vi khuÈn dÞch h¹ch vi khuÈn dÞch h¹ch ( Yersinia pestis ) ( Yersinia pestis ) 4 4 1. c¸c tÝnh chÊt chÝnh cña vi khuÈn dÞch h¹ch 1. c¸c tÝnh chÊt chÝnh cña vi khuÈn dÞch h¹ch 4 4       !"#$%&'&()* +,- ./-0 01– 2  34-15 2  67&489- :48; 62&48-%972 1. c¸c tÝnh chÊt chÝnh cña vi khuÈn dÞch h¹ch 1. c¸c tÝnh chÊt chÝnh cña vi khuÈn dÞch h¹ch 4 4   +<= +>? +@&A*B +CDE   FGAHA)2/I, 29)=JJ 2 K3L/2M/' 4 4 +<=-NAL2 +>?- +>?- O)PQ*2 O)PQ*2  <&A*B-!R. A/&L2S.2.2B 7AL2(Q  D2K.2.*KB"&B2M#-!R. T:2 4872/AUV  W32:2/.*K&2B W32:2/.*K&2B-!R. * XAUV3  !"#$%&'  !"#$%&'  +3-!YZ, !YZ2/*MIZ.Q: 2. Kh¶ n¨ng g©y bÖnh cña vK dÞch h¹ch 2. Kh¶ n¨ng g©y bÖnh cña vK dÞch h¹ch ()%&*+,%&' ()%&*+,%&' // 0"%' // 0"%' 1 1 AUV [ AUV [ 23 23 23 23 IZ' ".\# [QZLAUVXenopsilla cheopis 4 4 14)/5!"%&' 14)/5!"%&' - ThÓ h¹ch: thêng gÆp nhÊt. - ThÓ nhiÔm trïng huyÕt: thêng gÆp. - ThÓ phæi: hiÕm gÆp. - Viªm mµng n o: hiÕm gÆp.· 3. ChÈn ®o¸n vi sinh bÖnh dÞch h¹ch 3. ChÈn ®o¸n vi sinh bÖnh dÞch h¹ch 4 4 1607 8 - Nhuém soi: - MiÔn dÞch häc: ]* D/,>2A,. & ]* D/,>2A,. & +4S-6^&+<=2A,. & +4S-6^&+<=2A,. & +&!*&_Wayson - Nu«i cÊy ph©n lËp: - Tiªm truyÒn ®éng thÝ nghiÖm: $,. &CE-HU:&/8&4`a2b $,. &CE-HU:&/8&4`a2b +7NHG-HcAUV.Q: +7NHG-HcAUV.Q: *29 %% 4 4  2/- d/H6/<=2Z*A,Y +7NHG- d/H6/<=2Z* 1608 e'-+4TS +Z7f- X%<=g6/<=+4 4. phßng bÖnh 4. phßng bÖnh 4 4 $9, $9, F,LAUV F,LAUV  2/K`&/ZH.8"IL.\#  2/K`&/ZH.8"IL.\# /K.h248Z(&%*2 /K.h248Z(&%*2 !/&K/HGU !/&K/HGU 9, 9, 67&*M248Z(&%*2 67&*M248Z(&%*2 *2:*M-K3i&L *2:*M-K3i&L 5. Ch÷a bÖnh 5. Ch÷a bÖnh 4 4 5.1. Sö dông kh¸ng sinh: 5.1. Sö dông kh¸ng sinh:   > H:h:Zi&`c/K > H:h:Zi&`c/K 48"KB.2&Z2*&.B2B*Z# 48"KB.2&Z2*&.B2B*Z#    jaPQ/3 5.2. §iÒu trÞ triÖu chøng:+G&MIZ… Nguyªn t¾c: