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 Pham^{1, †,} , Van Thuan Hoang^{1, 2, 3, †,} , Thi Loi Dao^{1, 2, 3,} , 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 Minodier^{3, 6, 7}, Philippe Gautret^{2, 3, *,}

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

DOI

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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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  - 10.2991/jegh.k.200723.001
ID  - Pham2020
ER  -