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Clinical Patterns and Risk Factors for Pneumonia Caused by Atypical Bacteria in Vietnamese Children
Phan Le Thanh Huong1, Pham Thu Hien2, Nguyen Thi Phong Lan1
1National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
Insights
Identifying atypical community-acquired pneumonia (CAP) in children is crucial. Clinical features and risk factors like age and asthma history help pinpoint children at higher risk for this infection.
Area of Science:
- Pediatrics
- Infectious Diseases
- Respiratory Medicine
Background:
- Community-acquired pneumonia (CAP) is a common childhood illness.
- Atypical pathogens cause a significant proportion of CAP cases.
- Distinguishing typical from atypical CAP is important for appropriate management.
Purpose of the Study:
- To investigate the clinical characteristics of atypical CAP in children.
- To identify risk factors associated with atypical CAP in pediatric patients.
Main Methods:
- Multiplex polymerase chain reaction and specific IgM were used to detect atypical bacteria.
- 661 hospitalized children (aged 1-15 years) with CAP were analyzed.
- Clinical and epidemiological data were compared between typical and atypical CAP groups.
Main Results:
- Atypical CAP cases showed lower rates of wheezing and interstitial pneumonia.
- Higher rates of asthma history, headache, chest pain, and lobar pneumonia were observed in atypical CAP.
- Significant risk factors included age, season, asthma history, symptom duration, and radiological findings.
Conclusions:
- Clinical characteristics and identified risk factors aid in identifying children with atypical CAP.
- Early identification can facilitate timely and targeted treatment for pediatric CAP.
Objective:
To investigate clinical characteristics and risk factors for atypical community-acquired pneumonia (CAP) in children.
Methods:
Multiplex polymerase chain reaction and specific IgM determination were used to detect atypical bacteria in 661 hospitalized children aged 1-15 years with CAP. Clinical and epidemiological patterns were compared between typical and atypical CAP.
Results:
Children in atypical CAP group manifested significantly lower rates of wheezing, bronchial rales, and interstitial pneumonia and showed higher rates of asthma history, headache, chest pain, and lobar pneumonia . Age group, season of disease onset, asthma history, duration of symptom onset to hospital admission, and radiological findings were the significant risk factors for atypical CAP on multivariate logistic regression analysis.
Conclusions:
The clinical characteristics and risk factors can be used to identify a child at high risk of atypical CAP.
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