{"id":2274,"date":"2018-11-19T14:01:07","date_gmt":"2018-11-19T14:01:07","guid":{"rendered":"https:\/\/robot.yeupet.vn\/vi-khuan-nhiem-trung-co-hoi-tren-cho-meo-staphylococus\/"},"modified":"2018-11-19T14:01:07","modified_gmt":"2018-11-19T14:01:07","slug":"vi-khuan-nhiem-trung-co-hoi-tren-cho-meo-staphylococus","status":"publish","type":"post","link":"https:\/\/robot.yeupet.vn\/index.php\/2018\/11\/19\/vi-khuan-nhiem-trung-co-hoi-tren-cho-meo-staphylococus\/","title":{"rendered":"Vi Khu\u1ea9n Nhi\u1ec5m Tr\u00f9ng C\u01a1 H\u1ed9i Tr\u00ean Ch\u00f3, M\u00e8o \u2013 Staphylococus"},"content":{"rendered":"

Staphylococci \u0111\u1ea1i di\u1ec7n cho c\u00e1c gi\u1ed1ng vi khu\u1ea9n k\u1ef5 kh\u00ed t\u00f9y nghi thu\u1ed9c h\u1ecd Micrococcaceae. Ch\u00fang l\u00e0 vi khu\u1ea9n Gram d\u01b0\u01a1ng ( Gram+ ), l\u00e0 c\u1ea7u khu\u1ea9n d\u01b0\u01a1ng t\u00ednh v\u1edbi catalase c\u00f3 xu h\u01b0\u1edbng t\u1eadp trung th\u00e0nh c\u1ee5m. Ch\u00fang \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed1 r\u1ed9ng r\u00e3i \u1edf c\u00e1c lo\u00e0i \u0111\u1ed9ng v\u1eadt v\u00e0 th\u00f4ng th\u01b0\u1eddng h\u1ed9i sinh \u1edf da v\u00e0 m\u00e0ng nh\u1ea7y. Lo\u00e0i t\u1ee5 c\u1ea7u khu\u1ea9n \u0111\u01b0\u1ee3c chia th\u00e0nh hai nh\u00f3m ch\u00ednh d\u1ef1a tr\u00ean vi\u1ec7c s\u1ea3n xu\u1ea5t enzyme coagulase .<\/span>Staphylococci d\u01b0\u01a1ng t\u00ednh v\u1edbi coagulase l\u00e0 nh\u00f3m nguy hi\u1ec3m nh\u1ea5t v\u00e0 th\u01b0\u1eddng xuy\u00ean nh\u1ea5t li\u00ean quan \u0111\u1ebfn b\u1ec7nh. C\u00e1c lo\u00e0i coagulase d\u01b0\u01a1ng t\u00ednh quan tr\u1ecdng nh\u1ea5t \u1edf ch\u00f3 v\u00e0 m\u00e8o l\u00e0 Staphylococcus pseudintermedius, Staphylococcus aureus v\u00e0 Staphylococcus schleiferi ssp. coagulans. Staphylococci coagulase \u00e2m (CoNS) bao g\u1ed3m Staphylococcus epidermidis, Staphylococcus xylosus, Staphylococcus sciuri, S. schleiferi ssp. coagulans. schleiferi v\u00e0 Staphylococcus felis.<\/p>\n

\"vi-khuan-nhiem-trung-co-hoi-tren-cho-meo-staphylococus\"<\/p>\n

Vi khu\u1ea9n Staphylococcus d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi<\/p>\n

2. D\u1ecbch T\u1ec5 H\u1ecdc<\/strong>
\nStaphylococcus pseudintermedius
\nS. pseudintermediusis \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y v\u1edbi t\u1ef7 l\u1ec7 31% \u0111\u1ebfn 68% \u1edf ch\u00f3 kh\u1ecfe m\u1ea1nh. T\u1ef7 l\u1ec7 cao h\u01a1n (l\u00ean \u0111\u1ebfn 100%) \u1edf ch\u00f3 con.Ch\u00f3 con nhi\u1ec5m S. pseudintermedius t\u1eeb m\u1eb9 trong v\u00f2ng 8 gi\u1edd sau khi sinh. Nhi\u1ec5m tr\u00f9ng S. pseudintermedius \u00edt ph\u1ed5 bi\u1ebfn \u1edf m\u00e8o h\u01a1n so v\u1edbi \u1edf ch\u00f3 .<\/p>\n

