LIÊN QUAN GIỮA MỨC ĐỘ NẶNG SUY DINH DƯỠNG CẤP VỚI MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG, KẾT QUẢ ĐIỀU TRỊ VIÊM PHỔI Ở TRẺ TỪ 2 THÁNG ĐẾN 5 TUỔI TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ

Abstract

Background: Pneumonia is a very common disease in children. Malnutrition affects the severity and outcome of pneumonia treatment. Objectives: 1) To describe clinical and subclinical characteristics, treatment results of pneumonia in acutely malnourished children from 2 months to 5 years old. 2) To determine the relationship between the severity of acute malnutrition with some clinical and subclinical characteristics, the results of pneumonia treatment in children from 2 months to 5 years old. Materials and method: A cross-sectional descriptive study with real analysis on 72 children with pneumonia from 2 months to 5 years of age with acute malnutrition. Results: The most common clinical symptoms include tachypnea (97.2%), chest indrawing (63.9%), poor feeding or feeding (58.3%), pulmonary rales (88.9%). Subclinical characteristics with leukocytes ≥15,000/mm3 (66.7%), neutrophils ≥60% (41.7%), CRP ≥10 mg/L (61.1%). The severity of acute malnutrition was significantly associated with poor feeding (p=0.002), cyanosis (p=0.002), antibiotic combination (p<0.0001), respiratory support (p=0.028), artificial feeding (p=0.001), transfer to the ICU (p=0.001), hospital stay >10 days (p = 0.005). There was no association between the severity of acute malnutrition with symptoms of tachypnea (p=0.408), chest indrawing (p=0.777), white blood cell count (p=0.248), neutrophil percentage (p= 0.783), CRP (p=0.094). Conclusion: Severe acute malnourished children had more severe pneumonia than moderate malnourished children (p<0.0001). The severity of acute malnutrition is related to clinical features and treatment outcomes. Therefore, it is important to assess, detect and promptly treat acute malnutrition that can reduce the severity of the disease.