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Morbidity and Mortality Patterns in Children Admitted to Hospital in Thai Binh, Vietnam: A Five-year Descriptive Study with a Focus on Infectious Diseases

Journal of Epidemiology and Global Health, 2021-03, Vol.11 (1), p.69-75 [Peer Reviewed Journal]

The Authors. Published by Atlantis Press International B.V. 2020 ;2021. This work is licensed under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Distributed under a Creative Commons Attribution 4.0 International License ;2020 The Authors. Published by Atlantis Press International B.V. 2020 ;ISSN: 2210-6006 ;EISSN: 2210-6014 ;DOI: 10.2991/jegh.k.200723.001 ;PMID: 32959624

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Title:
Morbidity and Mortality Patterns in Children Admitted to Hospital in Thai Binh, Vietnam: A Five-year Descriptive Study with a Focus on Infectious Diseases
Author: Pham, Thi Dung ; Hoang, Van Thuan ; Dao, Thi Loi ; Tran, Xuan Duong ; Phi, Duc Long ; To, Minh Manh ; Dang, Van Nghiem ; Dang, Van Khoi ; Dao, Thanh Tung ; Nguyen, Nam Thang ; Vu, Thi Thuy ; Nguyen, Duc Thanh ; Nguyen, Duy Cuong ; Hoang, Nang Trong ; Vu, Thanh Liem ; Nguyen, Thi Minh Chinh ; Minodier, Philippe ; Gautret, Philippe
Subjects: Antibiotics ; Bacteriology ; Cardiology and cardiovascular system ; Children ; Emerging diseases ; gastrointestinal infections ; Human health and pathology ; Infections ; infectious disease ; Infectious diseases ; Influenza ; Life Sciences ; lower respiratory tract infections ; Microbiology and Parasitology ; Morbidity ; Mortality ; Neonates ; Parasitology ; Polymerase chain reaction ; Research Article ; Respiratory tract diseases ; Thai Binh ; Virology
Is Part Of: Journal of Epidemiology and Global Health, 2021-03, Vol.11 (1), p.69-75
Description: The objective of this study was to describe the overall pattern of morbidity and mortality of children seen at the Thai Binh Paediatric Hospital in Vietnam, with a focus on infectious diseases. A retrospective review of hospitalisation records was conducted from 1 January 2015 to 31 December 2019. Data were obtained from a total of 113,999 records. The median age of patients was 18 months, with 84.0% of patients aged <5 years. Infectious diseases accounted for 61.0% of all cases. The most prevalent diseases were lower respiratory tract infections (32.8%), followed by gastrointestinal infections (13.3%) and confirmed influenza (5.4%). Most infections were not microbiologically documented. A total of 81.4% patients received at least one antibiotic. Most patients (97.0%) were hospitalised for less than 15 days. Regarding outcomes, 87.8% patients were discharged home with a favourable outcome. Twelve percent were transferred to the Vietnam National Children’s Hospital because their condition had worsened and 0.1% died. In total, infectious diseases accounted for 40.4% of deaths, followed by neonatal disorders (34.6%). Our data serves a basis for the identification of needs for diagnostic tools and for future evaluation of the effect of the targeted implementation of such facilities. Point-of-care tests, including real-time polymerase chain reaction assays to identify common pathogens should be implemented for more accurate diagnosis and more appropriate antibiotic use.
Publisher: Dordrecht: Springer Netherlands
Language: English
Identifier: ISSN: 2210-6006
EISSN: 2210-6014
DOI: 10.2991/jegh.k.200723.001
PMID: 32959624
Source: PubMed Central
Springer Nature OA/Free Journals
ProQuest Central
DOAJ Directory of Open Access Journals

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Morbidity and Mortality Patterns in Children Admitted to Hospital in Thai Binh, Vietnam: A Five-year Descriptive Study with a Focus on Infectious Diseases

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