{"id":102294,"date":"2026-03-20T00:30:15","date_gmt":"2026-03-19T17:30:15","guid":{"rendered":"https:\/\/scholar.com.vn\/?p=102294"},"modified":"2026-03-20T00:30:15","modified_gmt":"2026-03-19T17:30:15","slug":"%ec%88%98%eb%a7%89%ea%b5%ac%ea%b7%a0-b%ea%b5%b0menb-%ec%a7%88%ed%99%98-2026%eb%85%84-%ec%bc%84%ed%8a%b8-%ec%a7%91%eb%8b%a8%eb%b0%9c%ec%83%9d%ec%97%90-%ea%b4%80%ed%95%9c%ed%8f%ac%ea%b4%84%ec%a0%81","status":"publish","type":"post","link":"https:\/\/scholar.com.vn\/ko\/%ec%88%98%eb%a7%89%ea%b5%ac%ea%b7%a0-b%ea%b5%b0menb-%ec%a7%88%ed%99%98-2026%eb%85%84-%ec%bc%84%ed%8a%b8-%ec%a7%91%eb%8b%a8%eb%b0%9c%ec%83%9d%ec%97%90-%ea%b4%80%ed%95%9c%ed%8f%ac%ea%b4%84%ec%a0%81\/","title":{"rendered":"\uc218\ub9c9\uad6c\uade0 B\uad70(MenB) \uc9c8\ud658: 2026\ub144 \ucf04\ud2b8 \uc9d1\ub2e8\ubc1c\uc0dd\uc5d0 \uad00\ud55c\ud3ec\uad04\uc801 \uc784\uc0c1 \ubc0f \uacf5\uc911\ubcf4\uac74\ud559\uc801 \uace0\ucc30\uc218\uc11d \uc758\ud559 \uc5f0\uad6c\uc790 \ubc0f \uc758\ub8cc \ube14\ub85c\uac70\uc758 \uad00\uc810"},"content":{"rendered":"

\uc11c\ubb38: \uc65c \uc774 \uc9d1\ub2e8\ubc1c\uc0dd\uc740 \ud2b9\ubcc4\ud55c \uc8fc\uc758\ub97c \uc694\ud558\ub294\uac00<\/b><\/h1>\n

\uce68\uc2b5\uc131 \uc218\ub9c9\uad6c\uade0 \uac10\uc5fc\uc99d(IMD)\uc744 20\ub144 \uc774\uc0c1 \uc5f0\uad6c\ud574 \uc628 \uc784\uc0c1\uc758 \ubc0f \uc5f0\uad6c\uc790\ub85c\uc11c, \ub098\ub294 ‘\uc804\ub840 \uc5c6\ub294’\uc774\ub77c\ub294 \ub2e8\uc5b4\ub97c \uac70\uc758 \uc0ac\uc6a9\ud558\uc9c0 \uc54a\ub294\ub2e4. \uadf8\ub7ec\ub098 \uadf8\uac83\uc774 \ubc14\ub85c \uc5ec\ub7ec \uace0\uc704 \uacf5\uc911\ubcf4\uac74 \uad00\ub9ac\ub4e4\uc774 2026\ub144 \uce94\ud130\ubca0\ub9ac \uc9d1\ub2e8\ubc1c\uc0dd\uc744 \ubb18\uc0ac\ud558\uae30 \uc704\ud574 \uc0ac\uc6a9\ud55c \ub2e8\uc5b4\uc774\ub2e4. 3\uc6d4 19\uc77c \ud604\uc7ac, \ub300\ud559 \ub098\uc774\ud2b8\ud074\ub7fd\uc5d0\uc11c\uc758 \ub2e8\uc77c \ucd08\uc804\ud30c \uc774\ubca4\ud2b8\ub85c\ubd80\ud130 27\uac74\uc758 \uc2e4\ud5d8\uc2e4 \uc5f0\uad00 \uc0ac\ub840\uc640 2\uac74\uc758 \ud655\uc778\ub41c \uc0ac\ub9dd\uc774 \ubcf4\uace0\ub418\uc5c8\ub2e4\u2014\ud45c\uc900 \uc9d1\ub2e8\ubc1c\uc0dd \ubaa8\ub378\ub9c1 \uac00\uc815\uc744 \ubc97\uc5b4\ub09c \uc804\ud30c \uc18d\ub3c4\uc774\ub2e4.<\/span><\/p>\n

\uc774 \ub17c\ubb38\uc740 NHS \uc9c1\uc6d0\uc5d0\uac8c \ubc30\ud3ec\ub41c \ucd08\uae30 \uc784\uc0c1 \ube0c\ub9ac\ud551\uc744 \ud06c\uac8c \ub6f0\uc5b4\ub118\ub294\ub2e4. \ub098\uc758 \ubaa9\ud45c\ub294 \uc784\uc0c1\uc758, \ud559\uc0dd, \uadf8\ub9ac\uace0 \uc815\ubcf4\uac00 \uc788\ub294 \uc77c\ubc18 \ub3c5\uc790\ub4e4\uc5d0\uac8c \uc774 \uc9d1\ub2e8\ubc1c\uc0dd\uc774 \uc120\uba85\ud558\uac8c \uc870\uba85\ud55c \uc0dd\ubb3c\ud559, \uc784\uc0c1\uc801 \uc758\uc0ac\uacb0\uc815 \uacbd\ub85c, \ubc31\uc2e0 \uacfc\ud559, \uc5ed\ud559, \uadf8\ub9ac\uace0 \uc544\uc9c1 \ub2f5\uc774 \uc5c6\ub294 \uc5f0\uad6c \uc9c8\ubb38\ub4e4\uc5d0 \ub300\ud55c \ub354 \uae4a\uace0 \uc99d\uac70 \uae30\ubc18\uc758 \uc774\ud574\ub97c \uc81c\uacf5\ud558\ub294 \uac83\uc774\ub2e4.<\/span><\/p>\n\n\n\n
\u2695 \ud575\uc2ec \uc784\uc0c1 \uba54\uc2dc\uc9c0: \uac11\uc791\uc2a4\ub7ec\uc6b4 \ubc1c\uc5f4, \uc2ec\ud55c \ub450\ud1b5, \uacbd\ubd80 \uac15\uc9c1, \ub610\ub294 \uc758\uc2dd \ubcc0\ud654\ub97c \ubcf4\uc774\ub294 16-30\uc138\uc758 \uc80a\uc740\uc774\ub294 \ub2e4\ub978 \uc6d0\uc778\uc774 \uc99d\uba85\ub420 \ub54c\uae4c\uc9c0 \uc218\ub9c9\uad6c\uade0 \uc751\uae09\uc73c\ub85c \ucde8\uae09\ud574\uc57c \ud55c\ub2e4. \ubc1c\uc9c4\uc744 \uae30\ub2e4\ub9ac\uc9c0 \ub9d0\ub77c.<\/span><\/i><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

