u00e1c thi\u1ebft b\u1ecb th\u1ee7 c\u00f4ng, nh\u01b0 Carisolv, b\u1ed9 c\u1ea1o v\u00f4i tay \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb d\u00f9ng \u0111i\u1ec1u tr\u1ecb s\u00e2u r\u0103ng v\u00e0 c\u1ea1o v\u00f4i, \u0111\u1ec3 gi\u1ea3m thi\u1ec3u vi\u1ec7c t\u1ea1o ra kh\u00ed dung c\u00e0ng nhi\u1ec1u c\u00e0ng t\u1ed1t.<\/p>\n<h2>Tay khoan ch\u1ed1ng h\u00fat ng\u01b0\u1ee3c<\/h2>\n<p>Tay khoan nha khoa t\u1ed1c \u0111\u1ed9 cao kh\u00f4ng c\u00f3 van h\u00fat ng\u01b0\u1ee3c c\u00f3 th\u1ec3 h\u00fat v\u00e0 ph\u00e2n t\u00e1n c\u00e1c m\u1ea3nh v\u1ee5n v\u00e0 ch\u1ea5t l\u1ecfng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. Quan tr\u1ecdng h\u01a1n, c\u00e1c vi khu\u1ea9n c\u00f3 th\u1ec3 l\u00e0m \u00f4 nhi\u1ec5m th\u00eam c\u00e1c \u1ed1ng kh\u00ed v\u00e0 n\u01b0\u1edbc trong b\u1ed9 ph\u1eadn nha khoa, v\u00e0 do \u0111\u00f3 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y nhi\u1ec5m tr\u00f9ng ch\u00e9o. Nghi\u00ean c\u1ee9u c\u1ee7a ch\u00fang t\u00f4i \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng tay khoan nha khoa t\u1ed1c \u0111\u1ed9 cao ch\u1ed1ng h\u00fat ng\u01b0\u1ee3c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 d\u00f2ng ch\u1ea3y c\u1ee7a vi khu\u1ea9n mi\u1ec7ng v\u00e0 HBV v\u00e0o c\u00e1c \u1ed1ng c\u1ee7a tay khoan v\u00e0 b\u1ed9 ph\u1eadn nha khoa so v\u1edbi tay khoan kh\u00f4ng c\u00f3 ch\u1ee9c n\u0103ng ch\u1ed1ng h\u00fat ng\u01b0\u1ee3c. Do \u0111\u00f3, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 nha khoa kh\u00f4ng c\u00f3 ch\u1ee9c n\u0103ng ch\u1ed1ng h\u00fat ng\u01b0\u1ee3c n\u00ean b\u1ecb c\u1ea5m trong th\u1eddi k\u1ef3 d\u1ecbch b\u1ec7nh c\u1ee7a COVID-19.<\/p>\n<h2>Kh\u1eed tr\u00f9ng c\u00e1c thi\u1ebft b\u1ecb, v\u1eadt d\u1ee5ng ph\u00f2ng kh\u00e1m<\/h2>\n<p>C\u00e1c t\u1ed5 ch\u1ee9c y t\u1ebf n\u00ean th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p kh\u1eed tr\u00f9ng hi\u1ec7u qu\u1ea3 v\u00e0 nghi\u00eam ng\u1eb7t \u1edf c\u1ea3 ph\u00f2ng kh\u00e1m v\u00e0 khu v\u1ef1c c\u00f4ng c\u1ed9ng. C\u00e1c thi\u1ebft b\u1ecb, v\u1eadt d\u1ee5ng ph\u00f2ng kh\u00e1m n\u00ean \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch v\u00e0 kh\u1eed tr\u00f9ng theo Ngh\u1ecb \u0111\u1ecbnh th\u01b0 v\u1ec1 Qu\u1ea3n l\u00fd l\u00e0m s\u1ea1ch b\u1ec1 m\u1eb7t v\u00e0 kh\u1eed tr\u00f9ng m\u00f4i tr\u01b0\u1eddng y t\u1ebf (WS \/ T 512-2016) do \u1ee6y ban Y t\u1ebf Qu\u1ed1c gia C\u1ed9ng h\u00f2a Nh\u00e2n d\u00e2n Trung Qu\u1ed1c ban h\u00e0nh. C\u00e1c khu v\u1ef1c v\u00e0 thi\u1ebft b\u1ecb c\u00f4ng c\u1ed9ng c\u0169ng c\u1ea7n th\u01b0\u1eddng xuy\u00ean \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch v\u00e0 kh\u1eed tr\u00f9ng, bao g\u1ed3m tay n\u1eafm c\u1eeda, gh\u1ebf v\u00e0 b\u00e0n. Thang m\u00e1y n\u00ean \u0111\u01b0\u1ee3c kh\u1eed tr\u00f9ng th\u01b0\u1eddng xuy\u00ean. Nh\u1eefng ng\u01b0\u1eddi d\u00f9ng thang m\u00e1y n\u00ean \u0111eo kh\u1ea9u trang \u0111\u00fang c\u00e1ch v\u00e0 tr\u00e1nh ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi c\u00e1c n\u00fat v\u00e0 c\u00e1c v\u1eadt th\u1ec3 kh\u00e1c.