NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG, NGUYÊN NHÂN, KẾT QUẢ ĐIỀU TRỊ VIÊM PHỔI KHÔNG ĐIỂN HÌNH Ở TRẺ EM TẠI BỆNH VIỆN ĐA KHOA KHU VỰC SƠN TÂY – THÀNH PHỐ HÀ NỘI, NĂM 2024 - 2025

Abstract

Objectives: To describe the clinical, paraclinical features and treatment results of acute pneumonia in pediatric patients at Son Tay General Hospital, Ha Noi City during 2024-2025. Subjects and Methods: A prospective and cross-sectional study on 120 acute pneumonia pediatric patients at Son Tay General Hospital, Ha Noi City between January, 2024 and December, 2025. Results: Atypical pneumonia was observed in children aged from 1 month to 16 years old, common in the 1-5 age group (71.7%). Males were more frequently affected than females, accounting for 58.3% and 41.7%, respectively. On risk factors, prematurity accounted for 3.4%, twin birth 1.7%, comorbid diseases 8.3%, insufficient breastfeeding 1.7% and incomplete immunization 1.7%. Common clinical manifestations included coughing (100%), fever (100%), tachypnea (100%), crackles (88.3%), leukocytosis (53.3%), positive CRP (55%) and pulmonary lesions on radiography (100%). On identified etiological agents, atypical bacteria accounted for 41.7%, viruses 30%, fungi 6.7%, mixed infections 11.6% and 10% of cases found no causative pathogen. Treatment results showed that 88.3% of patients achieved complete recovery while 11.7% of patients recovered and continued with guided home treatment for associated comorbid diseases after discharge. Conclusion: Atypical pneumonia in pediatric patients was common in children aged 1-5 years, particularly those under 2 years of age. The disease was more prevalent in males than females. Common clinical features included fever, cough, crackles, leukocytosis, and radiographic pulmonary lesions. Atypical bacteria, viruses and fungi were the most frequently identified pathogens. The majority of patients recovered completely with no reported mortality or complications.