1. \ubcd1\uc6d0\uccb4 \uc774\ud574: Neisseria meningitidis<\/b><\/h1>\n

1.1 \ubbf8\uc0dd\ubb3c\ud559\uacfc \ub3c5\ub825 \uc778\uc790<\/b><\/h2>\n

Neisseria meningitidis\ub294 \uac74\uac15\ud55c \uccad\uc18c\ub144 \ubc0f \uc80a\uc740 \uc131\uc778\uc758 \uc57d 10-35%\uc5d0\uc11c \ube44\uc778\ub450 \uc810\ub9c9\uc5d0 \uacf5\uc0dd \uc138\uade0\uc73c\ub85c \uac70\uc8fc\ud558\ub294 \uadf8\ub78c\uc74c\uc131 \uc30d\uad6c\uade0\uc73c\ub85c, \ubcf4\uade0(carriage) \uc0c1\ud0dc\ub85c \uc54c\ub824\uc838 \uc788\ub2e4. \ubcf4\uade0 \uade0\uc8fc\uc640 \uce68\uc2b5 \uade0\uc8fc\ub97c \uad6c\ubcc4\ud558\ub294 \uac83\uc740 \uc138\uade0\uc758 \ub3c5\ub825 \uc778\uc790\uc640 \uc219\uc8fc \uba74\uc5ed \ubc18\uc751\uc758 \ubcf5\uc7a1\ud55c \uc0c1\ud638\uc791\uc6a9\uc744 \ud3ec\ud568\ud55c\ub2e4.<\/span><\/p>\n

\uc8fc\uc694 \ub3c5\ub825 \uacb0\uc815 \uc778\uc790\ub294 \ub2e4\uc74c\uc744 \ud3ec\ud568\ud55c\ub2e4:<\/span><\/p>\n

    \n
  • \ub2e4\ub2f9\uccb4 \ud53c\ub9c9: \uac00\uc7a5 \uc911\uc694\ud55c \ub3c5\ub825 \uc778\uc790\ub85c, \ud53c\ub9c9\uc740 \uc138\uade0\uc774 \uc2dd\uade0 \uc791\uc6a9 \ubc0f \ubcf4\uccb4 \ub9e4\uac1c \uc0b4\uade0\uc744 \ud68c\ud53c\ud560 \uc218 \uc788\uac8c \ud55c\ub2e4.<\/span><\/li>\n
  • \uc678\ub9c9 \ub2e8\ubc31\uc9c8(OMP): \uc778\uc790 H \uacb0\ud569 \ub2e8\ubc31\uc9c8(fHbp), Neisserial \uc811\ucc29\uc18c A(NadA), Neisseria \ud5e4\ud30c\ub9b0 \uacb0\ud569 \ud56d\uc6d0(NHBA), \ud3ec\ub9b0 \ub2e8\ubc31\uc9c8 PorA \ubc0f PorB\ub294 MenB \ubc31\uc2e0(Bexsero)\uc758 \ud56d\uc6d0\uc73c\ub85c \uae30\ub2a5\ud55c\ub2e4.<\/span><\/li>\n
  • \uc12c\ubaa8\uc640 \uc811\ucc29\uc18c: \ube44\uc778\ub450 \uc0c1\ud53c\uc5d0 \ubd80\ucc29\uc744 \ucd09\uc9c4\ud558\uace0 \uc810\ub9c9 \uc7a5\ubcbd\uc744 \ud1b5\uacfc\ud574 \ud608\ub958\ub85c \uce68\uc785\ud558\ub294 \uac83\uc744 \uac00\ub2a5\ud558\uac8c \ud55c\ub2e4.<\/span><\/li>\n
  • \ub9ac\ud3ec\uc62c\ub9ac\uace0\ub2f9(LOS): \uc5d4\ub3c4\ud1a1\uc2e0\uacfc \uad6c\uc870\uac00 \uc720\uc0ac\ud558\uba70, \ud328\ud608\uc131 \uc1fc\ud06c \ubc0f \uc790\ubc18\uc99d\uc744 \uc0dd\uc131\ud558\ub294 \uc804\uc2e0 \uc5fc\uc99d \uce90\uc2a4\ucf00\uc774\ub4dc\uc758 \uac15\ub825\ud55c \uc720\ubc1c \uc778\uc790\uc774\ub2e4.<\/span><\/li>\n<\/ul>\n

