ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG TIÊU CHẢY CẤP NHIỄM KHUẨN Ở TRẺ EM TẠI BỆNH VIỆN NHI TRUNG ƯƠNG

Abstract

Acute bloody diarrhea is commonly associated with pathogenic bacteria in pediatric patients, it causes electrolyte disorders, infection and malnutrition affecting the child's  development. Aim: To describe the clinical and laboratory characteristics of acute infectious diarrhea in children. Materials and methods: a prospective study was conducted on 165 children, aged 2-60 months, diagnosed with acute infectious diarrhea at the National Children's Hospital from July 2023 to March 2024. Result: The mean age of children was 16.9 ± 14 months, of whom children under 2 years old accounted for 77.5%, and the male/female ratio was 1.7/1. The most common clinical symptoms are anorexia (67.9%), fever (63.6%), tenesmus (57%), and anal redness (54.5%). Mucus and bloody stool were 38.8% and 25,5%, respectively. Dehydration rate was 37.6%. The prevalence of elevated white blood cells and CRP was 60.6% and 61.8%, respectively. 62.4% of children got red and white blood cells in stool analysis. The positive stool culture rate was 27.9% with E. coli and S. Entericass. Conclusion: Children with acute infectious diarrhea often manifest  anorexia,  fever,  anal  redness, and pain  when defecating. Blood tests usually show increased leukocytosis and CRP. Positive bacterial culture was quite low