Nghiên cứu tiền sử bệnh tật ở trẻ mắc viêm phổi không điển hình do vi khuẩn tại Bệnh viện Nhi Trung ương năm 2014

Abstract

Objective: To describe medical history report of children with atypical pneumonia due to bacteria Mycoplasma pneumoniae (M. pneumoniae); Chlamydia pneumonniae (C. pneumoniae) and Legionella pneumophila (L. pneumophila) at Vietnam National Children’s Hospital in 2014. Subject and method: It’s a descriptive study on a series of 215 cases of atypical pneumonia due to bacterial at Vietnam National Children’s Hospital. Multiplex PCR and enzyme-linked immunosorbent assay were used to to detect
M. pneumoniae, C. pneumoniae and L.pneumophila in those specimens. Result: The medical history of atypical pneumonia due to bacteria as below: Obstetric history: Small ratio have neonatal respiratory failure 1.4%, neonatal septic infection 2.33%, light weight 6.98%, birth operation 25.12%. There is difference in method of giving birth of atypical bacterial pneumonia inside and outside group (p<0.05). Nurturing and development history: Asthma 14.42%, congenital respiratory distress 0.93%, congenital defect 1.86%, nutrition 15.81%, overweight 23.26%, inadequate vaccination 4.65%, not enough breast feeding in the first 6 months 1.86%, motor delay 7.44%, mental development delay 7.44%. There is no difference in nurturing and development history between patient of atypical pneumonia in group and atypical pneumonia outside group (p>0.05). Antibiotic use history accounts for 87.91%, in which patient group of atypical pneumonia is higher than that in co-infection outside that group (p<0.05). Conclusion: Atypical bacterial pneumonia in children have a history of caesarean section, obesity accounted for 1/4 cases. It is popular that patients with atypical pneumonia are used antibiotics before admitted. There is difference in method of giving birth and using antibiotics between atypical bacterial pneumonia in group and atypical bacterial pneumonia outside group.