CLINICAL AND SUBCLINICAL CHARACTERISTICS OF CHILDREN WITH RSV COMMUNITY-ACQUIRED PNEUMONIA AT THE PEDIATRIC CENTER - BACH MAI HOSPITAL
Main Article Content
Abstract
RSV is the most common viral pathogen of community-acquired pneumonia (CAP) in children. Objectives: To describe the clinical and subclinical characteristics of children with RSV pneumonia in the community. Methods: There was a case series study in 93 children with RSV pneumonia at the Pediatric Center of Bach Mai Hospital from September 2023 to September 2024. The nasopharyngeal swab specimens were collected and tested for RSV using the real-time polymerase chain reaction (RT-PCR). Results: The mean age of children with RSV pneumonia was 21 months. Outpatients accounted for 69.9%. Co-infection was 84,9% (79/93), with Haemophilus influenzae (64.5%) and Streptococcus pneumoniae (62.4%). Common clinical symptoms were: cough (98.9%), moist rales (89.2%), tachypnea (84.9%), rhinorrhea (79.6%), vomiting (52.8%). Severe symptoms were less common, including dyspnea (28%), poor feeding (26.9%), and SpO2 < 95% (11.8%). Cell blood count showed viral infection with normal white blood cell count (73.1%) and normal neutrophil count (84.9%). The CRP.hs level was 11.03 ± 16.24 mg/L, and > 50% of cases was ≤ 5 mg/L. No differences were found in age at onset, clinical and subclinical signs between the antibiotic use group and no antibiotic use group at home. Conclusion: Children with RSV is often mild pneumonia, that require outpatient treatment. More than 4/5 of children with RSV pneumonia have co-infection with bacteria, most commonly Haemophilus influenzae and Streptococcus pneumoniae.
Article Details
Keywords
Pneumonia, RSV, children
References

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