Antimicrobial resistance and serotype distribution of streptococcus pneumonia isolates among children under 5 years of age, Hai Phong city, Viet Nam, during the period of 2006- 2007

Background: Streptococcus pneumonia (S.pneumoniae) is the main cause of acquired pneumonia in the community along with otitis media, sinusitis, septicemia and meningitis. Objectives: The study determined antimicrobial resistance and serotype distribution of Streptococcus pneumonia isolates from hospitalized children at Hai Phong Children's Hospital, Vietnam. Subjects and method: From June 2006 to September 2007, 80 pneumococccal isolates were tested for susceptibility to the 13 antibiotics and 84 pneumococcal isolates were serotyped. Results:Seventy-five percent of strains showed multi-drug resistance. Ninety percent of strains showed resistance to penicillin (48% intermediate and 42% fully resistant). In addition, 100% of isolates were resistant to cotrimoxazole, 74% of isolates were resistant to cephalexin; 71 % of isolates were resistant to erythroomycin and 58% were resistant to cefuroxxime. Almost all the isolates were susceptible to amoxicillin, cefotaxime, ceftriaxone, ceefepime, ofloxacin and 100% of isolates were susceptible to vancomycin. Among the 84 serotypes, 82% were included in the 23 valent pneumococcal polysaccharide vaccine including: 19F (30%), 23F (21 %), 14 (13%) and 6B (13%). Six other serotypes (13, 15C, 18, 11A, 15B and 6A) accounted for 12% of strains and 9 (11%) strains were untypeable. Conclusion: Pneumococcal antibiotics is spreading most rapidly among children in Vietnam, especially strains typs 19F and 23 F. Concerted efforts are necessary to prevent it spreading.\r\n", u'\r\n', u'

Studying on the features of anemia on the patients treated in Thai Binh General hospital

Background: Rate of anemia is quite high in hospitals. This condition occurs in all age groups, genders, occupations and all areas of the country. The assessment of the situation, degree, nature as well as classification of anemia is necessary for the diagnosis, treatment and prognosis. Objectives: To study the features of anemia on the patients treated in Thai Binh General hospital. Subjects and methods: the analytic descriptive study was carried out on 3522 cases who were treated in Thaibinh General hospital from May 1st, 2004 to April 30th, 2005. Results: The percentage of the anemic patients was 14.16% of the total patients in Thaibinh General hospital. The rate of the anemia of children was 57.61 % and the elderly was 19% of all anemic patients. The rate of mild anemia was 64.2% and the sever anemia was 14.9%. The rate of chronic anemia was 72.9%. The microcytic anemia was 45.94%, the macrocytic anemia was 0.57%. The anemia in the blood diseases and hematopoietic diseases were 8.38% including thrombocytopenic purpura, thalassemia, leukemia, aplastic anemia and hemophilia. Conclusions: The rate of patients with anemia in Thai Binh General Hospital in period of 2004 - 2005 was 14.16% in the total patients treated; among them the rate of anemia in children was high. This problem needs to be interested in children \r\n', u'\r\n', u'

Premenstrual active treatment of patients with immunothrombocytopenic haemorrhage

A study on female patients with ages of 15-30, and immunothrombocytopenic haemorrhage has shown that the severe anemia occurred mainly due to metrorrhagia (80%). For patients treated actively by corticoids that platelet has been a good response, it should not use corticoids within continuous 6 months while they should have a treatment course before menstruation for a week and followed by 4 days. All 7 patients treated actively responded with corticoids.