KHẢO SÁT ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN VIÊM PHỔI Ở TRẺ TỪ 2 THÁNG ĐẾN 5 TUỔI TẠI BỆNH VIỆN SẢN NHI TỈNH HẬU GIANG

Abstract

Objectives: (1) Determine clinical and subclinical characteristics of pneumonia in children from 2 months to 5 years old at Hau Giang Obstetrics and Pediatrics Hospital. (2) To find some factors related to the severity of pneumonia in children from 2 months to 5 years old at Hau Giang Obstetrics and Pediatrics Hospital. Methods: A descriptive cross-sectional study on 117 children from 2 months to 5 years old diagnosed with pneumonia according to WHO 2013 received inpatient treatment at Hau Giang Obstetrics and Pediatrics Hospital. Results: In the study 31,6% severe pneumonia, 68,4% pneumonia. Groups from 2 months to less than 12 months old 35,1%, the group from 1 to 5 years old 58,1%. Clinical symptoms: cough 99,1%, fever 71,7%, rales wet/crackles 78,6%, rapid breathing 41,9%. Injury on chest radiography 49,6%. The leukocyte formula with 49.6% increased the number of leukocytes ≥ 12 G/l; 0,9% with the number of leukocytes < 4 G/l. Risk factors associated with severe pneumonia were young age, gender, occupation of parents, anemia, cesarean section, history of upper respiratory tract infection 3 times in the last year with corrected ORs of 3,412 (1,514- 7,690), 2,34 (1,05 – 5,2), 2,726 (1,223-6,074), 4,007 (1,685 – 9,530), 12,536 (2.552 – 61,586), 7,474 (2,89 - 19,264). Conclusion: The study on 117 cases including 37 children with severe pneumonia and 80 children with pneumonia. Clinical symptoms: cough, fever, rales wet/ crackles, rapid breathing is the most popular. Photos of chest injury x-ray 49,6%. Risk factors associated with severe pneumonia were young age, gender, occupation of parents, anemia, cesarean section, history of upper respiratory tract infection 3 times in the last year.