    1.2 B\uad70\uc774 \uc65c \ub3c5\ud2b9\ud55c \ub3c4\uc804\uc744 \uc81c\uc2dc\ud558\ub294\uac00<\/b><\/h2>\n

    B\uad70\uc758 \ub2e4\ub2f9\uccb4 \ud53c\ub9c9\uc740 \u03b1(2\u21928) \uacb0\ud569 \ud3f4\ub9ac\uc2dc\uc54c\uc0b0\uc73c\ub85c \uad6c\uc131\ub418\uc5b4 \uc788\uc73c\uba70, \uc774\ub294 \uc219\uc8fc \uc2e0\uacbd \uc138\ud3ec \uc811\ucc29 \ubd84\uc790(NCAM)\uc640 \ud654\ud559\uc801\uc73c\ub85c \ub3d9\uc77c\ud558\ub2e4. \uc774 \ubd84\uc790\uc801 \ubaa8\ubc29\uc740 \uba74\uc5ed \uccb4\uacc4\uac00 \uc774 \ud56d\uc6d0\uc5d0 \uc911\ucd94 \uad00\uc6a9\uc744 \uac00\uc9c0\uace0 \uc788\uc5b4 \uc774\uc5d0 \ub300\ud55c \ud6a8\uacfc\uc801\uc778 \ud56d\uccb4 \ubc18\uc751\uc744 \uc77c\uc73c\ud0a4\uc9c0 \uc54a\uc74c\uc744 \uc758\ubbf8\ud55c\ub2e4. \uc774\uac83\uc774 \ubc14\ub85c Bexsero(4CMenB)\uc758 \uac1c\ubc1c\uc774 \ubc31\uc2e0\ud559\uc758 \ud328\ub7ec\ub2e4\uc784 \uc804\ud658\uc744 \ub098\ud0c0\ub0b4\ub294 \uc774\uc720\uc774\ub2e4\u2014\ud53c\ub9c9\uc774 \uc544\ub2cc ‘\uc5ed\ubc31\uc2e0\ud559’\uc744 \ud1b5\ud574 \ubc1c\uacac\ub41c \ud53c\ub9c9 \ud558 \ub2e8\ubc31\uc9c8 \ud56d\uc6d0\uc744 \ud45c\uc801\uc73c\ub85c \ud55c\ub2e4.<\/span><\/p>\n\n\n\n
    \ud83d\udd2c \uc5f0\uad6c\uc790 \ub178\ud2b8: Bexsero \uac1c\ubc1c\uc5d0 \uc0ac\uc6a9\ub41c \uc5ed\ubc31\uc2e0\ud559 \uc811\uadfc\ubc95\uc740 \ud604\uc7ac \ub2e4\ub2f9\uccb4 \ubaa8\ubc29 \ubb38\uc81c\uac00 \uc788\ub294 \ub2e4\ub978 \ubcd1\uc6d0\uccb4\uc5d0 \ub300\ud55c \ubc31\uc2e0 \uac1c\ubc1c\uc758 \ubaa8\ub378\uc774 \ub418\uace0 \uc788\ub2e4. \uc774\ub294 \ud604\ub300 \ubc31\uc2e0\ud559\uc5d0\uc11c \uac00\uc7a5 \uc911\uc694\ud55c \ubc29\ubc95\ub860\uc801 \ud601\uc2e0 \uc911 \ud558\ub098\uc774\ub2e4.<\/span><\/i><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    2. \uc5ed\ud559: \uc789\uae00\ub79c\ub4dc\uc5d0\uc11c\uc758 MenB \uada4\uc801<\/b><\/h1>\n

    2.1 \ubc31\uc2e0 \uc804 \uc2dc\ub300\ubd80\ud130 \ud604\uc7ac\uae4c\uc9c0<\/b><\/h2>\n

    1999-2000\ub144, MenC \ubc31\uc2e0 \ub3c4\uc785 \uc804\uc5d0 \uc789\uae00\ub79c\ub4dc\ub294 \uc5f0\uac04 2,595\uac74\uc758 IMD\ub97c \uae30\ub85d\ud588\ub2e4. 2024-2025\ub144\uae4c\uc9c0 \ucd1d IMD \uc0ac\ub840\ub294 378\uac74\uc73c\ub85c \uac10\uc18c\ud588\ub2e4\u2014\ucd5c\uace0\uc810 \ub300\ube44 85% \uc774\uc0c1 \uac10\uc18c. \uadf8\ub7ec\ub098 MenB\ub294 2015\ub144\uae4c\uc9c0 \uc601\uc720\uc544 \uc77c\uc815\uc5d0 \ucd94\uac00\ub418\uc9c0 \uc54a\uc558\uace0, \ud604\uc7ac \ub300\ud559 \uc5f0\ub839 \ucf54\ud638\ud2b8(\ub300\ub7b5 2004-2008\ub144\uc0dd)\ub294 \ud574\ub2f9 \ud504\ub85c\uadf8\ub7a8\uc744 \ub193\ucce4\uae30 \ub54c\ubb38\uc5d0 MenB\ub294 IMD\uc758 \uc8fc\uc694 \uc794\uc5ec \uc6d0\uc778\uc73c\ub85c \ubd80\uc0c1\ud588\uc73c\uba70, \ud604\uc7ac \ubaa8\ub4e0 \uc0ac\ub840\uc758 80% \uc774\uc0c1\uc744 \ucc28\uc9c0\ud55c\ub2e4.<\/span><\/p>\n

