ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ MỘT SỐ TÁC NHÂN VI KHUẨN VIÊM PHỔI LIÊN QUAN THỞ MÁY TRÊN TRẺ TỪ 2 THÁNG ĐẾN 15 TUỔI TẠI KHOA HỒI SỨC TÍCH CỰC VÀ CHỐNG ĐỘC BỆNH VIỆN NHI ĐỒNG CẦN THƠ

Abstract

Background: Mechanical ventilation plays an important role in the treatment of seriously ill patients in the Intensive Care Unit. Besides the effectiveness, children prescribed mechanical ventilation will have many risks, including the risk of ventilator-associated pneumonia. Research objective: Describe clinical and paraclinical characteristics and determine the proportion of some agents in children with ventilator-associated pneumonia. Research objects and methods: Cross-sectional descriptive study with analysis 52 patients. Results: 40.4% of children from 2 months to 11 months, etiology of meningoencephalitis (28.8%), white blood cells increased with age (55.8%), median white blood cell count was 13.3 k/mm³. Pro-calcitonin increased (78.3%) and median was 1.54 ng/ml. ETA culture was positive (65.4%), Acinetobacter baumannii and Pseudomonas aeruginosa accounted for the highest proportion (26.5%). The rate of Gram-positive bacteria in early ventilator-associated pneumonia was higher than that in late ventilator-associated pneumonia, but the difference was not statistically significant (p>0.05). Conclusion: Most children were from 2 to 11 months, there were more males than females and the rate of malnutrition was quite high. Indication for being intubated was neurological diseases. Fever appeared in most cases of ventilator-associated pneumonia. Pro-calcitonin had variable values ​​in many studies. In cases of positive ETA cultures, Acinetobacter baumannii and Pseudomonas aeruginosa were the 2 bacterial agents at the highest rates.