ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN CÚM A CÓ ĐỒNG NHIỄM VI KHUẨN TẠI TRUNG TÂM QUỐC TẾ BỆNH VIỆN NHI TRUNG ƯƠNG
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Abstract
Objectives: Clinical, paraclinical charateristics and to evaluate co-infection bacteria in pediatric patients with acute respiratory infection cause by influenza A virus at International Medical Center in National Children of Hospital.
Methods: The study describes a series of cases acute respiratory infection with influenza A virus identified by rapid test at International Medical Center in National Children of Hosptial and were tested nasopharyngeal fluid culture from 01/12/2020 to 30/11/2022.
Results: Of the 243 cases, the rate in Male/Female is 1,5/1. The under 5 years old childrens ratio 93,4%. The children with broncholitis is 42,4%, pneumonia is 25,1%. White blood cell count increase above 10.000/mm3 is 61,3%, C-reactive protein (CRP) above 6 mg/l 60,0%. Abnormal images on chest X-ray is bronchial wall thickening 69,9%. The ratio co-infection bacteria by test of nasopharyngeal fluid culture is 43,2%. The common bacterias are Haemophilus influenza (68,6%), Moraxella catarrhalis (19,0%), Streptococcus pneumonia (11,4%). No statistically significant difference in clinical and paraclinical between two culture groups. However, the positive culture rate is higher in children with damage to multiple location in the respiratory tract. And the positive culture group has statistically significant longer hospital stay than the negative culture group.
Conclusions: Acute respiratory infection due to influenza A virus is commonly found the under 5 years old childrens . Clinical finding on respiratory tract include cough, fever, runny nose. The ratio co-infection bacteria is high and most common Haemophilus influenza. The positive cluture group is longer hospital stay than the negative culture group.
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Keywords
Đồng nhiễm vi khuẩn, cúm A, Bệnh viện Nhi Trung ương, Co-bacterial, influenza A, Vietnam National Children’s Hospital
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