<\/p>\n<h2>Qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i y t\u1ebf<\/h2>\n<p>Ch\u1ea5t th\u1ea3i y t\u1ebf (bao g\u1ed3m c\u1ea3 thi\u1ebft b\u1ecb b\u1ea3o v\u1ec7 d\u00f9ng m\u1ed9t l\u1ea7n sau khi s\u1eed d\u1ee5ng) n\u00ean \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n \u0111\u1ebfn khu v\u1ef1c l\u01b0u tr\u1eef t\u1ea1m c\u1ee7a vi\u1ec7n y t\u1ebf k\u1ecbp th\u1eddi. D\u1ee5ng c\u1ee5 v\u00e0 v\u1eadt d\u1ee5ng c\u00f3 th\u1ec3 t\u00e1i s\u1eed d\u1ee5ng n\u00ean \u0111\u01b0\u1ee3c x\u1eed l\u00fd, l\u00e0m s\u1ea1ch, kh\u1eed tr\u00f9ng v\u00e0 b\u1ea3o qu\u1ea3n \u0111\u00fang c\u00e1ch theo <em>Ngh\u1ecb \u0111\u1ecbnh th\u01b0 Kh\u1eed tr\u00f9ng v\u00e0 Kh\u1eed tr\u00f9ng D\u1ee5ng c\u1ee5 Nha khoa<\/em> (WS 506-2016) do \u1ee6y ban Y t\u1ebf Qu\u1ed1c gia C\u1ed9ng h\u00f2a Trung Qu\u1ed1c ph\u00e1t h\u00e0nh. Ch\u1ea5t th\u1ea3i y t\u1ebf v\u00e0 sinh ho\u1ea1t t\u1eeb vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n nghi ng\u1edd ho\u1eb7c \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn nhi\u1ec5m tr\u00f9ng 2019-nCoV \u0111\u01b0\u1ee3c coi l\u00e0 ch\u1ea5t th\u1ea3i y t\u1ebf truy\u1ec1n nhi\u1ec5m. N\u00ean s\u1eed d\u1ee5ng t\u00fai \u0111\u1ef1ng ch\u1ea5t th\u1ea3i y t\u1ebf hai l\u1edbp m\u00e0u v\u00e0ng v\u00e0 th\u1eaft ch\u1eb7t. B\u1ec1 m\u1eb7t c\u1ee7a c\u00e1c t\u00fai bao b\u00ec ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh d\u1ea5u v\u00e0 x\u1eed l\u00fd theo y\u00eau c\u1ea7u qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i y t\u1ebf.<\/p>\n<h2>T\u1ed5ng k\u1ebft<\/h2>\n<p>Th\u00e1ng 12 n\u0103m 2019, ch\u1ee7ng Coronavirus m\u1edbi \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n (2019-nCoV) g\u00e2y ra s\u1ef1 b\u00f9ng ph\u00e1t b\u1ec7nh vi\u00eam ph\u1ed5i \u1edf V\u0169 H\u00e1n v\u00e0 to\u00e0n Trung Qu\u1ed1c. 2019-nCoV x\u00e2m nh\u1eadp v\u00e0o t\u1ebf b\u00e0o ch\u1ee7 th\u00f4ng qua th\u1ee5 t\u1ec3 ACE2 c\u1ee7a t\u1ebf b\u00e1o \u1edf ng\u01b0\u1eddi, t\u01b0\u01a1ng \u0111\u1ed3ng v\u1edbi SARS- CoV, nh\u01b0ng c\u00f3 \u00e1i l\u1ef1c g\u1eafn k\u1ebft cao h\u01a1n. S\u1ed1 ca m\u1eafc v\u00e0 b\u1eb1ng ch\u1ee9ng l\u00e2y truy\u1ec1n t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi ng\u00e0y c\u00e0ng t\u0103ng nhanh cho th\u1ea5y lo\u1ea1i virus n\u00e0y d\u1ec5 l\u00e2y lan h\u01a1n SARS-CoV v\u00e0 MERS-CoV. \u0110\u1ebfn gi\u1eefa th\u00e1ng 2 n\u0103m 2020, s\u1ed1 