ĐẶC ĐIỂM DỊCH TỄ HỌC, LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ SỐT XUẤT HUYẾT DENGUE NẶNG TẠI KHOA NHI BỆNH VIỆN ĐA KHOA TIỀN GIANG

Abstract

Objective: To describe the epidemiological, clinical, paraclinical characteristics, and treatment outcomes of severe dengue in pediatric patients admitted to the Pediatrics Department of Tien Giang General Hospital. Methods: This retrospective case series study included 87 children diagnosed with severe dengue based on the classification criteria of the Vietnamese Ministry of Health. Epidemiological data, clinical and paraclinical features, treatment modalities, and clinical outcomes were extracted from medical records and analyzed using descriptive statistics. Results: The mean age of the patients was 10.3 ± 3.3 years, with the 10–15 age group accounting for the highest proportion (56.3%). Most cases occurred between April and June (48.28%). Common clinical manifestations included abdominal pain (62.1%), vomiting (54.0%), and hepatomegaly (80.5%). Laboratory findings showed thrombocytopenia (<50,000/mm³ in 80.5%), elevated hematocrit (>70%), and increased blood lactate levels (83.1%). Lactate Ringer’s solution was the primary fluid administered, with an average volume of 102.6 ± 39.4 ml/kg. The cure rate was 88.51%, and 11.49% of patients were transferred to higher-level care. Conclusion: Management of severe dengue at the provincial level can be highly effective when cases are detected early and treated in accordance with standardized protocols. These findings provide practical evidence supporting the treatment capacity of lower-level healthcare facilities and serve as a foundation for future strategies to enhance dengue case management.