Viêm hạch khu vực sau tiêm vắc xin BCG

VIEM HACH KHU Vl/C SAU TIEM VAC XIN BCG

H6 Anh TuaoS Pham Nh^t Ao',

Nguyin Van Lam', Do Thien Hai'.

Hach viem khu tni la mot bien chiing sau tiem phong lao (BCG). Nghien ciiu nay thuc hien

nham mo ta trieu chung lam sang va dien biSn cua hach viem sau tiem phong lao. Nghien curu

dupfc tien hanh tren 63 benh nhi dugc chSn doan hach viem sau tiem phong lao tir 2 - 4/2013 tai

Benh vien Nhi Trung uong. Ket qua nghien ciiu cho thdy tudi thudng gap nhit la duoi 6 thang

(71,4%), Nam gap nhiSu hem Nu (1,3/1), da s6 la hach don dgc nach trai (78,5%) va thugng don

(16,9%). Kich thuac chu yiu dudi 3cm (93,7%), hach viem don thu^n la chu y6u (76,2%), ty le

nho di sau 3 thang la 44,4% va hoa mu la 28,6%.

Tir khoa: Hach viem sau tiem BCG vaccine.

DATVAN DE

VSc xin song giam dpc lu'c BCG (Bacille Calmette

Guerin) la mpt loai vac xin co dien nhat hien van con du'dc

sir dung pho bien. No du'dc chiet xuat tu" cac chiing lao bo

(Mycobacterium bovis) sau khi da du'dc bat boat. BCG

du'dc sir dung phong ngu^ benh lao tij* nam 1921 va hien

nay van du'dc sir dung rpng rai trong cac chu'dng trinh

tiem chiing d tre em. BCG dac biet hieu qua trong diT

phong cac the lao toan the va lao mang nao vdi bleu qua

Udc tinh 60 - 80%. BCG la mpt vac xin rat an toan vdi ty

le bien chiitig nang la rat thap^^^'i. Bien chutig hay gap

nhat sau tiem BCG la phan utig viem hach d vung lan can.

Cac bien chutig nang hdn la cot hJy viem, benh BCG lan

toa chii yeu gap tren cd dja tre suy giam mien djch'''^!.

Bien chutig viem hach sau tiem BCG co ty le mac tit 0,2 -

0,5% tiiy theo tiitig chiing lao bo du'dc sir dung lam vac

xin. Tai Viet nam, BCG bat dau du'dc 6da vao chu'dng trinh

tiem Chung tiJ' nam 1981 va chfnh thirc sir dung rpng rai

tren toan quoc tir nam 1985 vdi ty le ti'e sd sinh du'dc tiem

BCG la tren 90%. Viec xii tri viem hach sau tiem BCG tren

the gidi hien con chu^ hoan toan thong nhat. Cd tac gia

de xuat chi chpc hiit mii vdi cac hach viem hoa mii va

'" Khoa Trvyen nhiem. B?nh vi^n Nhi Trung irang

Ngjiynb|nbii:/iVJ/2Q/5

Ngiy phan bifn long: 8/4/2015.

Ngiy duyft ding: 27/4/20/5

VgirM chju trdch nhifm a^i dung khoa hQc: Ho Anh Tuan. Khoa truyen

nhii-m Bfnh vifn Nhi Trung uang.

Dii-niho^i. 0913395537. E-mail n

khong diing thuoe khang lao, co tac gia sir dung thuoe

khang lao hoac khang sinh nhd INH, Rifampicin, Erythro￾mycin da cho nhiJtig ket qua bu'dc dau^''-^^ chinh vi le dd

chung toi tien hanh nghien culi nay nhSm hai muc tieu

sau:

1. Mo ta trieu chiTng lam sang ciia viem hach sau tiem

BCG.

2. Bu'dc dau danh gia dien bien cua hach viem sau tiem

BCG.

DOI TU'ONG VA PHUON G PHAP

Doi tu'dng: Cac benh nhi du'dc chan doan viem hach sau

tiem BCG tai khoa kham benh, Benh vien Nhi Trung Udng

tirthang 2 den thang 4/2013. Tieu chuan chan doan: Tre

CO viem hach viing lan can quanh ndi tiem BCG, xac dinh

chan doan 6da vao chpc hut hach viem, nhupm soi thay

to ChUc viem lao.

Tieu chuan loai truT: Loai ra khoi nghien ciru cac tre co

hach viem nhutig kem theo it nhat mpt trong cac dau hieu

sau: Sot keo dai tren 2 tuan; Suy dinh duQng; Gan, lach

to; Ton thu'dng phoi kem theo tren lam sang va/hoac ton

thu'dng qua hinh anh XQ phoi keo dai tren 2 tuan; Cac

benh nhi nhiem HIV va cac benh ly suy giam mien djch

khac

Phu'dng phap va quy trinh nghien cuti: Nghien cdu

mo ta theo doi doc theo thdi gian vdi quy trinh nhd sau:

+ Cac benh nhan dii tieu chuan chpn vao nghien ciru

duWc lam benh an nghien culi khai thac cac thong tin nhU

TRUY^NHI&WVI|TNAM*S6 2(10) - 2015 - 4 9