ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ TÍNH NHẠY CẢM KHÁNG SINH CỦA STREPTOCOCCUS PNEUMONIAE GÂY VIÊM PHỔI CỘNG ĐỒNG Ở TRẺ EM DƯỚI 5 TUỔI TẠI BỆNH VIỆN SẢN NHI NGHỆ AN

Abstract

Objective: Describe clinical, subclinical tests characteristics, antibiotic resistance of S.Pneumoniae  in children under 5 years old at Nghe An Obstetrics and Pediatrics Hospital. Patiens and Method: Prospective, cross sectional descriptive study in children under 5 years old, 65 patients with S.Pneumoniae  pneumonia at Nghe An Obstetrics and Pediatrics Hospital include study, review clinical and subclinical tests characteristics, determine antimicrobial susceptibility by measuring the minium inhibitory concentration (MIC). Results and conclusions: The proportion of patients with Pneumococcal pneumonia in boys/girls was 1,9/1. The most common age group was from 12 - 24 months old with rate of 76,9%. The proportion of patients who had taken antibiotics before being hospitalized was high, accouting for 64,6%. Clinical manifestations: cough, fever, running nose, tachypenia, rale were > 69%. The important subclinical tests in diagnosing and treating were chest Xrays, blood count, CRP and culture of nasopharyngeal fluid. The proportion of patients who had acute otitis media was 43,1%. S.Pneumoniae  was resistant to Azithromycin, Clarithromycin, Erythromycin in the rate of 100%. S.Pneumoniae was resistant to Cefotaxime in the rate of 61,5%, with Ceftriaxone was 52,3%, with Penicillin was 18,5%. S.Pneumoniae  is also sensitive to Rifampicin, Vancomycin, Linezolid, Levofloxacin (100%).