NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VIÊM PHỔI DO VI RÚT HỢP BÀO HÔ HẤP (RSV) Ở TRẺ EM DƯỚI 5 TUỔI TẠI BỆNH VIỆN NHI HẢI DƯƠNG NĂM 2022

Abstract

Pneumonia is an acute respiratory infection common in young children, especially children under 5 years old, and is the main cause of death in children. Viruses are the leading cause of pneumonia in children, of which Respiratory Syncytial Virus (RSV) is the most common cause. Objective: Describe clinical and paraclinical characteristics of RSV pneumonia in children under 5 years old at Hai Duong Children's Hospital. Study subjects: 352 patients under 5 years old with RSV pneumonia from June 1, 2022 to December 31, 2022. Research method: Retrospective. Results: RSV pneumonia rates gradually increase from June to September, highest in July (28.3%), mainly in the age group from 2 to 24 months old (69.6%). Common clinical symptoms are cough (98.9%), rapid breathing (81.2%), fever (66.2%), wheezing (44%), On auscultation, there was coarse crackle (97%), sibilant rhonchus (51.4%), and the rate of severe pneumonia is 7.7%. Most patients have a general picture on X-ray of bronchial wall/adrenal tissue thickening (90.3%), the average white blood cell count and CRP are 9.55±3.8 G/L and 5.97±9.24 mg/L. Conclusion: In the last 6 months of 2022, the rate of RSV pneumonia is concentrated from June to September, highest in July. The most common clinical symptoms are cough, rapid breathing, fever, and coarse crackle. There are images of managed/organized thickening on X-ray, mostly no change in white blood cell count and CRP. The rate of severe pneumonia due to RSV is 7.7%.