ĐẶC ĐIỂM DỊCH TỄ LÂM SÀNG, CẬN LÂM SÀNG CỦA TRẺ MẮC VIÊM PHỔI CỘNG ĐỒNG DO S. PNEUMONIAE TẠI BỆNH VIỆN TRẺ EM HẢI PHÒNG NĂM 2019-2020

Abstract

The study was designed retrospectively and descriptively with the following objectives: to describe some clinical and subclinical features of community-acquired pneumonia (CAP) due to S. pneumoniae at Hai Phong Children's Hospital (HPCH) from January 2019 to January 2019. December 2020, and to clarify the in vitro antibiotic resistance properties of this pathogenic bacterium. The study analyzed 208 medical records of CAP with positive pneumococcal cultures. Research results showed that pneumococcal CAP in children was more common in children under 12 months of age, in boys than in girls, in children from suburban areas more than in urban areas. The disease was common in winter - spring with the most common symptoms such as cough, rapid breathing, fine crackles in the lungs, chest X-ray image of bronchopneumonia. Pneumococci causing CAP are still highly sensitive to some antibiotics such as amoxicillin/clavulanic acid, 3^rd and 4^th generation cephalosporins, carbapenems and 100% sensitive to vancomycin, but resistant to other antibiotics such as macrolide group, co-trimoxazole and pneumococcal oxacillin. Compared with the National Children's Hospital, the rate of severe pneumococcal pneumonia at HPCH was lower.