ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ KHÒ KHÈ TÁI DIỄN Ở TRẺ DƯỚI 5 TUỔI TẠI KHOA HÔ HẤP BỆNH VIỆN SẢN NHI NGHỆ AN NĂM 2024 - 2025

Abstract

Objective: To describe the current status, clinical and paraclinical characteristics of recurrent wheezing in children under 5 years old treated at the Respiratory Department of Nghe An Obstetrics and Pediatrics Hospital in the period of 2024-2025.

Method: A retrospective cross-sectional study on children under 5 years old with ≥ 3 wheezing episodes within 12 months was used to analyze statistics to determine the cause, related factors and treatment response.

Results: The study included 74 children, mean age 16.3 ± 13.3 months; males accounted for 66.2%. More than 80% had onset before 24 months. Causes: bronchial asthma was high at 35.4%, followed by wheezing after viral infection at 25.7%, unknown cause or other causes were highest at 41.9%. Prominent symptoms: cough (100%), upper respiratory tract infection. RSV positive 18.9%, increased eosinophils 17.6%.

Conclusions: Mainly antibiotics combined with bronchodilators, very few children were prescribed ICS. Conclusion: Recurrent wheezing in young children often has an early onset, is more common in males, the main cause is asthma and after viral infection. Current treatment is not in line with international recommendations, especially antibiotic abuse and lack of ICS. Standardization of diagnosis, increased ICS indications and family education are needed to improve management efectiveness.