ĐẶC ĐIỂM VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM PHỔI ĐỒNG NHIỄM Ở TRẺ EM TỪ 2 THÁNG ĐẾN 5 TUỔI TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objective: Describe the clinical characteristics, antibiotic use, and treatment outcomes of co-infection pneumonia in children aged 2 to 60 months at Thai Nguyen Central Hospital. Methods: A cross-sectional descriptive study was conducted on 371 pediatric patients diagnosed with pneumonia, treated at the Pediatric Center, Thai Nguyen Central Hospital. Patients were divided into Virus-Virus (VV), Bacteria-Bacteria (BB), and Virus-Bacteria (VB) co-infection groups. We collected and analyzed data on demographics, clinical symptoms, and treatment characteristics. Results: The mean age of the subjects was 16.8 ± 13.4 months. The 2 to <36 months age group constituted the majority (89.3%). The male/female ratio was 1.33/1. The co-infection rate among children was 30.2%, with VB co-infection being the most common type across all seasons. Clinically, rhonchi were significantly more frequent in the VB co-infection group compared to other groups (p=0.025). There were no statistically significant differences in the symptoms of tachypnea, rhinorrhea, or wheezing among the groups. Regarding treatment, 19.4% of patients in the VB group had a treatment duration of over 10 days, while no cases in the other groups required such prolonged treatment. Conclusion: Virus-Bacteria co-infection is the most common type and presents with more severe clinical manifestations compared to other co-infection groups, as indicated by a higher rate of rhonchi and longer treatment duration. This finding highlights the importance of accurate pathogen identification for appropriate treatment strategies.