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Severe recurrent pneumonia in children: Underlying causes and clinical profile in Vietnam

Kim Lam Hoang1, Anh Tuan Ta2, Van Thang Pham1

  • 1Department of Pediatrics, Hanoi Medical University, Ton That Tung, Hanoi, Viet Nam.

Annals of Medicine and Surgery (2012)
|June 30, 2021
PubMed

Insights

Severe recurrent pneumonia in children often indicates underlying conditions. Identifying these causes is crucial for effective management in pediatric intensive care units.

Area of Science:

  • Pediatric critical care medicine
  • Respiratory medicine
  • Infectious diseases

Background:

  • Limited data exists on severe recurrent pneumonia (sRP) in children, particularly in developing nations like Vietnam.
  • This study addresses the knowledge gap by investigating sRP in a Vietnamese pediatric intensive care unit (PICU).

Purpose of the Study:

  • To identify the underlying causes of severe recurrent pneumonia in children admitted to the PICU.
  • To describe the clinical profile of these pediatric patients.

Main Methods:

  • A prospective, descriptive study was conducted.
  • 110 children with severe pneumonia admitted to the PICU between November 2019 and August 2020 were analyzed.
  • Data collection focused on clinical presentation and underlying diseases.

Main Results:

  • Severe recurrent pneumonia constituted 29.4% of admissions.
  • Underlying causes were identified in 91.8% of sRP cases, with respiratory, cardiovascular, and immune disorders being most frequent.
  • Complications included prior intubation/ventilation (74.5%), shock (34.5%), and multiple organ failure (7.3%).
  • Recurrent chest x-ray lesions in the same lobe were observed in 18.2% of cases.

Conclusions:

  • The majority of children with severe recurrent pneumonia have an identifiable underlying disease.
  • Comprehensive management strategies are essential for addressing sRP in pediatric populations.
Abstract

Keywords:
PICURecurrent pneumoniaSevere pneumoniaUnderlying causesVietnam

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