Study on 120 respiratory infection patients (mean ages 37.82  7.63) who were hospitalized in SICU at Viet Duc hospital from 2000-2003 to investigate the efficacy of treating respiratory infection. Results: the rate of respiratory infection associated mechanical respiratory in these patients was 26.08%. Average time of mechanical respiratory was 10.51  1.87 days. Bacteria caused the disease included P.aeruginosa 33.13%, Acinetobacter 22.08%, Klebsiella 14.72%, E. coli 12.88%, Enterobacter 2.45, Proteus 1.84% and S.aureus 12.26%. Symptoms such as fever, increased leucocytes, bronchial secretion and lung X ray regressed at the third day, but the major of these disappeared at the 5th to 7th day after treatment. Good effect of the treatment was 89.18%, failures and mortality 11.82%. Cases of recurrence and death were due to bacteria such as P. aeruginose and Acinetobacter resisted to antibiotic. There were no differences about the efficacy in patients infected one or two kinds of bacteria.
Respiratory Tract Infections ; Craniocerebral Trauma ; Ventilators, Mechanical ; Therapeutics

Background: Acute Renal Failure (ARF) is a common complication in severe traumatic patients. It can cause higher mortality in these patients. Clear knowledge about the risk factors for acute renal failure that can limit this complication. Objective: To estimate some risk factors for acute renal failure in severe traumatic patients. Subjects: The study carried out on 125 severe traumatic patients who were treated in ICO at Viet Duc hospital. Method: It is a prospective cohort study. Diagnosis of ARF was based on blood creatinine level. Blood creatinine >130 micromol/l was considered ARF. Results: There were 49 severe traumatic patients with ARF (39.2%). The risk factors of univariable for ARF were included: ISS > 32 (OR = 3.80), retroperitoneal hematoma (OR = 3.51), high dose of catecholamine, severe infection after trauma (OR = 10.08), respiratory failure (OR = 6.38), intra-abdominal bleeding (OR = 2.80), hypotension over one hour (OR = 6.46) and rhadomyolysis (OR = 4.62). With multivariable analysis, it was discovered that rhadomyolysis (OR = 4.11), hypotension over one hour (OR = 3.74) and severe infection after trauma (OR = 2.38) were risk factors for ARF. Conclusion: Rhadomyolysis, hypotension over one hour and severe infection after trauma was a risk factors for ARF in severe traumatic patients.
Severe traumatic patient ; risk factors ; acute renal failure

As authorities braced for the arrival of the Omicron variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), infrastructure investments and government directives prompted action in central Viet Nam to establish capacity for genomic surveillance sequencing. From 17 November 2021 to 7 January 2022, the Pasteur Institute in Nha Trang sequenced 162 specimens from 98 150 confirmed SARS-CoV-2 cases in the region collected from 8 November to 31 December 2021. Of these, all 127 domestic cases were identified as the B.1.617.2 (Delta) variant, whereas 92% (32/35) of imported cases were identified as the B.1.1.529 (Omicron) variant, all among international flight passengers. Patients were successfully isolated, enabling health-care workers to prepare for additional cases. Most (78%) of the 32 Omicron cases were fully vaccinated, suggesting continued importance of public health and social measures to control the spread of new variants.