Journal of Epidemiology and Global Health

Volume 11, Issue 1, March 2021, Pages 69 - 75

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

Authors
Thi Dung Pham1, , ORCID, Van Thuan Hoang1, 2, 3, , ORCID, Thi Loi Dao1, 2, 3, ORCID, Xuan Duong Tran1, Duc Long Phi1, Minh Manh To1, Van Nghiem Dang1, Van Khoi Dang1, Thanh Tung Dao4, Nam Thang Nguyen1, Thi Thuy Vu5, Duc Thanh Nguyen1, Duy Cuong Nguyen1, Nang Trong Hoang1, Thanh Liem Vu5, Thi Minh Chinh Nguyen5, Philippe Minodier3, 6, 7, Philippe Gautret2, 3, *, ORCID
1Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam
2Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France
3IHU-Méditerranée Infection, Marseille, France
4Thanh Hoa province Food safety Administration, Thanh Hoa, Vietnam
5Thai Binh Paediatric Hospital, Thai Binh, Vietnam
6Department of Paediatric Emergency, Centre Hospitalier Universitaire Nord, Marseille, France
7Groupe de Pathologie Infectieuse Pédiatrique, Paris, France

Equal work.

*Corresponding author. Email: philippe.gautret@club-internet.fr
Corresponding Author
Philippe Gautret
Received 5 May 2020, Accepted 11 July 2020, Available Online 29 July 2020.
DOI
https://doi.org/10.2991/jegh.k.200723.001How to use a DOI?
Keywords
Children; infectious disease; lower respiratory tract infections; gastrointestinal infections; influenza; Thai Binh
Abstract

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.

Copyright
© 2020 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
11 - 1
Pages
69 - 75
Publication Date
2020/07/29
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
https://doi.org/10.2991/jegh.k.200723.001How to use a DOI?
Copyright
© 2020 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

TY  - JOUR
AU  - Thi Dung Pham
AU  - Van Thuan Hoang
AU  - Thi Loi Dao
AU  - Xuan Duong Tran
AU  - Duc Long Phi
AU  - Minh Manh To
AU  - Van Nghiem Dang
AU  - Van Khoi Dang
AU  - Thanh Tung Dao
AU  - Nam Thang Nguyen
AU  - Thi Thuy Vu
AU  - Duc Thanh Nguyen
AU  - Duy Cuong Nguyen
AU  - Nang Trong Hoang
AU  - Thanh Liem Vu
AU  - Thi Minh Chinh Nguyen
AU  - Philippe Minodier
AU  - Philippe Gautret
PY  - 2020
DA  - 2020/07/29
TI  - Morbidity and Mortality Patterns in Children Admitted to Hospital in Thai Binh, Vietnam: A Five-year Descriptive Study with a Focus on Infectious Diseases
JO  - Journal of Epidemiology and Global Health
SP  - 69
EP  - 75
VL  - 11
IS  - 1
SN  - 2210-6014
UR  - https://doi.org/10.2991/jegh.k.200723.001
DO  - https://doi.org/10.2991/jegh.k.200723.001
ID  - Pham2020
ER  -