ĐẶC ĐIỂM DỊCH TỄ, LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM PHỔI DO VIRUS RSV Ở TRẺ SƠ SINH TẠI BỆNH VIỆN SẢN NHI TỈNH PHÚ THỌ

Abstract

Objective: To describe the epidemiological, clinical, and paraclinical characteristics, as well as treatment outcomes, of neonatal pneumonia caused by respiratory syncytial virus (RSV) at Phu Tho Obstetrics and Pediatrics Hospital. Methods: A descriptive study combining retrospective and prospective data collection was conducted on 142 neonates aged 28 days or younger who were diagnosed with RSV pneumonia and treated at the Neonatal Department of Phu Tho Obstetrics and Pediatrics Hospital from August 2022 to July 2024.    Results: The proportions of male and female patients were 48.59% and 51.41%, respectively. RSV pneumonia occurred throughout the year, with a peak from October to December. The most common clinical manifestations were cough (99.3%), wheezing (97.2%), and abnormal lung auscultation findings (96.5%). Chest radiographs mainly showed interstitial lesions (37.3%) and alveolar opacities (35.9%). Most patients had a normal white blood cell count, while lymphocytosis was more common than neutrophilia. Respiratory distress was observed in 40.85% of cases, and oxygen therapy was the most frequently used respiratory support modality (44.4%). Antibiotics were administered in all cases. The recovery rate was 98.6%, and the mean length of hospital stay was 8.3 days. Conclusion: RSV pneumonia in neonates mainly presents with respiratory manifestations, whereas systemic inflammatory signs are uncommon. Interstitial and alveolar abnormalities are the most frequent chest X-ray findings. Although respiratory distress is common and many patients require respiratory support, treatment outcomes are generally favorable with timely diagnosis, close monitoring, and appropriate supportive care.