CĂN NGUYÊN VÀ TÍNH KHÁNG KHÁNG SINH CỦA VI KHUẨN GÂY VIÊM PHỔI CỘNG ĐỒNG Ở TRẺ EM TẠI BỆNH VIỆN BẠCH MAI

Abstract

Community-acquired pneumonia (CAP) is a common disease in children, especially in the developing countries. Determining the causative agent helps clinicians choose appropriate treatment regimens. Methods: A cross-sectional descriptive study was conducted in 115 patients diagnosed with CAP at the Pediatric Center of Bach Mai Hospital. Results: The clinical symptoms of CAP in children were cough, wheezing and fever with the rates of 98.3%; 84.3% and 80.9%, respectively. Moist crackles were found in 93% of cases. White patches or areas of increased density on a chest X-ray. H. Influenzae was the most commonly isolated bacteria with a rate of 41.5%; followed by S. Pneumoniae with a rate of 33.1% and M. Catarrhalis with a rate of 24.6%. S. Pneumoniae had a high resistance to Erythromycin (94.7%); Co-trimoxazole (82.1%); Ampicillin/ Sulbactam (88.7%); Amoxcillin/ Clavunanic Acid (55.3%); susceptible to Levofloxacin (97.4%); Ceftriaxone (100%) and Moxifloxacin (100%). H. Influenzae had a high resistance to Ampicillin/ Sulbactam; Amoxcillin/ Clavunanic Acid, Erythromycin and Co-trimoxazole with rates of 89,6%; 77.1%; 97.8%; 97.8% and 85,7%, respectively. Sensitive rates to Ceftriaxone (95.8%); Moxifloxacin (100%); Levofloxacin (100%); Meronem (100%). Conclusion: Bacteria cause CAP in children have a high resistance to common antibiotics.