ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN MỨC ĐỘ NẶNG CỦA VIÊM PHỔI DO VIRUS HỢP BÀO HÔ HẤP Ở TRẺ DƯỚI 5 TUỔI TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: To study the clinical and paraclinical characteristics and to evaluate some factors related to pneumonia severity caused by respiratory syncytial virus (RSV) in children under 5 years old. Methods: A prospective, cross-sectional descriptive study was conducted on 95 patients with pneumonia due to RSV treated at the Department of Pediatrics, Military Hospital 103, from September 2023 to March 2024. Results: Children with severe pneumonia accounted for 12.6%. Common symptoms of pneumonia due to RSV included cough (92.6%), wheezing (91.6%), runny nose (88.4%), fever (89.4%), and moist rales (94.7%). Most white blood cells were within normal limits (70.5%). Neutrophils were mainly normal and decreased (41.1% and 43.2%). CRP (C-reactive protein) was mainly normal (67.4%). Prematurity and age < 6 months were statistically significantly associated with the severity of the disease. Conclusion: Pneumonia due to RSV predominantly affects children ≤ 24 months of age, with severe cases significantly associated with prematurity and children < 6 months of age. Early identification of clinical and paraclinical features is crucial for timely diagnosis and management of severe disease.