BACTERIAL AGENTS CAUSED PEDIATRICS WITH LOBAR PNEUMONIA AT CAN THO CHILDREN’S HOSPITAL
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Abstract
Background: Lobar pneumonia is a clinical form of pneumonia, the disease is often severe and difficult to diagnose based on clinical alone. In Can Tho, there are currently no studies on bacterial pathogens causing lobar pneumonia in children. Objectives: To describe the epidemiological, clinical, and subclinical characteristics, common bacterial pathogens causing lobar pneumonia in children at Can Tho Children's Hospital. Materials and methods: Descriptive cross-sectional study. This study was conducted on 72 pediatrics with lobar pneumonia admitted to the Department of Respiratory Medicine at Can Tho Children's Hospital from May 2019 to April 2020. The patient was performed Realtime Polymerase chain reaction (RT-PCR) of naso tracheal aspiration (NTA) at the International Institute of Genetics and Immunology, Nam Khoa Company, Ho Chi Minh City. Results: Lobar pneumonia occurred mainly in children from 3 – 7 years old (51.4%). The clinical manifestations were cough (100%), fever (93.1%), tachypnea (87.5%), chest indrawing (51.4%), wheezing (45.8%), crackles (38.9%). 65.3% of cases had an increase in CRP >10 mg/L. The positive NTA RT-PCR result was 91.2%. Streptococcus pneumoniae accounted for the most rate 66.2%, followed by Staphylococcus aureus and Mycoplasma pneumoniae (both accounting for 39.7%), Haemophilus influenzae (20.6%), Moraxella catarrhalis (11.8%). Conclusion: The main bacterial pathogens of lobar pneumonia in children were Streptococcus pneumoniae, Staphylococcus aureus, Mycoplasma pnemoniae. Therefore, antibiotic treatment should focus on these 3 types of bacteria.
Keywords
lobar pneumonia, children, Can Tho, bacterial pathogens
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References
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