NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM PHỔI CÓ THIẾU MÁU THIẾU SẮT Ở TRẺ TỪ 02 THÁNG ĐẾN 05 TUỔI TẠI BỆNH VIỆN CHUYÊN KHOA SẢN NHI TỈNH SÓC TRĂNG NĂM 2024 - 2025

Abstract

Background: Pneumonia is a very common disease in children, especially children under 5 years old, and is the leading cause of hospitalization and death in children in the world, including Vietnam. Iron deficiency anemia is a risk factor for respiratory infections, associated with the severity and clinical outcome of pneumonia in children. Understanding the impact of iron deficiency anemia on pneumonia in children will help doctors make appropriate treatment decisions and improve mortality rates in pneumonia. Objectives: Describe clinical and paraclinical characteristics and evaluate the treatment outcomes of pneumonia in children with iron deficiency anemia from 2 months to 5 years old at Soc Trang Obstetrics and Pediatrics Hospital in 2024-2025. Materials and methods: Using a case-control study method on 224 children aged 2 months to 5 years old diagnosed with pneumonia being treated at Soc Trang Obstetrics and Pediatrics Hospital. Information collected included general information of the child, clinical characteristics of pneumonia, paraclinical characteristics, severity of pneumonia, treatment results. Results: The most common clinical symptoms were cough, rapid breathing, fever, lung crackles, wheezing, chest indrawing, children with pneumonia with iron deficiency anemia had a higher rate of poor feeding or poor eating; the rate of severe pneumonia; the rate of antibiotic change, intensive care transfer, respiratory support, artificial feeding, duration of antibiotic use and length of hospital stay were higher than those of children with pneumonia without iron deficiency anemia (p<0.05). Conclusion: Children with pneumonia with iron deficiency anemia had more clinical characteristics, severity of pneumonia and more severe treatment.