    2.2 \ub300\ud559 \uc9d1\ub2e8\ubc1c\uc0dd\uc758 \uc5ed\ud559<\/b><\/h2>\n

    \ub300\ud559 \ucea0\ud37c\uc2a4\ub294 \uc218\ub9c9\uad6c\uade0 \uc804\ud30c\ub97c \uc704\ud55c \uc5ed\ud559\uc801\uc73c\ub85c \ub3c5\ud2b9\ud55c \ud658\uacbd\uc744 \ub098\ud0c0\ub0b8\ub2e4. \uc138 \uac00\uc9c0 \uc218\ub834 \uc694\uc778\uc774 \uace0\uc704\ud5d8 \ub9e4\ud2b8\ub9ad\uc2a4\ub97c \ub9cc\ub4e4\uc5b4\ub0b8\ub2e4: (1) \uba74\uc5ed\ud559\uc801\uc73c\ub85c \uac10\uc218\uc131\uc774 \uc788\ub294 \ucf54\ud638\ud2b8; (2) \uc774 \uc5f0\ub839 \uadf8\ub8f9\uc5d0\uc11c \ub192\uc740 \ube44\uc778\ub450 \ubcf4\uade0\uc728(\ub300\ud559\uc0dd\uc5d0\uc11c 20-35% vs \uc77c\ubc18 \uc778\uad6c\uc5d0\uc11c \uc57d 10%); (3) \ud589\ub3d9\uc801 \uc694\uc778\u2014\ubc00\uc811\ud55c \uc0ac\ud68c\uc801 \uc811\ucd09, \uc74c\uc8fc, \uacf5\ub3d9 \uc0dd\ud65c \uacf5\uac04, \ubc00\uc9d1\ub41c \uc2e4\ub0b4 \ud658\uacbd.<\/span><\/p>\n

    3. \uc5f0\ub839 \ud2b9\uc774\uc801 \ucde8\uc57d\uc131\uc758 \uba74\uc5ed\ud559\uc801 \uae30\ubc18<\/b><\/h1>\n

    3.1 \uccad\uc18c\ub144\uae30\uc758 \uba74\uc5ed\ud559\uc801 \uc5ed\uc124<\/b><\/h2>\n

    \uc218\ub9c9\uad6c\uade0 \uc9c8\ud658\uc758 \uc9c0\uc18d\uc801\uc778 \ubbf8\uc2a4\ud130\ub9ac \uc911 \ud558\ub098\ub294 \uce68\uc2b5\uc131 \uc9c8\ud658\uc758 \uc774\ubd09\uc131 \uc5f0\ub839 \ubd84\ud3ec\uc774\ub2e4: 1\uc138 \ubbf8\ub9cc \uc601\uc544\uc5d0\uc11c\uc758 \uc77c\ucc28 \uc815\uc810, \uadf8\ub9ac\uace0 15-24\uc138 \uccad\uc18c\ub144 \ubc0f \uc80a\uc740 \uc131\uc778\uc5d0\uc11c\uc758 \uc774\ucc28 \uc815\uc810. \uc138 \uac00\uc9c0 \uad50\ucc28 \uba54\ucee4\ub2c8\uc998\uc774 \ud604\uc7ac \uc81c\uc548\ub418\uace0 \uc788\ub2e4: (1) \uc790\uc5f0 \uba74\uc5ed\uc758 \uc1e0\ud1f4; (2) \uc804\ud30c\ub97c \ucd09\uc9c4\ud558\ub294 \ubcf4\uade0 \uc99d\uac00; (3) \ubcf4\uccb4 \uc2dc\uc2a4\ud15c \uc5ed\ud559.<\/span><\/p>\n

    3.2 \uc65c \uc77c\ubd80 \ub178\ucd9c\ub41c \uac1c\uc778\uc740 \ubc1c\ubcd1\ud558\uace0 \ub2e4\ub978 \uc0ac\ub78c\ub4e4\uc740 \uadf8\ub807\uc9c0 \uc54a\uc740\uac00<\/b><\/h2>\n

    \uc774\uac83\uc740 \uc218\ub9c9\uad6c\uade0 \uc0dd\ubb3c\ud559\uc5d0\uc11c \uac00\uc7a5 \uc911\uc694\ud558\uace0 \ubd88\uc644\uc804\ud558\uac8c \ub2f5\ub41c \uc9c8\ubb38 \uc911 \ud558\ub098\uc774\ub2e4. \uc9d1\ub2e8 \uc5f0\uad6c\ub294 \uc7a0\uc7ac\uc801\uc73c\ub85c \uce68\uc2b5\uc801\uc778 \uc218\ub9c9\uad6c\uade0 \uade0\uc8fc\ub97c \ud68d\ub4dd\ud55c \ub300\ub2e4\uc218\uc758 \uac1c\uc778\uc774 \ubb34\uc99d\uc0c1 \ubcf4\uade0\uc790\uac00 \ub428\uc744 \ubcf4\uc5ec\uc900\ub2e4. \uc544\ub9c8\ub3c4 \ud2b9\uc815 \ub3c5\ub825 \uade0\uc8fc \ud68d\ub4dd 3,000-5,000\uac74 \uc911 1\uac74\uc774 IMD\ub97c \ucd08\ub798\ud55c\ub2e4. \uc18c\uc778\uc774 \ub420 \uc218 \uc788\ub294 \uc694\uc778\uc5d0\ub294 \uc120\ud589 \ubc14\uc774\ub7ec\uc2a4\uc131 \uc0c1\uae30\ub3c4 \uac10\uc5fc, \ubcf4\uccb4 \uacbd\ub85c \uc720\uc804\uc801 \ubcc0\uc774, \ub9cc\ub178\uc2a4 \uacb0\ud569 \ub809\ud2f4 \ub2e4\ud615\uc131, \ub3d9\uc2dc \uc54c\ucf54\uc62c \uc911\ub3c5\uc774 \ud3ec\ud568\ub41c\ub2e4.<\/span><\/p>\n