S. pseudintermediusis \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o v\u1edbi t\u1ef7 l\u1ec7 6,8 % \u0111\u1ebfn 22% \u1edf m\u00e8o kh\u1ecfe m\u1ea1nh. S. pseudintermedius kh\u00e1ng methicillin ( MRSP ) \u0111\u00e3 xu\u1ea5t hi\u1ec7n ph\u1ed5 bi\u1ebfn trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y.T\u1ef7 l\u1ec7 nhi\u1ec5m t\u1eeb 1,5% \u0111\u1ebfn 17% \u1edf ch\u00f3, 1,2% \u1edf m\u00e8o kh\u1ecfe m\u1ea1nh.
\nStaphylococcus aureus
\nS. aureus c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e2n l\u1eadp t\u1eeb 12% \u0111\u1ebfn 14 % \u1edf ch\u00f3 v\u00e0 4,3 % \u0111\u1ebfn 20% c\u1ee7a m\u00e8o kh\u1ecfe m\u1ea1nh. M\u1ee9c ph\u00e2n l\u1eadp cao nh\u1ea5t l\u00e0 t\u1eeb da v\u00e0 tai. B\u00e1o c\u00e1o c\u1ee7a m\u1ed9t nghi\u00ean c\u1ee9u cho th\u1ea5y trong t\u1ef7 l\u1ec7 ph\u00e2n l\u1eadp \u0111\u01b0\u1ee3c S. aureus l\u00e0 50% \u1edf c\u00e1c h\u1ed9 nu\u00f4i ch\u00f3.<\/p>\n

Hi\u1ec7n nay, MRSA c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e2n l\u1eadp t\u1eeb 0% \u0111\u1ebfn 3,3% \u1edf ch\u00f3 kh\u1ecfe m\u1ea1nh v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng v\u00e0 0 % \u0111\u1ebfn 4% \u1edf m\u00e8o kh\u1ecfe m\u1ea1nh v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng.
\nStaphylococcus schleiferi ssp. coagulans
\n\u0110\u01b0\u1ee3c t\u00ecm th\u1ea5y v\u1edbi t\u1ef7 l\u1ec7 0,8% \u0111\u1ebfn 4% c\u1ee7a ch\u00f3 v\u00e0 0% \u0111\u1ebfn 2% \u1edf m\u00e8o. S. schleiferissp. schleiferi kh\u00e1ng methicillin ( MRSS ) \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh trong 0% \u0111\u1ebfn 2% \u1edf ch\u00f3, v\u00e0 nhi\u1ec5m tr\u00f9ng MRSS ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u nhi\u1ec1u h\u01a1n.
\nStaphylococci \u00e2m t\u00ednh Coagulase
\nCoNS th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y \u1edf ch\u00f3 v\u00e0 m\u00e8o kh\u1ecfe m\u1ea1nh, v\u00e0 h\u1ea7u nh\u01b0 t\u1ea5t c\u1ea3 c\u00e1c lo\u00e0i \u0111\u1ed9ng v\u1eadt c\u00f3 v\u00fa kh\u00e1c. \u1ede ch\u00f3, CoNS th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e2n l\u1eadp t\u1eeb da, m\u0169i v\u00e0 khoang mi\u1ec7ng, h\u1ea7u h\u1ecdng, ni\u00eam m\u1ea1c \u0111\u00e1y ch\u1eadu , \u0111\u01b0\u1eddng ti\u00eau h\u00f3a , v\u00e0 k\u1ebft m\u1ea1c<\/p>\n

