ĐẶC ĐIỂM CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ CÚM MÙA Ở TRẺ EM TẠI BỆNH VIỆN NHI HẢI DƯƠNG

Abstract

Objective: To describe the paraclinical characteristics and evaluate the treatment outcomes of seasonal influenza in children at Hai Duong Children's Hospital. Subjects and Methods: A cross-sectional descriptive study was conducted on 252 pediatric patients diagnosed with seasonal influenza and hospitalized at Hai Duong Children's Hospital from July 1, 2023, to June 30, 2024. Results: Regarding paraclinical findings, 31.3% of patients had leukocytosis, 35.7% had pulmonary lesions on chest X-ray, and 21.4% had co-infections with other pathogens. For treatment, 83.3% of patients received oseltamivir, with 59.5% treated early within the first 48 hours. Late oseltamivir treatment after 48 hours increased the risk of complications by 3.8 times (p=0.003) and the risk of pneumonia by 4.3 times (p=0.001) compared to the early treatment group. The median hospital stay in the early oseltamivir group was 5 days, significantly shorter than 6 days in the late treatment group (p=0.003). Antibiotics were used in 96.4% of patients. The recovery rate was 81%. Conclusions: Paraclinical characteristics showed a considerable proportion of patients with signs of co-infection or complications. Early oseltamivir used significantly reduced complication rates, pneumonia incidence, and shortened treatment duration. The antibiotic usage rate remains high and needs optimization consideration.