NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ TÁC NHÂN VI SINH GÂY VIÊM PHỔI THÙY Ở TRẺ EM TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ NĂM 2024

Abstract

Background: Pneumonia is a common disease in children, in which lobar pneumonia is a special form with variation in clinical, subclinical characteristics and microbiological agents which makes management difficult. Real-time PCR (Polymerase Chain Reaction) tests to find the agent, helping the diagnosis and treatment. Objectives: To describe the clinical, subclinical characteristics of lobar pneumonia in children admitted to Can Tho Children’s Hospital; to determine the percentage of microbiological agents by real-time PCR. Materials and methods: Case series reports, with analysis on 41 children who were diagnosed with lobar pneumonia at Can Tho Children’s Hospital in 2024. Results: The median age of the studied group was 57 months; the ratio of male/female was 0.86/1. Typical clinical characteristics included coughing (100%), fever (95.1%), tachypnea (73.2%), wheezing (43.9%), accessory muscle breathing (31.7%), rales (78%), leukocytosis (43.9%) and CRP (C-creative protein) increase (56.1%). 85.36% of children could be found pathogens by real-time PCR technique, with Haemophilus influenzae, Streptococcus pneumoniae being the most among 18 microbiological agents (51.2% each). Conclusions: Lobar pneumonia is a pretty common disease in children. Microbiological agents mostly found are Haemophilus influenzae and Streptococcus pneumoniae.