@Article {Nguyen1802256，作者= {Nguyen，Phuong T.K.Tran，Hoang T.和Fitzgerald，Dominic A.和Tran，Thach〜s。和Graham，Stephen M.和Marais，Ben J.}，title = {在越南中部患有肺炎的儿童的特征：一项前瞻性研究}，音量= {54}，数字= {1}，Elocation-id = {1802256}，年= {2019}，doi = {10.1183/13993003.02256-2018}，Publisher = {欧洲呼吸社会}188bet官网地址，摘要= {肺炎是越南儿科住院的最常见原因。尚未记录在越南使用世界卫生组织（WHO）案例管理方法的潜在价值。我们对所有儿童（2 {\ textendandash} 59个月）进行了前瞻性描述性研究，并接受了{\ textquotedblleft} pneumonia {\ textquotedblleft} pneumonia {}（由招生临床医生评估）到北部医院的妇女和儿童，以表征其疾病特征并评估危险因素是否不利。使用WHO WHO肺炎标准对疾病的特征进行了分类，其呼吸症或胸部为定义的临床体征。不良后果被定义为死亡，重症监护病房的入院，三级护理转移或住院\> 10天。4206招生，1758年（41.8 \％）被归类为{\ textquotedblleft} no Pneumonia {\ textquotedblleft} no Pneumonia {只有252（6.0 \％）符合{\ textquotedblleft}严重肺炎{\ textquotedblright}的修订条件。住院死亡率低（占入院率的0.4％），大多数死亡（16; 68.8 \％中的11个）发生在{\ textquotedblleft}严重的肺炎{\ textquotedblleft}中。在所有入院中的18.7％和60.7 \％的{\ textQuotedBlleft}严重的肺炎{\ textQuotedBlright}组中记录了不良结果。儿童住院7天，平均费用为253美元。 Risk factors for adverse outcome included WHO-classified {\textquotedblleft}severe pneumonia{\textquotedblright}, age \<1 year, low birth weight, previous recent admission with an acute respiratory infection and recent tuberculosis exposure. Breastfeeding, day-care attendance and pre-admission antibiotic use were associated with reduced risk.Few hospital admissions met WHO criteria for {\textquotedblleft}severe pneumonia{\textquotedblright}, suggesting potential unnecessary hospitalisation and use of intravenous antibiotics. Better characterisation of the underlying diagnosis requires careful consideration.Many child {\textquotedblleft}pneumonia{\textquotedblright} admissions in central Vietnam do not meet WHO case management criteria for hospitalisation or intravenous antibiotics. Accurate aetiological diagnosis is challenging and astute clinical judgement should guide optimal management. http://ow.ly/vkHV30ojiOY}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/54/1/1802256}, eprint = {//www.qdcxjkg.com/content/54/1/1802256.full.pdf}, journal = {European Respiratory Journal} }