KẾT QUẢ ĐIỀU TRỊ SỐT XUẤT HUYẾT DENGUE CÓ DẤU HIỆU CẢNH BÁO VÀ NẶNG Ở TRẺ EM TẠI BỆNH VIỆN NHI TRUNG ƯƠNG

Abstract

Objectives: Comment the results of treatment dengue with warning signs and severe dengue fever at National Children's Hospital. Materials and methods: Descriptive cross-sectional study. 205 children with confirmed diagnosis of Dengue with warning signs (DWWS) and severe Dengue (SD) fever being treated at National Children's Hospital in 2023. Results: Of the 205 patients enrolled in the study, 82,4% had DWWS and 17,6% had SD, including Dengue shock syndrome (DSS) (15,1%), SD with organ impairment (1,5%), severe bleeding (1%). 100% of the patients recovered well, with no fatalities. During the treatment of the DWWS, 71% of cases required only oral rehydration with Oresol, while 29% used crystalloid. In DSS, the rate of using only crystalloid was 32,3%, used crystalloid and colloid therapy was needed in 67,7% of cases, 9,7% of the patients had Albumin infusion. The mean total fluid volume was 111.76 ± 34.82 ml/kg and mean infusion time was 18.7 ± 7.64 hours. The rate of SD needed to respiratory support methods: nasal cannula (33,3%), NCAP (0%). Conclusions: Appropriate intervention and optimal infusion according to the Dengue hemorrhagic fever regimen - 2019 by Ministry of Health had lowered complications and mortality of the diseases.