CoNS c\u0169ng ph\u1ed5 bi\u1ebfn \u1edf m\u00e8o kh\u1ecfe m\u1ea1nh, v\u1edbi t\u1ef7 l\u1ec7 ph\u00e2n l\u1eadp cao t\u1eeb da, n\u01b0\u1edbc b\u1ecdt, v\u00e0 \u00e2m \u0111\u1ea1o. S.feli l\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t, Staphylococcus haemolyticus, S. epidermidis, Staphylococcus simulans v\u00e0 Staphylococcus sapraophyticus c\u0169ng \u0111\u01b0\u1ee3c ph\u00e2n l\u1eadp.<\/p>\n

Kh\u00e1ng methicillin kh\u00f4ng ph\u1ea3i l\u00e0 hi\u1ebfm trong CoNS. C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 b\u00e1o c\u00e1o t\u1ef7 l\u1ec7 nhi\u1ec5m dao \u0111\u1ed9ng t\u1eeb 5% \u0111\u1ebfn 13 % \u1edf ch\u00f3 kh\u1ecfe m\u1ea1nh, v\u00e0 5% \u1edf m\u00e8o.<\/p>\n

3. Sinh B\u1ec7nh H\u1ecdc<\/strong>
\nStaphylococci c\u00f3 m\u1ed9t lo\u1ea1t c\u00e1c y\u1ebfu t\u1ed1 \u0111\u1ed9c l\u1ef1c ti\u1ec1m n\u0103ng. T\u01b0\u01a1ng t\u00e1c gi\u1eefa c\u00e1c y\u1ebfu t\u1ed1 \u0111\u1ed9c l\u1ef1c kh\u00e1c nhau c\u00f3 l\u1ebd l\u00e0 quan tr\u1ecdng, b\u1edfi v\u00ec kh\u00f4ng c\u00f3 duy nh\u1ea5t m\u1ed9t y\u1ebfu t\u1ed1 \u0111\u1ed9c l\u1ef1c \u0111\u1ee7 \u0111\u1ec3 thi\u1ebft l\u1eadp m\u1ed9t b\u1ec7nh nhi\u1ec5m tr\u00f9ng, \u0111i\u1ec1u n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u nhi\u1ec1u.<\/p>\n

\"vi-khuan-nhiem-trung-co-hoi-tren-cho-meo-staphylococus-1\"<\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh \u0111\u1ed9c l\u1ef1c c\u1ee7a Staphylococcus aureus<\/p>\n

Protein b\u1ec1 m\u1eb7t quan tr\u1ecdng nh\u1ea5t l\u00e0 protein A, li\u00ean k\u1ebft v\u1edbi ph\u1ea7n Fc c\u1ee7a IgG. Protein b\u1ec1 m\u1eb7t quan tr\u1ecdng kh\u00e1c bao g\u1ed3m c\u1ea3 y\u1ebfu t\u1ed1 v\u00f3n c\u1ee5c, li\u00ean k\u1ebft c\u00e1c protein fibronectin, coagulase v\u00e0 collagen. T\u1ee5 c\u1ea7u c\u00f3 th\u1ec3 s\u1ea3n xu\u1ea5t m\u1ed9t lo\u1ea1t c\u00e1c \u0111\u1ed9c t\u1ed1 c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec5m tr\u00f9ng t\u1ea1i ch\u1ed7 v\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u00f4. Hemolysins kh\u00e1c nhau c\u00f3 th\u1ec3 dung gi\u1ea3i h\u1ed3ng c\u1ea7u v\u00e0 c\u00e1c t\u1ebf b\u00e0o kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3. Protease c\u00f3 th\u1ec3 xuy\u00ean qua kh\u00e1ng th\u1ec3, \u0111\u00f3ng vai tr\u00f2 trong vi\u1ec7c ch\u1ed1ng l\u1ea1i b\u1ea1ch c\u1ea7u trung t\u00ednh, g\u00f3p ph\u1ea7n ph\u00e1 h\u1ee7y protein m\u00f4. Hyaluronidase v\u00e0 lysate hyaluronate ti\u00eau h\u00f3a c\u1ee7a axit hyaluronic trong m\u00f4 li\u00ean k\u1ebft v\u00e0 th\u00fac \u0111\u1ea9y s\u1ef1 suy tho\u00e1i c\u1ee7a c\u00e1c m\u00f4. Lipase c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng l\u1ea1i ch\u1ee9c n\u0103ng mi\u1ec5n d\u1ecbch c\u1ee7a v\u1eadt ch\u1ee7 v\u00e0 c\u00f3 th\u1ec3 gi\u00fap vi khu\u1ea9n l\u1ea5y c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng t\u1eeb m\u00f4i tr\u01b0\u1eddng. Alpha l\u00e0 m\u1ed9t \u0111\u1ed9c t\u1ed1 l\u00e0m h\u01b0 h\u1ecfng m\u00e0ng m\u1ea1nh, c\u00f3 th\u1ec3 s\u1ea3n xu\u1ea5t t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o. Leukocidins l\u00e0m gi\u1ea3m b\u1ea1ch c\u1ea7u. H\u1ec7 th\u1ed1ng m\u00e0ng sinh h\u1ecdc polysaccharide ngo\u1ea1i b\u00e0o c\u00f3 th\u1ec3 gi\u00fap vi khu\u1ea9n tho\u00e1t kh\u1ecfi s\u1ef1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a kh\u00e1ng sinh v\u00e0 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch.<\/p>\n

