ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐẶC ĐIỂM VI KHUẨN HỌC CỦA VIÊM PHỔI TÁI DIỄN NẶNG TẠI BỆNH VIỆN TRẺ EM HẢI PHÒNG 2021-2022

Abstract

Objective: (1) To describe the clinical and paraclinical characteristics of severe recurrent pneumonia at Hai Phong Children's Hospital in 2021 - 2022. (2) To describe some bacteriological characteristics of severe recurrent pneumonia in the above children. Subjects and methods: Retrospective descriptive study suitable for research. Results: There were 99 patients with severe recurrent pneumonia in this study with the majority of children under 12 months old. Severe recurrent pneumonia was more common in boys than in girls (male/female: 1.74/1). 79.8% of children had less than 3 episodes of pneumonia. Common symptoms were: rapid breathing (100%), cough (100%), fever (68.7%), chest indrawing (64.6%), wheezing (51.5%), moist rales (92.9%). Paraclinical tests showed that 64.6% of children had increased white blood cell counts; 58.9% of children had increased CRP. Main lesions on chest X-ray were scattered opacities (52.5%) and interstitial lesions (28.3%). The bacteria isolated in children with severe recurrent pneumonia were S. pneumoniae (19/60), M. catarrhalis (13/60), S. aureus (13/60) and HI (10/60). Conclusion: Our study has identified some clinical and paraclinical symptoms in children with severe recurrent pneumonia at Hai Phong Children's Hospital, thereby contributing to improving diagnosis and treatment of severe recurrent pneumonia in children.