TIÊU CHẢY CẤP DO VI RÚT Ở TRẺ EM DƯỚI 5 TUỔI TẠI BỆNH VIỆN ĐA KHOA VÙNG TÂY NGUYÊN

Abstract

Background: Viruses are the leading cause of acute diarrhea in children with a constantly changing prevalence. To limit antibiotic use in patients with acute viral diarrhea, updating the epidemiology of pathogens and clinical and paraclinical characteristics is essential. Objective: To determine the prevalence of dangerous types and characterize lethal, clinical, paraclinical and consumer treatment services as viruses. Materials and methods: A prospective, cross-sectional descriptive study was conducted on 165 patients between 1 and 59 months of age are diagnosed with acute diarrhea in the General Pediatrics at Hospital from 5/2023 to 12/2023. Result: The prevalence of viral infection was 41.8%, included Norovirus (33.6%), Adenovirus (15.1%), Sapovirus (5.9%), Bocavirus (3.4%), Rotavirus (1.7%), Enterovirus (0.8%), Saffoldvirus (0.8%) and Aichivirus (0.8%). Common ages was 6 - 24 months old (78.3%), 15.2% received RoV vaccine. The rate of malnutrition was 8.7%. Common clinical symptoms included vomiting (87.3%), fever (56.5%), upper respiratory infection (21.8%) and watery diarrhea (73.9%). 95.6% of patients with diarrhea were not dehydrated. The rate of leukocytosis was 19.6%. Oral rehydration treatment was 89.1%, intravenous 54.4%, and antibiotic use rate was 60.9%. Most treatment times were within 7 days (84.8%). Conclusion: Diarrhea caused by viruses accounts for a high proportion (41.85%), of which the two leading agents are Norovirus (33.6%) and Adenovirus (15.1%). Viral diarrhea was characterized by frequent vomiting, watery stools and upper respiratory infections.