ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ MỘT SỐ YẾU TỐ TIÊN LƯỢNG ĐIỀU TRỊ VIÊM MÀNG NÃO NHIỄM KHUẨN Ở TRẺ EM TẠI BỆNH VIỆN SẢN NHI NGHỆ AN

Abstract

Objective: To describe clinical & paraclinical characteristics and some prognostic factors for treatment in children with infectious meningitis at Nghe An Obstetrics and Pediatrics Hospital. Research subjects and methods: Patients diagnosed with infectious meningitis treated at the Department of Tropical Diseases - Nghe An Obstetrics and Pediatrics Hospital. Results: Male was more common (higher in incidence), and the age group from more than 1 month to 2 years old accounts for the highest proportion (53.3%). Common clinical manifestations were a stiff neck, fever, headache/fussiness, accounting for 73.3%, 66.7% and 66.7% respectively. The percentage of patients with anemia (Hb<100g/l) was 46.7%, increased white blood cells (10,000g/l) was 80%, and increased CRP concentration (>6mg/ml) accounted for 80%. The percentage of cerebrospinal fluid color change accounted for 70%. The most common cause of the disease was pneumococcus, accounting for 40%. Regarding treatment, the highest rate of deterioration was seen in the group of patients > 1 month to 2 years old, accounting for 23.1%. Reduced consciousness, seizures upon admission, prolonged hospital stay > 5 days and CRP concentration >30mg/l were also factors related to poor disease progression. Conclusion: Common clinical manifestations of infectious meningitis were neck stiffness, fever, headache/fussiness. The most common cause of the disease was pneumococcus. Factors related to poor treatment prognosis were age under 2 years old, decreased consciousness, seizures upon admission, hospital stay > 5 days and CRP concentration >30mg/l.