    4. \ubc31\uc2e0 \ud604\ud669: \ube44\ud310\uc801 \ubd84\uc11d<\/b><\/h1>\n

    4.1 MenB \ubc31\uc2e0: \uc6b0\ub9ac\uac00 \uac00\uc9c4 \uac83\uacfc \uadf8\uac83\uc774 \ud558\ub294 \uac83<\/b><\/h2>\n

    \ud604\uc7ac \ub450 \uac00\uc9c0 \ud5c8\uac00\ub41c MenB \ubc31\uc2e0\uc774 \uc788\ub2e4: Bexsero(4CMenB, GSK)\uc640 Trumenba(\uc774\uac00 rLP2086, Pfizer). NHS \ub370\uc774\ud130\ub294 \uc601\uc720\uc544 MenB \ud504\ub85c\uadf8\ub7a8\uc774 \ubc31\uc2e0 \uc804 \ucd94\uc138\uc640 \ube44\uad50\ud558\uc5ec \uc811\uc885 \ucf54\ud638\ud2b8\uc758 MenB \uc9c8\ud658\uc744 \uc57d 75% \uac10\uc18c\uc2dc\ucf30\uc74c\uc744 \ub098\ud0c0\ub0b8\ub2e4. \uc774\ub294 \uc2e4\uc9c8\uc801\uc774\uc9c0\ub9cc \ubd88\uc644\uc804\ud55c \ubcf4\ud638\ub97c \ub098\ud0c0\ub0b8\ub2e4.<\/span><\/p>\n

    4.2 \ub300\ud559\uc0dd\uc73c\ub85c MenB \uc811\uc885 \ud655\ub300 \uadfc\uac70<\/b><\/h2>\n

    \uccad\uc18c\ub144 \ubc0f \uc80a\uc740 \uc131\uc778\uc5d0\uc11c\uc758 MenB \uc811\uc885\uc5d0 \uad00\ud55c \ub17c\uc7c1\uc740 \uc774 \uc9d1\ub2e8\ubc1c\uc0dd\ubcf4\ub2e4 \uc218\ub144 \uc55e\uc120\ub2e4. \ube44\uc6a9 \ud6a8\uacfc \uacc4\uc0b0\uc740 \uc9c4\uc815\uc73c\ub85c \ubcf5\uc7a1\ud558\ub2e4: IMD\ub294 \ub4dc\ubb3c\uba70(<1\/100,000), \ubc31\uc2e0\uc740 \ube44\uc2f8\uace0(\uc131\uc778\uc758 \uacbd\uc6b0 2\ud68c \uc811\uc885 \ud544\uc694, \ub3c4\uc2a4\ub2f9 \uc57d 150-200\ud30c\uc6b4\ub4dc), \ubcf4\ud638\ub294 \ubd88\uc644\uc804\ud558\uace0 \uade0\uc8fc \uc758\uc874\uc801\uc774\ub2e4. \uadf8\ub7ec\ub098 \uc774 \ubaa8\ub378\uc740 \ub2e4\uc74c\uc744 \uace0\ub824\ud560 \ub54c \uc0c1\ub2f9\ud788 \ubcc0\ud55c\ub2e4: (1) \uacb0\uacfc\uc758 \uc2ec\uac01\uc131\u2014\uc57d 8-15%\uc758 \uc0ac\ub9dd\ub960; (2) \ud2b9\uc815 \uc704\ud5d8 \uc9d1\ub2e8(\ub300\ud559\uc0dd)\uc5d0\uc11c\uc758 \uc704\ud5d8 \uc9d1\uc911; (3) \uc9d1\ub2e8\ubc1c\uc0dd \uad00\ub9ac\uc758 \uac04\uc811 \ube44\uc6a9.<\/span><\/p>\n\n\n\n
    \ud83d\udca1 \uc815\ucc45 \uad00\uc810: \ud638\uc8fc, \uc544\uc77c\ub79c\ub4dc, \uadf8\ub9ac\uace0 \ubbf8\uad6d\uc758 \uc5ec\ub7ec \uc8fc\ub294 \uc774\ubbf8 \uccad\uc18c\ub144 \ubc0f \ub300\ud559 \uc2e0\uc785\uc0dd\uc5d0\uac8c MenB \uc811\uc885\uc744 \uc81c\uacf5\ud558\uac70\ub098 \ud655\ub300\ud558\uace0 \uc788\ub2e4. \uce94\ud130\ubca0\ub9ac \uc0ac\uac74\uc740 \ucea0\ud37c\uc2a4 \ud658\uacbd\uc5d0\uc11c\uc758 \uc9d1\ub2e8\ubc1c\uc0dd \uc99d\ud3ed \uc704\ud5d8\uc5d0 \ub300\ud55c \uadfc\ubcf8\uc801\uc778 \uc7ac\ud3c9\uac00\ub97c \ucd09\uad6c\ud574\uc57c \ud55c\ub2e4.<\/span><\/i><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    5. \uc784\uc0c1\uc801 \uc778\uc2dd: \uad50\uacfc\uc11c\ub97c \ub118\uc5b4\uc120 \ud504\ub808\uc784\uc6cc\ud06c<\/b><\/h1>\n

    5.1 \ucc98\uc74c \uba87 \uc2dc\uac04\uc758 \uc9c4\ub2e8 \uacfc\uc81c<\/b><\/h2>\n

    IMD\uc758 \uc784\uc0c1 \uc9c4\ub2e8\uc740 \uc758\ud559\uc5d0\uc11c \uac00\uc7a5 \uc2dc\uac04\uc774 \uc911\uc694\ud55c \uac83 \uc911 \ud558\ub098\uc774\ub2e4. \uc804\uaca9\uc131 \uc218\ub9c9\uad6c\uade0\ud608\uc99d\uc5d0\uc11c \uc99d\uc0c1 \ubc1c\ud604\ubd80\ud130 \uc0ac\ub9dd\uae4c\uc9c0\uc758 \ud3c9\uade0 \uc2dc\uac04\uc740 12-24\uc2dc\uac04\uc73c\ub85c \uc9e7\uc744 \uc218 \uc788\ub2e4. \ucd08\uae30 \uc99d\uc0c1\u2014\ubc1c\uc5f4, \uadfc\uc721\ud1b5, \ub450\ud1b5, \uad8c\ud0dc\uac10\u2014\uc740 \ucc98\uc74c 4-6\uc2dc\uac04 \ub3d9\uc548 \uc778\ud50c\ub8e8\uc5d4\uc790\ub098 \ubc14\uc774\ub7ec\uc2a4 \uc99d\ud6c4\uad70\uacfc \uad6c\ubcc4\ud560 \uc218 \uc5c6\ub2e4.<\/span><\/p>\n

