tetano
Editor, Senior Moderator
J Epidemiol Glob Health
. 2020 Jul 29.
doi: 10.2991/jegh.k.200723.001. Online ahead of print.
Morbidity and Mortality Patterns in Children Admitted to Hospital in Thai Binh, Vietnam: A Five-year Descriptive Study with a Focus on Infectious Diseases
Thi Dung Pham[SUP] 1 [/SUP], Van Thuan Hoang[SUP] 1 2 3 [/SUP], Thi Loi Dao[SUP] 1 2 3 [/SUP], Xuan Duong Tran[SUP] 1 [/SUP], Duc Long Phi[SUP] 1 [/SUP], Minh Manh To[SUP] 1 [/SUP], Van Nghiem Dang[SUP] 1 [/SUP], Van Khoi Dang[SUP] 1 [/SUP], Thanh Tung Dao[SUP] 4 [/SUP], Nam Thang Nguyen[SUP] 1 [/SUP], Thi Thuy Vu[SUP] 5 [/SUP], Duc Thanh Nguyen[SUP] 1 [/SUP], Duy Cuong Nguyen[SUP] 1 [/SUP], Nang Trong Hoang[SUP] 1 [/SUP], Thanh Liem Vu[SUP] 5 [/SUP], Thi Minh Chinh Nguyen[SUP] 5 [/SUP], Philippe Minodier[SUP] 3 6 7 [/SUP], Philippe Gautret[SUP] 2 3 [/SUP]
Affiliations
Abstract
The objective of this study was to describe the overall pattern of morbidity and mortality of children seen at the Thai Binh Paediatric Hospital in Vietnam, with a focus on infectious diseases. A retrospective review of hospitalisation records was conducted from 1 January 2015 to 31 December 2019. Data were obtained from a total of 113,999 records. The median age of patients was 18 months, with 84.0% of patients aged <5 years. Infectious diseases accounted for 61.0% of all cases. The most prevalent diseases were lower respiratory tract infections (32.8%), followed by gastrointestinal infections (13.3%) and confirmed influenza (5.4%). Most infections were not microbiologically documented. A total of 81.4% patients received at least one antibiotic. Most patients (97.0%) were hospitalised for less than 15 days. Regarding outcomes, 87.8% patients were discharged home with a favourable outcome. Twelve percent were transferred to the Vietnam National Children's Hospital because their condition had worsened and 0.1% died. In total, infectious diseases accounted for 40.4% of deaths, followed by neonatal disorders (34.6%). Our data serves a basis for the identification of needs for diagnostic tools and for future evaluation of the effect of the targeted implementation of such facilities. Point-of-care tests, including real-time polymerase chain reaction assays to identify common pathogens should be implemented for more accurate diagnosis and more appropriate antibiotic use.
Keywords: Children; Thai Binh; gastrointestinal infections; infectious disease; influenza; lower respiratory tract infections.
. 2020 Jul 29.
doi: 10.2991/jegh.k.200723.001. Online ahead of print.
Morbidity and Mortality Patterns in Children Admitted to Hospital in Thai Binh, Vietnam: A Five-year Descriptive Study with a Focus on Infectious Diseases
Thi Dung Pham[SUP] 1 [/SUP], Van Thuan Hoang[SUP] 1 2 3 [/SUP], Thi Loi Dao[SUP] 1 2 3 [/SUP], Xuan Duong Tran[SUP] 1 [/SUP], Duc Long Phi[SUP] 1 [/SUP], Minh Manh To[SUP] 1 [/SUP], Van Nghiem Dang[SUP] 1 [/SUP], Van Khoi Dang[SUP] 1 [/SUP], Thanh Tung Dao[SUP] 4 [/SUP], Nam Thang Nguyen[SUP] 1 [/SUP], Thi Thuy Vu[SUP] 5 [/SUP], Duc Thanh Nguyen[SUP] 1 [/SUP], Duy Cuong Nguyen[SUP] 1 [/SUP], Nang Trong Hoang[SUP] 1 [/SUP], Thanh Liem Vu[SUP] 5 [/SUP], Thi Minh Chinh Nguyen[SUP] 5 [/SUP], Philippe Minodier[SUP] 3 6 7 [/SUP], Philippe Gautret[SUP] 2 3 [/SUP]
Affiliations
- PMID: 32959624
- DOI: 10.2991/jegh.k.200723.001
Abstract
The objective of this study was to describe the overall pattern of morbidity and mortality of children seen at the Thai Binh Paediatric Hospital in Vietnam, with a focus on infectious diseases. A retrospective review of hospitalisation records was conducted from 1 January 2015 to 31 December 2019. Data were obtained from a total of 113,999 records. The median age of patients was 18 months, with 84.0% of patients aged <5 years. Infectious diseases accounted for 61.0% of all cases. The most prevalent diseases were lower respiratory tract infections (32.8%), followed by gastrointestinal infections (13.3%) and confirmed influenza (5.4%). Most infections were not microbiologically documented. A total of 81.4% patients received at least one antibiotic. Most patients (97.0%) were hospitalised for less than 15 days. Regarding outcomes, 87.8% patients were discharged home with a favourable outcome. Twelve percent were transferred to the Vietnam National Children's Hospital because their condition had worsened and 0.1% died. In total, infectious diseases accounted for 40.4% of deaths, followed by neonatal disorders (34.6%). Our data serves a basis for the identification of needs for diagnostic tools and for future evaluation of the effect of the targeted implementation of such facilities. Point-of-care tests, including real-time polymerase chain reaction assays to identify common pathogens should be implemented for more accurate diagnosis and more appropriate antibiotic use.
Keywords: Children; Thai Binh; gastrointestinal infections; infectious disease; influenza; lower respiratory tract infections.