KẾT QUẢ ĐIỀU TRỊ VIÊM PHỔI NẶNG Ở TRẺ TỪ 2 THÁNG ĐẾN 5 TUỔI TẠI BỆNH VIỆN BỆNH NHIỆT ĐỚI THÀNH PHỐ HỒ CHÍ MINH

Abstract

Objectives: To review the treatment characteristics and treatment results of severe pneumonia in children aged 2 months to 5 years at the Ho Chi Minh city Tropical Diseases Hospital; and explore the related factors to the outcomes. Subjects and methods: Pediatric patients aged 2 to 59 months were diagnosed with severe community-acquired pneumonia and treated at Pediatrics Department D (respiratory department) of Ho Chi Minh city Tropical Diseases Hospital from October 2019 to October 2020. Evaluation of treatment results after 48 hours of admission. Results: Initial antibiotics: Ceftriaxone 92.8%, Cefoperazone/ Sulbactam (6%), combination of Ceftriaxone + Vancomycin (1.2%). Progression of initial antibiotic response: 95.2% response. do not respond 4.8%, must add or change antibiotics. Treatment results: Success 86.9%, failure 13.1%. Factors related to treatment outcome: Children with underlying disease have a lower success rate of treatment than the group without underlying disease (OR = 17.4, P<0.05). Children with a history of contact with a cough/runny nose in the past week had a lower success rate than the non-contact group (OR= 9, P<0.05). Conclusion: Pediatric pneumonia requires early diagnosis and treatment to reduce morbidity and mortality.