    \uace0\uc804\uc801\uc778 \uad50\uc721\u2014\ubc1c\uc5f4+\ub450\ud1b5+\uacbd\ubd80 \uac15\uc9c1+\ubc1c\uc9c4\u2014\uc740 \ud6c4\uae30 \uc9c8\ud658\uc744 \ub098\ud0c0\ub0b8\ub2e4. \ube44\ubc31\ud654 \uc810\uc0c1 \ub610\ub294 \uc790\ubc18\uc131 \ubc1c\uc9c4\uc774 \ubcf4\uc77c \ub54c, \ud328\ud608\uc99d \uce90\uc2a4\ucf00\uc774\ub4dc\ub294 \uc774\ubbf8 \uc9c4\ud589\ub418\uc5b4 \uc788\ub2e4. \uc5c5\ub370\uc774\ud2b8\ub41c NICE \uc9c0\uce68(2024)\uc740 \ubc1c\uc9c4\uc758 \ubd80\uc7ac\ub85c \uc778\ud574 \uac70\uc9d3\uc73c\ub85c \uc548\uc2ec\ud558\uc9c0 \ub9d0\ub3c4\ub85d \uc784\uc0c1\uc758\uc5d0\uac8c \uc801\uc808\ud558\uac8c \uacbd\uace0\ud558\uace0 \uc788\ub2e4.<\/span><\/p>\n

    5.2 \uc989\uac01\uc801 \ud589\ub3d9\uc744 \ucd09\ubc1c\ud574\uc57c \ud558\ub294 \uc801\uc2e0\ud638<\/b><\/h2>\n
      \n
    • \uac11\uc791\uc2a4\ub7ec\uc6b4 \ubc1c\ud604\uc758 \uc2ec\ud55c \ub450\ud1b5(\uc9c0\uae08\uae4c\uc9c0 \uacaa\uc740 \uac00\uc7a5 \uc2ec\ud55c \ub450\ud1b5), \ud2b9\ud788 \ube60\ub974\uac8c \uc545\ud654\ub418\ub294 \uacbd\uc6b0<\/span><\/li>\n
    • \uacbd\ubd80 \uac15\uc9c1 \ub610\ub294 \ubaa9 \uad74\uace1 \uc2dc \ud1b5\uc99d<\/span><\/li>\n
    • \ubc1c\uc5f4\uc744 \ub3d9\ubc18\ud55c \uadf9\ub3c4\uc758 \ubb34\uae30\ub825\u2014\uae68\uc6b0\uae30 \uc5b4\ub824\uc6c0, \ube44\uc815\uc0c1\uc801 \uc878\ub9bc<\/span><\/li>\n
    • \ubc1c\uc5f4 \uc2dc \ucc28\uac00\uc6b4 \ub9d0\ub2e8\ubd80(\ucd08\uae30 \ud608\uc5ed\ud559\uc801 \uc190\uc0c1)<\/span><\/li>\n
    • \uc544\ubb34\ub9ac \uc791\ub354\ub77c\ub3c4 \ube44\ubc31\ud654 \ud53c\ubd80 \ubcd1\ubcc0\u2014\ub2e8\uc77c \uc810\uc0c1\ucd9c\ud608\ub3c4 \uae34\uae09 \ud3c9\uac00 \ud544\uc694<\/span><\/li>\n
    • \ubc1c\uc5f4\uc744 \ub3d9\ubc18\ud55c \uad11\uacfc\ubbfc\uc99d\uacfc \uc74c\uacfc\ubbfc\uc99d\uc758 \uc870\ud569<\/span><\/li>\n
    • \ubc1c\uc5f4\uc744 \ub3d9\ubc18\ud55c \ud63c\ub780, \ud765\ubd84 \ub610\ub294 \uc131\uaca9 \ubcc0\ud654<\/span><\/li>\n<\/ul>\n

      6. \uc751\uae09 \uce58\ub8cc \ud504\ub85c\ud1a0\ucf5c<\/b><\/h1>\n

      6.1 \ubcd1\uc6d0 \uc804 \uad00\ub9ac<\/b><\/h2>\n

      \ubcd1\uc6d0 \uc804 \uad00\ub9ac\uc758 \ud575\uc2ec \uc6d0\uce59\uc740: \ud56d\uc0dd\uc81c\ub97c \uc704\ud574 \ubcd1\uc6d0\uc73c\ub85c\uc758 \uc774\uc1a1\uc744 \uc9c0\uc5f0\uc2dc\ud0a4\uc9c0 \ub9d0\ub77c\ub294 \uac83\uc774\ub2e4. \ubcd1\uc6d0 \uc804 \ud56d\uc0dd\uc81c \ud22c\uc5ec\ub97c \uc704\ud574, 2026\ub144 NHS \uc789\uae00\ub79c\ub4dc \uc9c0\uce68\uc758 \uc120\ud638 \uc57d\uc81c\ub85c \ub2e8\ud68c \uc138\ud504\ud2b8\ub9ac\uc545\uc190 IV\/IM\uc774 \uad8c\uc7a5\ub41c\ub2e4. \uc138\ud504\ud2b8\ub9ac\uc545\uc190\uc774 \uc5c6\ub294 \uacbd\uc6b0 \ubca4\uc9c8\ud398\ub2c8\uc2e4\ub9b0\uc774 \ud5c8\uc6a9 \uac00\ub2a5\ud55c \ub300\uc548\uc774\ub2e4.<\/span><\/p>\n

