THE RISK FACTORS OF THE DELTOID CONTRACTURE OF LOCAL PEOPLE IN VIETNAM

Background: Deltoid contracture can be congenital or acquired. A cross-sectional study has been done in 8 provinces representing three regions in Vietnam. These are Ha Noi, HaTay, Thanh Hoa and Lang Son in the North, Ha Tinh and Da Nang provinces in the central, Tien Giang and Can Tho provinces in the South of Vietnam. Objective: To identify the risk factors of Deltoid contracture in Vietnam from 2006 - 2007. Subject and Method: 29696 people aged from 1 to 60 years old at the time of the survey were examined to diagnose the Deltoid contracture as well as being interviewed by structured questionnaire. Results: There was significant association between contracture of Deltoid muscle and some factors. These are antibiotics injection into the Delta muscle at 0 - 5 years old: OR = 2.93 (1.435,8); Antibiotics type (streptomycin) was injected at 0-5 years old: OR = 45.2 (13.1 - 167); having cicatrix: OR = 73.4 (46.1 - 116.9). There was no significant association between Deltoid fibrosis and vaccination (position and administration). Logistic regression was done to find that antibiotics injection into Delta muscle at 6 - 10 years old and antibiotics type (streptomycin) were significantly associated with Deltoid contracture. Conclusion: Risk factors of Deltoid contracture in this study were antibiotic injection at aged 0 - 5 years old, antibiotic type (Streptomycin) and having cicatrix. There was no significant association between Deltoid fibrosis and vaccination (position and administration).

The prevalence of deltoid contracture in some areas of Viet Nam in 2006-2007

Background: Deltoid contracture can be a congenital or acquired condition. There were not any reports on deltoid contracture in English literature until 1960. In 2005 there were 170 children presented at the Viet Nam Pediatric Institute with deltoid contracture. These children came from different provinces, nationwide. The numbers of children who have this condition is increasing, but there were few studies on this problem in Viet Nam. Objectives: To identify the prevalence of deltoid contracture in Viet Nam in 2006-2007. Subjects and method: A cross-sectional study was done in 8 provinces representing for 3 geographic regions of Viet Nam., included Ha Noi, Ha Tay, Thanh Hoa and Lang son in Northern, Ha Tinh and Da Nang in Central and Tien Giang and Can Tho in the Southern region. 29,696 people aged from 1 to 60 years old at the baseline were involved in the study. The subjects were examined to identify the deltoid contracture based on defined criteria. Results: The prevalence of disease was 0.65% (0.83% in men and 0.51% in women). The rate was highest in the group of 6-10 years of age (1.81%). The prevalence was 0.82% in rural and 0.31% in urban area. Cases were found in all but 4 provinces (Da Nang, Tien Giang, Can Tho and Ha Noi) Conclusion: The prevalence of Deltoid contracture in Viet Nam was 0.65% in 2006-2007. It was more likely to occur in men than in women, in age group of 6 \u2013 10 than in other groups and in rural than in urban area.

Evaluating the effect of two antibiotic regimens for purulent meningitis in infants at the Pediatric Institute

Participants in this study were 153 pediatric patients aged 1 - 12 months who admitted the Pediatric Institute with diagnosis of purulent meningitis between January 1994 and June 1998. These patients were divided into 2 groups. 89 infants were involved in group 1, and 64 were involved in group 2. The results showed that the antibiotic regimen using Claforan with dose of 150-200 mg/kg/24h was superior to the regimen using ampicilline plus chloramphenicol for purulent meningitis in infants, especially for infants who had a delay in seeking health care. Generation 3 of cephalosporine (ceftriasone) has high sensitivity to H. influenzae and rate of resistance to this antibiotic was lower significantly than that of ampicilline and chloramphenicol.

Causes and clinical features of purulent meningitis in the Central Institute of Pediatry in 1999

The authors reviewed 68 medical records of children between the ages of 6-15 during 12/1998-12/1999. The tests for identification of microbial by culture of cerebro spinal fluid have shown that the frequent pathogens were H. influenzae (50%), S.peumoniae (22/6%), Neiseria meningitidis (11,7%), and streptococus. The common clinical symptoms in newborn and infant were anorexia, moan, fontanelle inflation. The common clinical symptoms in older children were high fever and headache. The purulent meningitis due to Neiseria meningitis had a high rate of septic shock and necrosis hemorrhage. The purulent meningitis frequently occurs in winter-spring season and in men than women. There was difference of biochemical and cellular indicators between age groups and pathogen