Pneumonia due to bronchitis, double burden for family and health system

NGUYỄN LY |

On August 24, the Ho Chi Minh City Clinical Immunology Allergy Association coordinated with units to share about the increase in therapeutic plaque attacks, challenges in care and treatment.

Patient Nguyen Van Phuong (character's name has been changed, 70 years old, Ho Chi Minh City) is a healthy lifestyle person, caring about his health, so with regular health check-ups, the patient can control underlying cardiovascular disease well. Suddenly, the patient had cardiopulmonary complications caused by a bridge attack. After 3 days of treatment at the Intensive Care and Anti-Poison Department, Gia Dinh People's Hospital, the patient was fortunately saved, but the burden on the patient was huge.

Dr. Le Thi Thu Huong - Head of the Department of Respiratory Internal Medicine, Gia Dinh People's Hospital - said: "The patient is in a state of exhaustion, severe impaired lung function and his life depends entirely on caregivers. This is a huge burden for patients and their families.

According to Dr. Huong, a person with chronic lung disease is 8 times more likely to develop bronchial disease than normal people. For people who smoke, the risk of bronchitis increases by 5 times. Patients with other diseases such as asthma, diabetes, cardiovascular disease, etc. all increase their risk of bronchitis. At the same time, these subjects, when admitted to the hospital, are at high risk of complications of pneumonia, the possibility of being admitted to the Intensive Care Unit for anti-poisoning, cardiovascular events, and prolonged symptoms after pneumonia. And the possibility of death is high.

Associate Professor, Dr. Le Thi Tuyet Lan - President of the Ho Chi Minh City Clinical Immunology Allergy Association - said that up to 50% of patients who are recovering from acute resuscitation are due to pneumonia. Each hospitalization not only puts pressure on the health system, but also carries a burden on the family, from treatment costs, time spent on care to mental anxiety.

In the context of Vietnam entering a period of rapid aging, by 2030 it is estimated that there will be about 18 million people over the age of 60, bronchial pneumonia will become an even greater challenge. The disease can cause serious complications such as meningitis, mediastinal ear inflammation, sepsis, but public awareness of bronchi is still very limited, most people only hear about pneumonia without knowing the dangerous agents behind it.

Associate Professor, Dr. Cao Huu Nghia - Head of the Department of Medical Sciences, Pasteur Institute of Ho Chi Minh City - shared that each year, Vietnam records tens of thousands of cases of pneumonia caused by whooping cough, in which 15-20% of adults with invasive whooping cough are at risk of death, even increasing to 60% in people with immunodeficiency.

Anemia exists as a bacteria that is endemic to the respiratory tract, but when resistance is reduced or the environment is polluted, they can "explode" and cause disease. In fact, WHO estimates that there are hundreds of millions of plage infections worldwide each year, with more than half a million deaths. In Vietnam, the antibiotic resistance of strawberries is becoming a major challenge for treatment.

According to Associate Professor Nghia, in addition to treatment and proactive prevention, it is a key solution: enhancing nutrition, maintaining environmental hygiene, regular health check-ups, especially vaccinating against whooping cough for high-risk groups. He emphasized: "Protecting yourself and your family from the dead is protecting the community".

NGUYỄN LY
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