      6.2 \uc6d0\ub0b4 \uc751\uae09 \uad00\ub9ac<\/b><\/h2>\n

      \ubcd1\uc6d0 \ub0b4\uc5d0\uc11c \uad00\ub9ac \uacbd\ub85c\ub294 NICE NG240(2024\ub144 3\uc6d4 \uc5c5\ub370\uc774\ud2b8)\uc744 \ub530\ub77c\uc57c \ud55c\ub2e4: \uc989\uac01\uc801\uc778 \uace0\uc704 \ud3c9\uac00, \uac00\ub2a5\ud558\ub2e4\uba74 \ud56d\uc0dd\uc81c \uc804 \ud608\uc561 \ubc30\uc591, \uc785\uc6d0 1\uc2dc\uac04 \uc774\ub0b4 \uc138\ud504\ud2b8\ub9ac\uc545\uc190 IV 2g, \uc2e0\uacbd\ud559\uc801 \ud6c4\uc720\uc99d\uc744 \uc904\uc774\uae30 \uc704\ud55c \ub371\uc0ac\uba54\ud0c0\uc190 IV, \ub450\uac1c\ub0b4\uc555 \uc0c1\uc2b9 \uc9d5\ud6c4\uac00 \uc788\ub294 \uacbd\uc6b0 CT \ud6c4 \uc694\ucd94 \ucc9c\uc790, \uc21c\ud658 \uc190\uc0c1 \uc99d\uac70\uac00 \uc788\ub294 \uacbd\uc6b0 ICU\/HDU \uc758\ub8b0.<\/span><\/p>\n

      7. \uc7a5\uae30 \ud6c4\uc720\uc99d: \uc228\uaca8\uc9c4 \ubd80\ub2f4<\/b><\/h1>\n

      \uc218\ub9c9\uad6c\uade0\uc131 \ub1cc\ub9c9\uc5fc \ubc0f \ud328\ud608\uc99d \uc0dd\uc874\uc790\uc758 \uc57d 10-20%\uac00 \uc0c1\ub2f9\ud55c \uc7a5\uae30 \ud6c4\uc720\uc99d\uc744 \uacbd\ud5d8\ud558\uba70, \uc5ec\uae30\uc5d0\ub294 \ub2e4\uc74c\uc774 \ud3ec\ud568\ub41c\ub2e4: \uac10\uac01\uc2e0\uacbd\uc131 \uccad\ub825 \uc190\uc2e4(MenB \ub1cc\ub9c9\uc5fc \uc0dd\uc874\uc790\uc758 \uc57d 10%\uc5d0\uc11c \ubc1c\uc0dd), \uc218\uc220\uc774 \ud544\uc694\ud55c \ud53c\ubd80 \ubc0f \uc5f0\uc870\uc9c1 \uad34\uc0ac, \uc778\uc9c0 \ubc0f \uc2e0\uacbd\ud559\uc801 \uc190\uc0c1, \uc678\uc0c1 \ud6c4 \uc2a4\ud2b8\ub808\uc2a4 \uc7a5\uc560(PTSD), \ubd80\uc2e0 \uae30\ub2a5 \ubd80\uc804.<\/span><\/p>\n

      8. \uacb0\ub860 \ubc0f \uad8c\uace0\uc0ac\ud56d<\/b><\/h1>\n

      2026\ub144 \uce94\ud130\ubca0\ub9ac MenB \uc9d1\ub2e8\ubc1c\uc0dd\uc740 \uacf5\uc911\ubcf4\uac74 \ube44\uc0c1\uc0ac\ud0dc\uc774\uc790 \uacfc\ud559\uc801 \uae30\ud68c\uc774\ub2e4. \uadf8\uac83\uc740 \uc6b0\ub9ac \uc811\uc885 \uc804\ub7b5\uc758 \uc911\uc694\ud55c \ucde8\uc57d\uc131\uc744 \ub4dc\ub7ec\ub0c8\uace0, MenB \ubcf4\ud638\uc758 \uc0dd\ubb3c\ud559\uc801 \ubcf5\uc7a1\uc131\uc744 \ubd80\uac01\uc2dc\ucf30\uc73c\uba70, \uc801\uc808\ud55c \ubcd1\uc6d0\uccb4\uac00 \uba74\uc5ed\ud559\uc801\uc73c\ub85c \ucde8\uc57d\ud558\uace0 \ud589\ub3d9\uc801\uc73c\ub85c \ub178\ucd9c\ub41c \uc778\uad6c\uc640 \ub9cc\ub0a0 \ub54c \uc218\ub9c9\uad6c\uade0 \uc9c8\ud658\uc774 \uc5bc\ub9c8\ub098 \ube60\ub974\uac8c \ud655\ub300\ub420 \uc218 \uc788\ub294\uc9c0\ub97c \ubcf4\uc5ec\uc8fc\uc5c8\ub2e4.<\/span><\/p>\n

        \n
      • \uc989\uc2dc: \uc804\uad6d\uc758 \uc784\uc0c1\uc758\ub294 \uc80a\uc740 \uc131\uc778\uc5d0\uc11c IMD\uc5d0 \ub300\ud55c \ub192\uc740 \uc784\uc0c1\uc801 \uc758\uc2ec\uc744 \uc720\uc9c0\ud574\uc57c \ud55c\ub2e4.<\/span><\/li>\n
      • \ub2e8\uae30: JCVI\ub294 \ub300\ud559 \uc2e0\uc785\uc0dd\uc5d0\uc11c\uc758 MenB \uc811\uc885 \uac80\ud1a0\ub97c \uac00\uc18d\ud654\ud574\uc57c \ud55c\ub2e4.<\/span><\/li>\n
      • \uc911\uae30: UKHSA \ubc0f \ud559\uc220 \ud30c\ud2b8\ub108\ub4e4\uc740 \uc774 \uc9d1\ub2e8\ubc1c\uc0dd\uc5d0\uc11c\uc758 \ud3ec\uad04\uc801\uc778 \uc720\uc804\uccb4 \ubc0f \uc5ed\ud559\uc801 \ub370\uc774\ud130\ub97c \ubc1c\ud45c\ud574\uc57c \ud55c\ub2e4.<\/span><\/li>\n
      • \uc7a5\uae30: \ub354 \ub113\uc740 \uade0\uc8fc \ucee4\ubc84\ub9ac\uc9c0\ub97c \uac00\uc9c4 \ucc28\uc138\ub300 MenB \ubc31\uc2e0\uc5d0 \ub300\ud55c \ud22c\uc790\uac00 \ud544\uc218\uc801\uc774\ub2e4.<\/span><\/li>\n<\/ul>\n

