THE RESULTS OF TREATMENT OFPNEUMOCOCCAL PNEUMONIA IN CHILDREN UNDER 5 YEARS OLD AT THE RESPIRATORY DEPARTMENT - NGHE AN OBSTETRICS AND CHILDREN'S HOSPITAL

Anh Vinh Ngô1,, Anh Sơn Bùi2
1 Vietnam National Children's Hospital.
2 Nghe An obstetrics and pediatrics hospital

Main Article Content

Abstract

Objectives: To evaluate the results of treatment of pneumococcal pneumonia in children under 5 years old at the Respiratory Department - Nghe An Obstetrics and Children's Hospital. Subjects and methods: A cross-sectional description of 57 patients diagnosed with pneumococcal pneumonia with the age from 1 month to 5 years old treated at the Respiratory Department - Nghe An Obstetrics and Children's Hospital from January to September 2021. Results: Common age ranges from 2 months to 24 months (accounting for 78.9%), male ratio is higher than female (1.8/1) with a statistically significant difference with p<0.05. Most patients use antibiotics according to the antibiogram and 3rd generation cephalosporins were used the most common. The mean duration of treatment was 8.55 ± 3.41 days. The rate of stable and cured patients is 100%, there is no patient transfer or death. Complication rate accounted for 7.02% and mainly pleural effusion. Conclusion: Treatment of pneumococcal pneumonia in children under 5 years old is effective. Cephalosporins are effective antibiotics and are the first choice in the treatment of pneumococcal pneumonia in children under 5 years old.

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References

1. Achamyelesh Geberetsadik, Alemayehu Worku, and Yemane Berhane (2015), Factors associated with acute respistory infection in children under the age of 5 years: evidence from the 2011 Ethiopia Demographic and Health Survey. Pediatric Health Med Ther, 6:9-13.
2. World Health Organization (2014), Revised WHO classification and treatment of pneumonia in children at health facilities: evidence summaries.
3. Đặng Đức Anh (2004), Tỷ lệ nhiễm H.Influenzae, S.pneumoniae và các vi rút hô hấp ở bệnh nhân dưới 5 tuổi viêm đường hô hấp cấp. Tạp chí y học dự phòng số 4 (68), 21-24.
4. Nguyễn Thị Thu Huyền, Lê Thị Hồng Hanh và cộng sự (2020). Đặc điểm dịch tễ học lâm sàng và kết quả điều trị viêm phổi do phế cầu ở trẻ em dưới 5 tuổi tại bệnh viện Trung Ương Thái Nguyên. Tạp chí y học Việt Nam, 18 (2), 71 - 74.
5. Vijayakumary T, Kavinda D. (2021). Review on Pneumococcal Infection in Children. Cureus. 13(5): e14913.
6. Liset Olarte and Mary Anne Jackson (2021). Streptococcus pneumoniae. Pediatrics in Review, 42 (7) 349-359.
7. Li Han Lim, Way Sach Lee (2007). Childhood invasive pneumococcal disease: A hospital-based study from Malaysia. J Pediatr Child Health. 43(5):366-9.
8. Hoàng Tiến Lợi, Nguyễn Thị Diệu Thúy, Phạm Thu Nga, Phan Văn Nhã (2022). Tính nhạy cảm kháng sinh và kết quả điều trị viêm phổi phế cầu tại Bệnh viện Nhi Thanh hóa năm 2021- 2022. Tạp chí Y học Việt Nam, 516 (2), 276-279.
9. Cristiana M C Nascimento-Carvalho Heonir Rocha, Rogério Santos-Jesus, Yehuda Benguigui (2002). Childhood pneumonia: clinical aspects associated with hospitalization or death. Braz J Infec Dis, 6(1):22-8.
10. Charles Fedman (2004). Clinical relevance of antimicrobial resistance in the management of pneumococcal community-acquired pneumonia. The Journal of Laboratory and clinical medicine. 143(5):269-83