M\u1eb7c d\u00f9 kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 \u0111\u1ed9c l\u1ef1c c\u1ee5 th\u1ec3, kh\u1ea3 n\u0103ng c\u1ee7a t\u1ee5 c\u1ea7u \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c s\u1ee9c \u0111\u1ec1 kh\u00e1ng v\u1edbi kh\u00e1ng sinh c\u00f3 th\u1ec3 \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong b\u1ec7nh tr\u00ean \u0111\u1ed9ng v\u1eadt.<\/p>\n

4. K\u1ebft Qu\u1ea3 L\u00e2m S\u00e0ng<\/strong>
\nStaphylococci c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t lo\u1ea1t c\u00e1c nhi\u1ec5m tr\u00f9ng c\u01a1 h\u1ed9i, t\u1eeb m\u1ee5n m\u1ee7 nh\u1eb9 \u1edf da \u0111\u1ebfn ho\u1ea1i t\u1eed nhi\u1ec5m tr\u00f9ng v\u00e0 t\u1eed vong r\u1ea5t nhanh. B\u1ea5t k\u1ef3 h\u1ec7 th\u1ed1ng c\u01a1 th\u1ec3 c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng, nh\u01b0ng nhi\u1ec5m tr\u00f9ng da v\u00e0 m\u00f4 m\u1ec1m ph\u1ed5 bi\u1ebfn nh\u1ea5t. Bi\u1ec3u hi\u1ec7n nghi\u00eam tr\u1ecdng c\u1ee7a nhi\u1ec5m tr\u00f9ng t\u1ee5 c\u1ea7u bao g\u1ed3m h\u1ed9i ch\u1ee9ng s\u1ed1c \u0111\u1ed9c t\u1ee5 c\u1ea7u, nhi\u1ec5m tr\u00f9ng huy\u1ebft, ho\u1ea1i t\u1eed.
\nStaphylococcus pseudintermedius
\nS. pseudintermedius chi\u1ebfm \u0111\u1ea1i \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ee7 da \u1edf ch\u00f3 v\u00e0 t\u1ef7 l\u1ec7 th\u1ea5p h\u01a1n \u1edf m\u00e8o. N\u00f3 c\u0169ng g\u00e2y ra m\u1ed9t lo\u1ea1t c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng kh\u00e1c bao g\u1ed3m nhi\u1ec5m tr\u00f9ng v\u1ebft th\u01b0\u01a1ng , nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5, vi\u00eam kh\u1edbp nhi\u1ec5m khu\u1ea9n, vi\u00eam t\u1ee7y x\u01b0\u01a1ng, nhi\u1ec5m tr\u00f9ng ti\u1ec3u, vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c, abscess gan, vi\u00eam ph\u00fac m\u1ea1c.<\/p>\n