        \ucc38\uace0: \uc774 \ub17c\ubb38\uc740 BMJ(doi:10.1136\/bmj.s537)\uc758 Emma Wilkinson \ubcf4\uace0, UKHSA \ubc0f NHS \uc789\uae00\ub79c\ub4dc\uc758 \uacf5\uc911\ubcf4\uac74 \uc9c0\uce68, NICE \uc9c0\uce68 NG240\uc744 \uae30\ubc18\uc73c\ub85c \ud55c\ub2e4. \uc6d0\ubcf8 \ubd84\uc11d \uae30\uc5ec, \uc804\ubb38\uac00 \ub17c\ud3c9, \ud655\uc7a5\ub41c \uacfc\ud559\uc801 \ub17c\uc758\ub294 \uc800\uc790\uc758 \uac83\uc774\ub2e4. \uc774\ud574\ucda9\ub3cc \uc5c6\uc74c.<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"

        \uc11c\ubb38: \uc65c \uc774 \uc9d1\ub2e8\ubc1c\uc0dd\uc740 \ud2b9\ubcc4\ud55c \uc8fc\uc758\ub97c \uc694\ud558\ub294\uac00 \uce68\uc2b5\uc131 \uc218\ub9c9\uad6c\uade0 \uac10\uc5fc\uc99d(IMD)\uc744 20\ub144 \uc774\uc0c1 \uc5f0\uad6c\ud574 \uc628 \uc784\uc0c1\uc758 \ubc0f \uc5f0\uad6c\uc790\ub85c\uc11c, \ub098\ub294 ‘\uc804\ub840 \uc5c6\ub294’\uc774\ub77c\ub294 \ub2e8\uc5b4\ub97c \uac70\uc758 \uc0ac\uc6a9\ud558\uc9c0 \uc54a\ub294\ub2e4. \uadf8\ub7ec\ub098 \uadf8\uac83\uc774 \ubc14\ub85c \uc5ec\ub7ec \uace0\uc704 \uacf5\uc911\ubcf4\uac74 \uad00\ub9ac\ub4e4\uc774 2026\ub144 \uce94\ud130\ubca0\ub9ac \uc9d1\ub2e8\ubc1c\uc0dd\uc744 \ubb18\uc0ac\ud558\uae30 \uc704\ud574 \uc0ac\uc6a9\ud55c \ub2e8\uc5b4\uc774\ub2e4. 3\uc6d4 19\uc77c \ud604\uc7ac, \ub300\ud559 \ub098\uc774\ud2b8\ud074\ub7fd\uc5d0\uc11c\uc758 \ub2e8\uc77c \ucd08\uc804\ud30c \uc774\ubca4\ud2b8\ub85c\ubd80\ud130 27\uac74\uc758 \uc2e4\ud5d8\uc2e4 \uc5f0\uad00 \uc0ac\ub840\uc640 2\uac74\uc758 \ud655\uc778\ub41c \uc0ac\ub9dd\uc774 \ubcf4\uace0\ub418\uc5c8\ub2e4\u2014\ud45c\uc900 \uc9d1\ub2e8\ubc1c\uc0dd […]<\/p>\n","protected":false},"author":382,"featured_media":102281,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[426,482],"tags":[552,548,550,549,551,547,553,554],"coauthors":[377],"class_list":["post-102294","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-hoc-va-mien-dich-hoc","category-sinh-ly-benh-hoc","tag-552","tag-548","tag-550","tag-549","tag-551","tag--b","tag-553","tag-554"],"vsh_author_info":{"id":"382","name":"Nghi\u00ean C\u1ee9u - Vietnam ScholarHub","avatar":"https:\/\/scholar.com.vn\/wp-content\/uploads\/2026\/02\/ScholarHub-logo.png","is_verified":true,"workplace":"Vietnam ScholarHub","keywords":"research@scholar.com.vn"},"vsh_post_type":"standard","views":"308","citations":"0","altmetric":"0","_links":{"self":[{"href":"https:\/\/scholar.com.vn\/wp-json\/wp\/v2\/posts\/102294","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scholar.com.vn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/scholar.com.vn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/scholar.com.vn\/wp-json\/wp\/v2\/users\/382"}],"replies":[{"embeddable":true,"href":"https:\/\/scholar.com.vn\/wp-json\/wp\/v2\/comments?post=102294"}],"version-history":[{"count":0,"href":"https:\/\/scholar.com.vn\/wp-json\/wp\/v2\/posts\/102294\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/scholar.com.vn\/wp-json\/wp\/v2\/media\/102281"}],"wp:attachment":[{"href":"https:\/\/scholar.com.vn\/wp-json\/wp\/v2\/media?parent=102294"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/scholar.com.vn\/wp-json\/wp\/v2\/categories?post=102294"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/scholar.com.vn\/wp-json\/wp\/v2\/tags?post=102294"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/scholar.com.vn\/wp-json\/wp\/v2\/coauthors?post=102294"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}