KẾT QUẢ ĐIỀU TRỊ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN ĐIỀU TRỊ SỞI Ở TRẺ EM TẠI BỆNH VIỆN THANH NHÀN

Abstract

Measles is an acute, dangerous, rapidly progressing, and difficult-to-control infectious disease, posing a significant healthcare burden. Objective 1: To describe the clinical and subclinical characteristics of pediatric measles patients treated at the Department of Pediatrics - Thanh Nhan Hospital. Objective 2: To evaluate the treatment outcomes of this group of pediatric patients. Research Methodology: A cross-sectional study was conducted on 365 pediatric measles patients at the Department of Pediatrics - Thanh Nhan Hospital, utilizing pre-designed patient records. Results: 365 pediatric measles patients of all ages were included, with a male-to-female ratio of approximately 1.5:1. Patients were admitted with characteristic measles manifestations including Koplik's spots (95.9%), rash (98.4%), and conjunctivitis (68.9%). Additionally, 7.4% of measles patients had neutropenia; 41.4% had lymphocytopenia; 26.3% had elevated liver enzymes (GOT); and 52.3% had bacterial superinfection, evidenced by elevated CRP. Among the 365 measles patients, 62.8% developed pneumonia complications; 2.7% developed laryngitis complications. Regarding treatment outcomes, 98.6% of children responded to treatment and recovered, while 5 children (1.4%) developed severe complications requiring transfer to a higher-level facility for advanced treatment, and no deaths were reported due to measles. Conclusion: The department treated a significant number of measles cases (365 children), indicating that the Department of Pediatrics - Thanh Nhan Hospital is one of the key healthcare facilities responsible for treating measles outbreaks, admitting a large number of patients. The cure rate was very high at 98.6%. This is a significant success, demonstrating the effective treatment and high quality of medical care at the Department of Pediatrics - Thanh Nhan Hospital.