Characteristics of multidrug-resistant pathogens and treatment outcomes of lobar pneumonia in Northern Vietnam
Tung Anh Dinh Duong 1 2 * , Thanh Hang Tran Thi 1 3
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1 Department of Pediatrics, Hai Phong University of Medicine and Pharmacy, Haiphong, VIETNAM2 Department of Respiratory Diseases, Hai Phong Children’s Hospital, Haiphong, VIETNAM3 Department of Pediatrics, Haiphong Medical University Hospital, Haiphong, VIETNAM* Corresponding Author

Abstract

Purpose: We aimed to investigate the antibiotic resistance characteristics of bacterial pathogens causing lobar pneumonia (LP) in children and the treatment outcomes of these individuals.
Methods: 123 children diagnosed with LP in 2020 were enrolled in this study. Nasopharyngeal swab culture and antibiogram were performed on all patients.
Results: The group aged 24-60 months old was the most common. The most common bacterial pathogens were S. pneumoniae (37.5%), H. influenzae (34.5%) and M. catarrhalis (18.7%). S. pneumoniae showed high resistance to trimethoprim-sulfamethoxazole, clindamycin and cefuroxime. H. influenzae was resistant to cefuroxime and ampicillin (> 80%). M. catarrhalis was resistant to cefuroxime, trimethoprim/sulfamethoxazole and macrolide (> 50%). The third-generation cephalosporin/aminoglycoside combination was the most commonly used as the initial treatment (69.1%), with relatively high treatment success rate (62.4%).
Conclusions: The most common bacterial pathogens causing LP in children were S. pneumoniae, H. influenzae and M. catarrhalis. Almost detected agents were multi-resistant.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

ELECTRON J GEN MED, Volume 22, Issue 6, December 2025, Article No: em699

https://doi.org/10.29333/ejgm/17393

Publication date: 09 Nov 2025

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Article Downloads: 9

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