ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở TRẺ VIÊM PHỔI TÁI DIỄN TẠI BỆNH VIỆN ĐA KHOA TỈNH VĨNH PHÚC

Abstract

We aimed to describe the clinical and subclinical characteristics among children with recurrent pneumonia at Vinh Phuc General Hospital. Material and Method: Our study included 166 patients aged 2 months to 5 years old with recurrent pneumonia between 1st August 2023 to 31st July 2024. Results: Among 166 children with recurrent pneumonia, the majority were males (57.8%), ratio of male/female: 1.37:1. The age of advanced recurrent pneumonia children were 13-60 months (64.3%). Children with recurrent pneumonia ≤3 reinfection episodes account for 80.7%; The average number of reinfection episodes with pneumonia was 2.82±0.96 episodes (2-5 episodes). The most common symptoms of recurrent pneumonia in the group of children 2-≤12 months old were fever, cough, upper respiratory tract inflammation, pulmonary rales (100%), and wheezing (93.2%), chest indrawing (27.1%), breathing disorders (6.8%). There were also rales in the lungs, fever, cough (100%), respiratory infections (99.1%), wheezing (84.1%), chest indrawing (15.0%) in children 13-60 months. On a chest X-ray lung abnormalities will either present as areas of nodules were the most common. The viruses associated with recurrent pneumonia in children were RSV (12.3%), influenza A (2.0%) and Mycoplasma (1.5%). Conclusions: The majority of children aged 2 months to 5 years with recurrent pneumonia had an upper respiratory tract infection syndrome, cough, wheezing, lung rales, and chest X-ray with nodular lesions.