NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ TRẺ MẮC COVID-19 ĐIỀU TRỊ TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ TỪ THÁNG 11/2021 ĐẾN THÁNG 4/2022

Abstract

Background: Vietnam recorded the first case of Covid-19 in January 2020 in Ho Chi Minh City, with children in the high-risk group. However, the research on Covid 19 in Vietnamese children was still limited. Objective: To describe the clinical and subclinical symptoms, treatment results, the relationship between disease severity, and treatment results in pediatric patients diagnosed with Covid-19 at Can Tho Children's Hospital. Materials and method: A cross-sectional descriptive study with analysis on patients under 15 years old diagnosed with Covid-19 were hospitalized and treated at Can Tho Children's Hospital. Results: Most children have clinical symptoms like common viral infections such as fever, cough, vomiting, headache, sore throat, and other symptoms (muscle aches, diarrhea), the highest fever is 39.3 %, followed by cough at 34.8%, and most children have mild disease. Most PCR results have CT value < 20, Hb value, white blood cell count, platelet count, and chest X-ray are within normal limits. Most of the cases are cured, and the morbidity and mortality rates are very low. Most of them only treat symptoms, but some cases still require mechanical ventilation, accounting for 1.6%; anticoagulation 1.2%; antibiotics 31.5%; antiviral Remdesivir 0.5%; shock resistance 2.1%; vasomotor 1.9%. Conclusion: Covid-19 in children is less severe than in adults, in our study, the cure rate of children was 98.1%. Almost all cases are at a mild level with symptoms like virus infection. Some patients require mechanical ventilation, anticoagulation, shock resistance, vasomotor and antiviral Remdesivir.