title: Disease spectrum and management of children admitted with acute respiratory infection in Viet Nam.
abstract: To assess the acute respiratory infection (ARI) disease spectrum, duration of hospitalisation and outcome in children hospitalised with an ARI in Viet Nam.
  
  
  
  We conducted a retrospective descriptive study of ARI admissions to primary (Hoa Vang District Hospital), secondary (Da Nang Hospital for Women and Children) and tertiary (National Hospital of Paediatrics in Ha Noi) level hospitals in Viet Nam over 12 months (01/09/2015 to 31/08/2016).
  
  
  
  Acute respiratory infections accounted for 27.9% (37 436/134 061) of all paediatric admissions; nearly half (47.6%) of all children admitted to Hoa Vang District Hospital. Most (64.6%) of children hospitalised with an ARI were <2 years of age. Influenza/pneumonia accounted for 69.4% of admissions; tuberculosis for only 0.3%. Overall 284 (0.8%) children died; most deaths (269/284; 94.7%) occurred at the tertiary referral hospital. The average duration of hospitalisation was 7.6 days (median 7 days). The average direct hospitalisation cost per ARI admission was 157.5 USD in Da Nang Provincial Hospital. In total, 62.6% of admissions were covered by health insurance.
  
  
  
  Acute respiratory infection is a major cause of paediatric hospitalisation in Viet Nam, characterised by prolonged hospitalisation for relatively mild disease. There is huge potential to reduce unnecessary hospital admission and cost.
authors.affiliation: Discipline of Paediatrics and Adolescent Medicine, The Children's Hospital at Westmead, The University of Sydney, Sydney, Australia.|Da Nang Hospital for Women and Children, Da Nang, Viet Nam.
authors.forename: T K P
authors.initials: TKP
authors.lastname: Nguyen
authors.affiliation: Hoa Vang District Hospital, Da Nang, Viet Nam.
authors.forename: D V
authors.initials: DV
authors.lastname: Nguyen
authors.affiliation: Da Nang Hospital for Women and Children, Da Nang, Viet Nam.
authors.forename: T N H
authors.initials: TNH
authors.lastname: Truong
authors.affiliation: National Hospital of Paediatrics, Ha Noi, Viet Nam.
authors.forename: M D
authors.initials: MD
authors.lastname: Tran
authors.affiliation: Centre for International Child Health, Royal Children's Hospital, University of Melbourne and Murdoch Childrens Research Institute, Melbourne, Australia.
authors.forename: S M
authors.initials: SM
authors.lastname: Graham
authors.affiliation: Discipline of Paediatrics and Adolescent Medicine, The Children's Hospital at Westmead, The University of Sydney, Sydney, Australia.|Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Sydney, Australia.
authors.forename: B J
authors.initials: BJ
authors.lastname: Marais
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D005260:Female; D017052:Hospital Mortality; D006760:Hospitalization / Q000191:economics; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D007251:Influenza, Human / Q000188:drug therapy / Q000191:economics / Q000453:epidemiology*; D007348:Insurance, Health; D007902:Length of Stay; D008297:Male; D011014:Pneumonia / Q000188:drug therapy / Q000191:economics / Q000453:epidemiology*; D012141:Respiratory Tract Infections; D012189:Retrospective Studies; D014376:Tuberculosis; D014397:Tuberculosis, Pulmonary / Q000188:drug therapy / Q000191:economics / Q000453:epidemiology*; D014744:Vietnam / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents
keywords: Viet Nam; Vietnam; acute respiratory infection; child; enfant; infección respiratoria aguda; infection respiratoire aiguë; neumonía; niño; pneumonia; pneumonie