Tình hình sử dụng kháng sinh trong điều trị viêm phổi cộng đồng ở trẻ em dưới 5 tuổi tại Bệnh viện Sản Nhi An Giang

Community-acquired pneumonia is the leading cause of death for children worldwide and in Vietnam also. Every day, An Giang Hospital of Obstetrics Gynecology and Pediatrics receives about 500 children for examination and treatment, for which community-acquired pneumonia is the most common. This study aims to find out the rate of antibiotic use, treatment regimens, and factors related to the outcome of antibiotic treatment for community-acquired pneumonia in children. A retrospective cross-sectional study was designed on medical records of 303 pediatric patients from 2 months to 5 years of age. The study results show that, for pneumonia patients, the rate of choosing the initial monotherapy antibiotic regimen was 94.86% and the combination regimen was 5.14%, however, this rate increased to 24.0% in patients with severe pneumonia. The rate of changing treatment regimens was 13.86%. The average duration of antibiotic treatment was 6.81 ± 2.54 days and the cure rate was 98.02%. Factors associated with statistical significance to treatment outcomes were: Comorbidities, preterm birth, and antibiotic use before hospital admission.