THE CLINICAL, SUBCLINICAL CHARACTERISTICS AND TREATMENT RESULTS OF CHILDREN WITH COMMUNITY ACQUIRED PNEUMONIA AT PEDIATRICS DEPARTMENT OF THE HANOI MEDICAL UNIVERSITY HOSPITAL
Main Article Content
Abstract
This cross-sectional study was conducted to describe the clinical, subclinical characteristics and treatment results of 354 children with community acquired pneumonia at Pediatrics department of the Hanoi Medical University Hospital from July 2024 to April 2025. Pneumonia was commonly in children under 24 months of age (70,9%). The clinical manifestations included cough (78,8%), fever (78,8%), wheezing (38,7%), rhinorrhea (61%) and lung auscultation rales, mainly moist rales (83,9%). The chest X-ray findings were hilar adenopathy (98,3%). Viruses were the main cause of pneumonia in children under 2 years old, and the common viral cause of pneumonia was RSV. Wheareas Haemophilus influenzae and Streptococcus pneumoniae were the most common cause of bacterial pneumonia. The first choice of antibiotics depend on age and severity of disease. The average treatment was 5-7 days and no children became seriously or died
Article Details
Keywords
Community acquired pneumonia, children
References
2. Crowe JE. Viral Pneumonia. Kendig’s Disorders of the Respiratory Tract in Children. Published online 2006:433-440. doi:10.1016/B978-0-7216-3695-5.50030-4.
3. Verhoeven D. Influence of Immunological Maturity on Respiratory Syncytial Virus-Induced Morbidity in Young Children. Viral Immunol. 2019;32(2):76-83. doi:10.1089/vim.2018.0121.
4. GBD 2016 Lower Respiratory Infections Collaborators. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis. 2018;18(11): 1191-1210. doi:10.1016/S1473-3099(18)30310-4.
5. Saraya T. Mycoplasma pneumoniae infection: Basics. J Gen Fam Med. 2017;18(3):118-125. doi:10.1002/jgf2.15.
6. Bộ Y tế (2014). Hướng dẫn xử trí viêm phổi cộng đồng ở trẻ em.
7. Nguyễn Thị Hà, Đoàn Mai Thanh, Nguyễn Thị Yến. Đặc điểm lâm sàng và căn nguyên vi khuẩn gây viêm phổi cộng đồng trẻ em tại khoa Quốc tế Bệnh viện nhi Trung ương. Tạp chí Nghiên cứu Y học. 2020; 131 (7): 67-73.
8. Vũ Thị Hương, Bùi Công Thắng, Mai Thành Công, Nguyễn Thị Diệu Thúy. Nguyên nhân gây viêm phổi ở trẻ em dưới 5 tuổi điều trị tại khoa điều trị tự nguyện B Bệnh viện Nhi trung ương. Tạp chí Y học Việt Nam. 2018; 468 (2): 132-135.