KẾT QUẢ ĐIỀU TRỊ BỆNH LAO TRẺ EM THEO HƯỚNG DẪN CỦA CHƯƠNG TRÌNH CHỐNG LAO QUỐC GIA TẠI KHOA NHI - BỆNH VIỆN PHỔI TRUNG ƯƠNG

Abstract

Objectives: to describe the results of Tuberculosis (TB) treatment in children according to the Guidelines of the National Tuberculosis Program at the Department of Pediatrics - National Lung Hospital. Methods: A cross-sectional descriptive study was carried out among 333 pediatric patients diagnosed and treated for TB according to the guidelines of National Tuberculosis Program at the Department of Pediatrics -National Lung Hospital from January 1^st, 2017 to January 1^st, 2018. Results: Nearly half of the pediatric patients were under the age of 5 (48.8%) with the majority was pulmonary TB (66.4%). TB located in 1 organ accounted for 70.3%; TB in 2 organs was 25.5%. According to the results of antibiogram, the majority was sensitive TB (91.3%), the rate of multi drug resistant and super-resistant tuberculosis were low (<3%). The adverse effects of the drug were rashes and itching on the skin (56.0%) and increased liver enzymes (48.0%). Most of the pediatric patients got successful treatment results (95.8%). The overall dropout rate was 1.8%, of which the dropout rate of pulmonary TB was 2.0%, extrapulmonary TB was 0.9%. The dropout rate in the age group of less than 5 was 2.4%, higher than that of other age groups. The overall mortality rate was 2.4%, of which the mortality rate in the pulmonary tuberculosis group was 3%, and in the extrapulmonary tuberculosis group was 1.8%. Mortality in the under 5 age group accounted for 3.1% and the 10-15 year old group accounted for 3.0%.