CLINICAL, PARACLINICAL CHARACTERISTICS AND TREATMENT OUTCOMES OF INFLUENZA A IN CHILDREN UNDER 5 YEARS OLD AT THE HAI DUONG GENERAL HOSPITAL
Main Article Content
Abstract
Objective: This study to describe the clinical, paraclinical characteristics and evaluate the treatment outcomes of influenza A in children under 5 years of age treated at the pediatric department in Hai Duong General Hospital.
Subjects: 40 children were diagnosed with influenza A and treated at the pediatric department in Hai Duong General Hospital from January 2025 to October 2025.
Methods: A retrospective and prospective, cross-sectional descriptive.
Results: the mean age of the study population was 34.2 ± 5.8 months, children aged from 12 to under 60 months were the most common, the male/female ratio was 1.86/1. The common clinical manifestation were fever (97.5%), cough (95%), and rhinorrhea (65%). Other symptoms such as headache, sore throat, myalgia, abdominal pain, vomiting were less common. The paraclinical showed that 50% of patients had leukocytosis and 15% had leukopenia, 55% of patients did not exhibit elevated CRP levels (<10 mg/L). The succeedly cured result was 100%. The averaged hospital-stayed period were 6.4 ± 2.4 days.
Conclusion: Children aged 12 to under 60 months were the most commonly affected age group among patients with influenza A. Clinical, paraclinical characteristics were generally non-specific. The most frequent complications were pneumonia and bronchitis. The mean treatment duration was 6.4 ± 2.4 days. Close monitoring of disease progression and early detection of complications are essential for timely management and to reduce treatment duration.
Article Details
Keywords
influenza A, children, Hai Duong General Hospital.
References
[2] Lê Thị Thanh Huyền. Đặc điểm dịch tễ học, lâm sàng, cận lâm sàng, biến chứng và kết quả điều trị bệnh cúm ở trẻ em tại Bệnh viện Đại học Y khoa Vinh. Tạp chí Y học Việt Nam. 2024;536(2):181-185. doi:10.51298/vmj.v536i2.10665.
[3] Bùi Thị Thu Thủy, Nguyễn Thị Diệu Thúy, Nguyễn Thị Thu Hiền; Nguyễn Thị Hoàng Anh, Đặng Thị Hà. Dịch tễ học lâm sàng, cận lâm sàng bệnh cúm mùa ở trẻ em tại Bệnh viện Nhi Hải Dương. Tạp chí Y học Việt Nam. 2024;542(1):89-92. doi: 10.51298/vmj.v542i1.10951.
[4] Chong Chia-Yin, Yung Chee-Fu, Gan Cherie, et al. The clinical features, diagnosis, and outcomes of influenza infection in children admitted to a tertiary pediatric hospital in an acute respiratory infections surveillance program. Influenza Other Respir Viruses. 2020;14:46-54. doi:10.1111/irv.12699.
[5] Fu Shui, Zhang Miao-Miao, Zhang Liang, Wu Li-Feng, Hu Qi-Lei. The value of combined serum amyloid a protein and neutrophil-to-lymphocyte ratio testing in the diagnosis and treatment of influenza a in children. Int J Gen Med. 2021;14:3729-3735. doi:10.2147/IJGM.S313895.
[6] Silvennoinen Heli, Peltola Ville, Lehtinen Pasi, Vainionpää Raija, Heikkinen Terho. Clinical presentation of influenza in unselected children treated as outpatients. Pediatr Infect Dis J. 2009;28(5):372-375. doi:10.1097/INF.0b013e318191eef7.
[7] Wolf Ryan M, Antoon James W. Influenza in Children and Adolescents: Epidemiology, Management, and Prevention. Pediatr Rev. 2023;44(11):605-617. doi:10.1542/pir.2023-005962.
[8] World Health Organization (2024) Influenza (seasonal).