% 0期刊文章% Nguyen Phuong T.K. % Tran,黄平君T %菲茨杰拉德,多米尼克·A . % Tran, Thach s %格雷厄姆,斯蒂芬·m . % Marais说本·J . % T儿童肺炎住院在越南中部的描述:一个前瞻性研究% D J 2019% R 10.1183/13993003.02256 -2018%欧洲呼吸杂志% P 1802256 % V 54% N 1% X肺炎是最常见的原因在越南儿科住院。的潜在价值使用世界卫生组织(世卫组织)病例管理方法在越南还没有记录。我们执行一个潜在的描述性研究的儿童(2-59月)承认“肺炎”(承认评估的临床医生)岘港妇女和儿童医院描述他们的疾病概要文件和评估风险因素的不利结果。肺炎疾病概要文件是机密的使用标准,与tachypnoea或胸部纳入定义临床症状。不良结果被定义为死亡,重症监护室承认,三级护理转移或住院> 10天。4206招生,1758(41.8%)被列为“肺炎”使用标准和只有252(6.0%)达到了“严重肺炎”修订标准。招生住院死亡率很低(0.4%)与大多数人死亡(11个;68.8%)发生“严重肺炎”组。不利的结果记录在招生总数的18.7%和60.7%的重症肺炎组。孩子住院的平均7天平均每承认的253美元成本。 Risk factors for adverse outcome included WHO-classified “severe pneumonia”, age <1 year, low birth weight, previous recent admission with an acute respiratory infection and recent tuberculosis exposure. Breastfeeding, day-care attendance and pre-admission antibiotic use were associated with reduced risk.Few hospital admissions met WHO criteria for “severe pneumonia”, suggesting potential unnecessary hospitalisation and use of intravenous antibiotics. Better characterisation of the underlying diagnosis requires careful consideration.Many child “pneumonia” admissions in central Vietnam do not meet WHO case management criteria for hospitalisation or intravenous antibiotics. Accurate aetiological diagnosis is challenging and astute clinical judgement should guide optimal management. http://ow.ly/vkHV30ojiOY %U //www.qdcxjkg.com/content/erj/54/1/1802256.full.pdf