BACTERIAL CO-INFECTION IN PEDIATRIC PATIENTS WITH PNEUMONIA CAUSED BY RESPIRATORY SYNCYTIAL VIRUS
Main Article Content
Abstract
Objective: To determine the etiology of bacterial co-infection in children with respiratory syncytial virus (RSV) pneumonia treated at Vietnam National Children's Hospital. Subjects and methods: A descriptive study was conducted on children aged 1-24 months with community-acquired pneumonia caused by RSV, hospitalized at the Center for Pulmonology and Respiratory Care, Vietnam National Children's Hospital, from August 2022 to June 2024. Results: The detection rate of bacteria in nasopharyngeal samples using Real-time PCR for seven bacteria was 47.3%, while bacterial culture yielded a positive result in 36.9% of cases. Real-time PCR identified H. influenzae as the most common pathogen (53.4%), followed by S. pneumoniae (24%). Co-infection with S. pneumoniae and H. influenzae was found in 15.5% of cases. Bacterial culture identified H. influenzae as the most prevalent pathogen (55.7%), followed by S. pneumoniae (14.4%), M. catarrhalis (11.5%), and S. aureus (10.6%). Both Real-timePCR and bacterial culture were positive in 71/283 (25.1%) cases, while both were negative in 42.8% of cases. Conclusion: Bacterial co-infection is common in children with community-acquired pneumonia caused by RSV. H. influenzae and S. pneumoniae are the most frequent pathogens. Real-time PCR and bacterial culture are commonly used methods, showing relatively high concordance in detecting bacterial co-infection.
Article Details
Keywords
pneumonia, children, respiratory syncytial virus (RSV), bacteria, co-infection
References
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