Đặc điểm dịch tễ lâm sàng và một số yếu tố tiên lượng tử vong của viêm phổi nặng do adenovirus tại Trung tâm bệnh Nhiệt đới Bệnh viện Nhi Trung ương năm 2022

Describe the epidemiological, clinical characteristics and risk factors for mortality of severe Adeno virus pneumonia in children at center for tropical diseases of national children’s hospital in 2022. Methods: cross –sectional descriptive study, all patients medical record with confirmed diagnosis of severe Adenovirus pneumonia at center for tropical diseases of national children’s hospital from 01/01/2022 to 31/12/2022. Results: The average age of pediatric patients is 20.10 ± 15.54 months, the males is more than females (account for 64.4%). Most of the cases are admitted to hospital from August to December. Common clinical symptom: fever (99.1%), average number of fever days 9.01 ± 5.06; cough 98.6%, upper respiratory tract inflammation 89.4%, Shortness of breath 100%, ral 100%, respiratory failure grade II 86.1%, grade III 13.9%, oxygen 87%, mechanical ventilation 39.4%. Duration of illness >7 days, respiratory failure grade III, mechanical ventilation and multiple organ dysfunction syndrome are risk factor for mortality of severe Adeno virus pneumonia. Conclusion: Severe adenoviral pneumonia has diverse clinical manifestations, relatively similar to other viral agents but with more severe and prolonged course. Risk factor for mortality of severe Adenovirus pneumonia are: Duration of illness > 7 days, respiratory failure grade III, mechanical ventilation and multiple organ dysfunction syndrome.