ĐẶC ĐIỂM DỊCH TỄ HỌC, LÂM SÀNG, CẬN LÂM SÀNG, BIẾN CHỨNG VÀ KẾT QUẢ ĐIỀU TRỊ BỆNH CÚM Ở TRẺ EM TẠI BỆNH VIỆN ĐẠI HỌC Y KHOA VINH

Abstract

Objective: Describe the clinical and paraclinical epidemiological characteristics, complications and comment on the results of treatment of seasonal influenza in children at Vinh Medical University Hospital from September 1, 2023 to August 31 /20223. Method: Describes a series of cases. Results: Seasonal influenza infection rate was 19.09%, including 49.9% influenza A infection, 45.2% influenza B infection and 4.9% co-infection with influenza A and influenza B. Number of pediatric influenza patients living in the region Rural: 18.41%, city: 81.59%. The male/female ratio is 1.27, the most infected children are at the age of 12 months - 60 months, accounting for 57.57%. Influenza is most common in winter, most children come to the doctor because of fever and cough (89.84%), moderate and high fever account for over 90% of cases, most children have symptoms of cough, runny nose, sore throat accounting for 88.99 - 95%, white blood cell count increases in 37.99%, CRP increases in 21.48% > 12mg/L. Complications: 47.83% of children suffered from complications of influenza, pneumonia: 46.24%, bronchitis: 31.86%, otitis media: 7.96%, diarrhea: 7.74%. Unvaccinated children are 2.78 times more likely to have complications from influenza infection than vaccinated children. Influenza patients not treated with Oseltamivir are 8.35 times more likely to develop complications than influenza patients treated with Oseltamivir. Conclusion: Seasonal flu has main symptoms of fever, common complications are respiratory infections. Early treatment with Oseltamivir reduces the risk of complications. Unvaccinated children are at higher risk of complications from flu infection than vaccinated children.