ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ CĂN NGUYÊN VI SINH GÂY VIÊM PHỔI KÉO DÀI Ở TRẺ EM TẠI BỆNH VIỆN SẢN NHI NGHỆ AN

Abstract

Objectives: to describe the clinical, laboratories characteristics and bacterial etiology of persistent pneumonia in children from 1 month to 5 years old. Subjects and methods of study: A cross-sectional descriptive study surveying caregivers of children with persistent pneumonia from  1  month  to  under  5  years  of  age  inpatient treatment  at Nghe An Obstetrics and Pediatrics Hospital. Results: A study of 109 childrens showed that persistent pneumonia had a high rate of children from 1 to 12 months (64,2%), male/female ratio was 1,5/1. 87 childrens had ever had pneumonia. All patients with persistent pneumonia had a cough (100%). Tachypnea (70%), wheezing (87%), pulmonary rales (94%) are common physical symptoms. 27,5% of children with severe pneumonia. The most common underlying disease is congenital malformations. In which, congenital heart defect accounts for the highest rate (33.9%). Most patients have increased white blood cell counts, neutrophils and CRP. Bacteria are the most common cause of persistent pneumonia, followed by viruses. H.influenzae (30,7%), S.pneumoniae (21%), M.pneumoniae (19,3%) and P.aeruginosa (7%) are common bacteria causing disease. Conclusion: Persistent pneumonia mainly occurs in children from 1 month to less than 12 months of age, predominating in boys. Clinical manifestations of the disease are diverse. The most common underlying disease in children with persistent pneumonia is congenital malformations, especially congenital heart. WBC count, neutrophil percentage, CRP are increased in persistent pneumonia. There are many causes of persistent pneumonia, of which bacteria is the most common cause.