MRSP g\u00e2y ra b\u1ec7nh ch\u1ee7 y\u1ebfu \u1edf da, nhi\u1ec5m tr\u00f9ng tai v\u00e0 c\u00e1c m\u00f4 m\u1ec1m. Hi\u1ec7n t\u1ea1i kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u cho th\u1ea5y b\u1ec7nh nhi\u1ec5m tr\u00f9ng MRSP l\u00e0 nghi\u00eam tr\u1ecdng h\u01a1n b\u1ec7nh nhi\u1ec5m tr\u00f9ng do c\u00e1c ch\u1ee7ng nh\u1ea1y c\u1ea3m methicillin.
\nStaphylococcus aureus
\nNhi\u1ec5m tr\u00f9ng S. aureus c\u00f3 th\u1ec3 ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf m\u00e8o so v\u1edbi \u1edf ch\u00f3. V\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng, nhi\u1ec5m tr\u00f9ng MRSA kh\u00f4ng th\u1ec3 ph\u00e2n bi\u1ec7t v\u1edbi nhi\u1ec5m tr\u00f9ng g\u00e2y ra b\u1edfi MSSA, v\u1ecb tr\u00ed nhi\u1ec5m tr\u00f9ng ch\u1ee7 y\u1ebfu l\u00e0 da v\u00e0 tai v\u00e0 s\u1ed1 \u00edt c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng c\u01a1 h\u1ed9i kh\u00e1c.<\/p>\n

5. Ch\u1ea9n \u0110o\u00e1n B\u1ec7nh<\/strong>
\nB\u1eb1ng ch\u1ee9ng t\u1ebf b\u00e0o h\u1ecdc c\u1ee7a m\u1ed9t ph\u1ea3n \u1ee9ng vi\u00eam nhi\u1ec5m, \u0111\u1eb7c bi\u1ec7t m\u1ed9t s\u1ef1 gia t\u0103ng c\u1ee7a b\u1ea1ch c\u1ea7u trung t\u00ednh v\u00e0 vi khu\u1ea9n n\u1ed9i b\u00e0o l\u00e0 g\u1ee3i \u00fd cho s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a vi khu\u1ea9n. Ki\u1ec3m tra s\u1ef1 nh\u1ea1y c\u1ea3m v\u1edbi kh\u00e1ng sinh l\u00e0 m\u1ed9t th\u00e0nh ph\u1ea7n quan tr\u1ecdng c\u1ee7a ch\u1ea9n \u0111o\u00e1n x\u00e9t nghi\u1ec7m.<\/p>\n

6. \u0110i\u1ec1u Tr\u1ecb B\u1ec7nh<\/strong>
\nKh\u00e1ng sinh to\u00e0n th\u00e2n<\/p>\n

\"vi-khuan-nhiem-trung-co-hoi-tren-cho-meo-staphylococus-2\"<\/p>\n

Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb Staphylococcal tr\u00ean ch\u00f3 m\u00e8o<\/p>\n

Li\u1ec7u ph\u00e1p kh\u00e1ng sinh c\u1ee5c b\u1ed9
\nTi\u00eam kh\u00e1ng sinh v\u00e0o kh\u1edbp (v\u00ed d\u1ee5, amikacin) trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam kh\u1edbp nhi\u1ec5m khu\u1ea9n, li\u1ec7u ph\u00e1p n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf ng\u1ef1a.
\nPh\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7
\nCh\u1ea5t s\u00e1t khu\u1ea9n c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7u qu\u1ea3 nhi\u1ec5m tr\u00f9ng b\u1ec1 m\u1eb7t .C\u00e1c ch\u1ea5t c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng nh\u01b0 chlorhexidine, povidone-iodine, v\u00e0 gel benzoyl peroxide
\nC\u00e1c lo\u1ea1i tinh d\u1ea7u kh\u00e1c nhau, bao g\u1ed3m c\u1ea3 d\u1ea7u tr\u00e0, d\u1ea7u phong l\u1eef, d\u1ea7u hoa o\u1ea3i h\u01b0\u01a1ng, v\u00e0 chi\u1ebft xu\u1ea5t h\u1ea1t b\u01b0\u1edfi \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 \u0111\u1eb7c t\u00ednh kh\u00e1ng khu\u1ea9n.
\nM\u1eadt ong c\u00f3 th\u1ec3 l\u00e0 d\u00f9ng \u0111i\u1ec1u tr\u1ecb trong nhi\u1ec5m tr\u00f9ng v\u1ebft th\u01b0\u01a1ng ho\u1eb7c v\u1ebft lo\u00e9t \u1edf ch\u00e2n \u1edf ng\u01b0\u1eddi. S\u1eed d\u1ee5ng m\u1eadt ong \u1edf ch\u00f3 v\u00e0 m\u00e8o c\u00f3 th\u1ec3 d\u00f9ng b\u00f4i v\u00e0o v\u1ecb tr\u00ed nhi\u1ec5m tr\u00f9ng.<\/p>\n

