A survey of characteristics of pneumonia children with positive IgM Mycoplasma pneumoniae at Nhi Dong 2 Hospital
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Abstract
Mycoplasma pneumoniae is a major cause of pneumonia in children at the age of (2-18) (45.3 %). As PCR is highly sensitive but is not always available, M. pneumoniae serum test can be used instead. This was a retrospective, cross-sectional descriptive study to survey the characteristics of pneumonia in children with IgM Mycoplasma pneumoniae positive at Nhi Dong 2 Hospital in the last 3 months, 65 patients satisfied the requirement. Results have shown that 3 to under 12 years old was the main age and with no gender differences. Cough (87.7 %), fever (75.4 %), and digestive symptoms (33,9 %) such as vomit, and nausea were also common. Physical examination showed that 87.7 % was moist rales. Blood tests showed that in most cases, normal limits white blood cells but CRP > 20 mg/L has happened in ½ children (55.4 %). The location of damage on chest X-ray 40 % was the lower lobe of the right lung, lung ultrasound showed 60 % pulmonary consolidation. Macrolide and 3rd generation cephalosporins were used as first-line treatment, 15.4 % children were switched to Levofloxacin. The mean hospital stay was (9 ± 4,95) days and 100 % recovered from the disease after discharged from the hospital and no deaths were recorded according to the research.
