ETIOLOGY AND RESULTS OF TREATMENT OF CHILDREN WITH SEVERE PNEUMONIA AT THE NATIONAL CHILDREN’S HOSPITAL

Quang Đạo Tạ , Thị Diệu Thúy Nguyễn, Văn Nhã Phan, Thu Nga Phạm

Main Article Content

Abstract

Severe pneumonia (SP) is the main cause of death in children under 5 years old. Early identification of causes and early treatment of pneumonia play an important role in minimizing complications as well as treatment costs for patients. Objective: To describe the etiology and the results of treatment of severe pneumonia in children from 2 months to 5 years old. Study subjects: 128 patients from 2 months to 5 years old with SP were hospitalized at the Respiratory Center of  National Children’s Hospital from July 1, 2023 to Jun 30, 2024. Methods: There was a cross-sectional study. Results: 76.6% of microbiological pathogen was found among 128 children hospitalized with SP,  in which,  viruses were 31,3%, bacteria were 18,7% and co-infections were 26,6%. RSV and H.influenzae were the most common causes. The average duration of oxygen therapy and treatment were 7.6±6.1 days and 10.8±6.3 days, respectively. Treatment results: 88.3% of patients had cured/improved. Conclusion: RSV and H.influenzae were most common microorganisms pathogen causing SP in children from 2 months to 5 years old. The treatment success rate was 88.3%.

Article Details

References

1. Kallander K, Burgess DH, Qazi SA. Early identification and treatment of pneumonia: a call to action. Lancet Glob Health. 2016;4(1):e12-e13. doi:10.1016/S2214-109X(15)00272-7
2. Rudan I, O’Brien KL, Nair H, et al. Epidemiology and etiology of childhood pneumonia in 2010: Estimates of incidence, severe morbidity, mortality, underlying risk factors and causative pathogens for 192 countries. J Glob Health. 2013;3(1): 010401. doi:10.7189/ jogh.03.010401
3. Bénet T, Picot VS, Awasthi S, et al. Severity of Pneumonia in Under 5-Year-Old Children from Developing Countries: A Multicenter, Prospective, Observational Study. Am J Trop Med Hyg. 2017;97(1):68-76. doi:10.4269/ajtmh.16-0733
4. Pocket book of hospital care for children: Second edition. Accessed March 27, 2023. https://www.who.int/publications-detail-redirect/978-92-4-154837-3
5. Nhị Hà T, Thị Hồng Hanh L. Kết ủa điều trị viêm phổi nặng ở trẻ từ 1 tháng đến 5 tuổi tại tỉnh Quảng ninh. Tạp Chí Học Việt Nam. 2021;504(2). doi:10.51298/vmj.v504i2.922
6. Jonnalagadda S, Rodríguez O, Estrella B, Sabin LL, Sempértegui F, Hamer DH. Etiology of severe pneumonia in Ecuadorian children. PLoS ONE. 2017;12(2): e0171687. doi:10.1371/journal. pone.0171687
7. O’Brien KL, Baggett HC, Brooks WA, et al. Causes of severe pneumonia requiring hospital admission in children without HIV infection from Africa and Asia: the PERCH multi-country case-control study. The Lancet. 2019;394(10200):757-779. doi:10.1016/S0140-6736(19)30721-4
8. Ngô MX. Kết quả điều trị viêm phổi nặng ở trẻ từ 2 tháng đến 5 tuổi tại bệnh viện nhiệt đới thành phố Hồ Chí Minh. Tạp Chí Học Việt Nam. 2021;502(2). doi:10.51298/vmj.v502i2.653