Symptoms of Neonatal Pneumonia and Results of Its Treatment in Bac Ninh Obstetrics and Pediatrics Hospital

Abstract

This descriptive study describes clinical and subclinical symptoms of neonatal pneumonia and evaluates the results of its treatment in Bac Ninh Obstetrics and Pediatrics Hospital. In this study, 200 children diagnosed with neonatal pneumonia were treated in the hospital from May 1, 2018 to May 1, 2019. Among the patients, 57.0% were male; the male/female ratio was 1.33. There were 67/200 (33.5%) patients aged 0-7 days with 13.5% of whom were preterm neonates. In preterm infants, the most common clinical signs were cough (96.4%), tachypnea (42.9%), wheezing (89.3%), recessive (35.7%), scattered bibasilar rales (85.7%), cyanosis (32.1%), and apnea (21.4%). In full-term infants, the most common symptoms were cough (89.5%), cyanosis (6.9%), recessive (18.6%), and scattered bibasilar rales (77.9%). There were 28.5% of the patients with unstable white blood cells; 26.0% of the children had increased CRP. The most common antibiotic formula was Cefalosporin + Amikacin used in 30% of the cases. 121/200 cultured cases were positive, of which 35.5% was K. pneumoniae, 27.3% was H.influenzae, 21.5% was E.coli, and 14.0% was S.aureus. The average duration of treatment was 8.6 ± 3.8 days. The study concludes that neonatal pneumonia was more common in male children; the main clinical manifestations were coughing, rapid breathing, small granules; and a combination of antibiotics was effective in treating neonatal pneumonia.

Keywords

Neonatal pneumonia, tachypnea, apnea, use of antibiotics.

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