l\u01b0\u1ee3ng c\u00e1c ca nhi\u1ec5m b\u1ec7nh c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf theo b\u00e1o c\u00e1o t\u0103ng cao, nh\u1eefng l\u00fd do c\u1ee5 th\u1ec3 c\u1ee7a vi\u1ec7c kh\u00f4ng th\u1ec3 b\u1ea3o \u0111\u1ea3m an to\u00e0n cho nh\u00e2n vi\u00ean y t\u1ebf c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tra l\u00e0m r\u00f5. Ch\u00fang t\u00f4i \u0111\u00e3 t\u00f3m t\u1eaft c\u00e1c \u0111\u01b0\u1eddng l\u00e2y truy\u1ec1n c\u00f3 th\u1ec3 c\u1ee7a 2019-nCov nh\u01b0 l\u00e2y do ti\u1ebfp x\u00fac, l\u00e2y lan trong kh\u00f4ng kh\u00ed, l\u00e2y qua b\u1ec1 m\u1eb7t c\u00f3 virus. Ch\u00fang t\u00f4i c\u0169ng \u0111\u00e3 tr\u00ecnh b\u00e0y m\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p c\u1ee5 th\u1ec3 \u0111\u1ec3 h\u1ea1n ch\u1ebf l\u00e2y lan 2019-nCoV trong nha khoa, nh\u01b0 \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n, v\u1ec7 sinh tay, c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 c\u00e1 nh\u00e2n cho c\u00e1c nh\u00e2n vi\u00ean nha khoa, s\u00fac mi\u1ec7ng tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb, c\u00e1ch ly b\u1eb1ng \u0111\u00ea cao su, tay khoan ch\u1ed1ng h\u00fat ng\u01b0\u1ee3c, kh\u1eed tr\u00f9ng ph\u00f2ng kh\u00e1m v\u00e0 qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i y t\u1ebf.<\/p>\n<p><em><strong>Ngu\u1ed3n: Ph\u00f2ng th\u00ed nghi\u1ec7m tr\u1ecdng \u0111i\u1ec3m v\u1ec1 b\u1ec7nh r\u0103ng mi\u1ec7ng &amp; Trung t\u00e2m nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng qu\u1ed1c gia v\u1ec1 b\u1ec7nh r\u0103ng mi\u1ec7ng &amp; Khoa N\u1ed9i soi v\u00e0 N\u1ed9i nha, Trung t\u00e2m R\u0103ng h\u00e0m m\u1eb7t B\u1ec7nh vi\u1ec7n Hoa T\u00e2y, \u0110\u1ea1i h\u1ecdc T\u1ee9 Xuy\u00ean, Th\u00e0nh \u0110\u00f4, Trung Qu\u1ed1c Xian Peng, Xin Xu, Yuqing Li, Lei Cheng, Xuedong Zhou &amp; Biao Ren<\/strong><\/em><br \/>\n<a href=\"https:\/\/www.nature.com\/articles\/s41368-020-0075-9?fbclid=IwAR04YpsnVgjfJdQ7YStr3Z57MxtCG-LBI9-6ltOtpXVyotGdsdlqg1Cq5Y\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nature.com\/articles\/s41368-020-0075-9?fbclid=IwAR04YpsnVgjfJdQ7YStr3Z57MxtCG-LBI9-6ltOtpXVyotGdsdlqg1Cq5Y<\/a><\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li><a href=\"https:\/\/depa.vn\/thong-tin-nha-khoa\/chitiet-1\/phuong-thuc-lay-truyen-cua-2019-ncov-va-kiem-soat-trong-nha-khoa-lam-sang-14774?fbclid=IwAR0Dce0JUc8yaGzL7p7N5fh6C79gUGcNOjVVmi33iR1GNyHH0itzL_p0YDI\" target=\"_blank\" rel=\"noopener\">https:\/\/depa.vn\/thong-tin-nha-khoa\/chitiet-1\/phuong-thuc-lay-truyen-cua-2019-ncov-va-kiem-soat-trong-nha-khoa-lam-sang-14774?fbclid=IwAR0Dce0JUc8yaGzL7p7N5fh6C79gUGcNOjVVmi33iR1GNyHH0itzL_p0YDI<\/a><\/li>\n<li>Zhu, N. et al. 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