7. B\u1ec7nh V\u00e0 S\u1ee9c Kh\u1ecfe C\u1ed9ng \u0110\u1ed3ng<\/strong>
\n18 % nh\u00e2n vi\u00ean \u1edf b\u1ec7nh vi\u1ec7n th\u00fa y nhi\u1ec5m MRSA nh\u01b0ng kh\u00f4ng th\u1ec3 ch\u1eafc ch\u1eafn r\u1eb1ng l\u00e2y t\u1eeb \u0111\u1ed9ng v\u1eadt<\/p>\n

Th\u1ef1c hi\u1ec7n th\u01b0\u1eddng xuy\u00ean ch\u01b0\u01a1ng tr\u00ecnh ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n t\u1ed1t, bao g\u1ed3m c\u1ea3 v\u1ec7 sinh tay, ch\u00e2n, qu\u1ea7n \u00e1o b\u1ea3o h\u1ed9 c\u00e1 nh\u00e2n, v\u1ec7 sinh th\u01b0\u1eddng xuy\u00ean v\u00e0 kh\u1eed tr\u00f9ng c\u01a1 s\u1edf th\u00fa y. Ch\u1ee7 s\u1edf h\u1eefu v\u1eadt nu\u00f4i \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u1edbi MRSA ph\u1ea3i r\u1eeda tay tr\u01b0\u1edbc v\u00e0 sau khi \u00f4m v\u1eadt nu\u00f4i, \u0111\u1ec3 ph\u00f2ng ng\u1eeba l\u00e2y truy\u1ec1n MRSA cho v\u1eadt nu\u00f4i v\u00e0 truy\u1ec1n t\u1eeb v\u1eadt nu\u00f4i sang ng\u01b0\u1eddi ch\u1ee7. Ch\u1ee7 s\u1edf h\u1eefu kh\u00f4ng n\u00ean h\u00f4n v\u1eadt nu\u00f4i c\u1ee7a h\u1ecd ho\u1eb7c cho v\u1eadt nu\u00f4i li\u1ebfm khu\u00f4n m\u1eb7t c\u1ee7a h\u1ecd ho\u1eb7c b\u1ea5t k\u1ef3 v\u1ebft th\u01b0\u01a1ng tr\u00ean m\u1eb7t.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"

Staphylococci \u0111\u1ea1i di\u1ec7n cho c\u00e1c gi\u1ed1ng vi khu\u1ea9n k\u1ef5 kh\u00ed t\u00f9y nghi thu\u1ed9c h\u1ecd Micrococcaceae. Ch\u00fang l\u00e0 vi khu\u1ea9n Gram d\u01b0\u01a1ng ( Gram+ ), l\u00e0 c\u1ea7u khu\u1ea9n d\u01b0\u01a1ng t\u00ednh v\u1edbi catalase c\u00f3 xu h\u01b0\u1edbng t\u1eadp trung th\u00e0nh c\u1ee5m. Ch\u00fang \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed1 r\u1ed9ng r\u00e3i \u1edf c\u00e1c lo\u00e0i \u0111\u1ed9ng v\u1eadt v\u00e0 th\u00f4ng th\u01b0\u1eddng h\u1ed9i sinh \u1edf […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2274","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2274","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2274"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2274\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2274"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2274"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}