Nghiên cứu đặc điểm lâm sàng và kết quả điều trị bệnh ho gà ở trẻ em tại Bệnh viện Bệnh nhiệt đới Trung ương (9/2014-8/2015)

Objective: To find the clinical manifestation and outcome treatment of pertussis disease in children. Subjects and methods: A prospective descriptive study. 32 children were diagnosed with pertussis disease in the period from 09/2014 to 08/2015, based on PCR positive test with B. pertussis, has been evaluated in clinical, laboratory and outcomes treatment. Results: The disease is common in children from 01 month to 9 years old, boys predominate (71.9 percent), the disease tends to occur round the year. The average day of hospitalize was in the day 15th of illness. The common presentation: start coughing at night (100 percent), dry cough (90.6 percent). The typical of cough appear the day 9th of illness, with red face (93.7 percent), cyanosis (46.9 percent), apnea (3.1 percent), eyelid edema (25 percent), vomiting (18.7 percent), conjunctive bleeding (3.1 percent), fever (6.3 percent). CBC testing and CXR were no value to support for diagnosis. Complication of pneumonia was 59.4 percent, the proportion of cured 100 percent, the average days of treatment were 14 days. Conclusions: The diagnosis of pertussis should based on the characteristics of cough and PCR test should be deployed to support for diagnosis. Need to interested Pertussis vaccination for children and consider vaccinate for pregnant women.