LAUSR

Background Muratsan University Hospital Complex(UHC) is multidisciplinary hospital with 260 bed and has Pediatric, surgical, toxicological, traumatological, ICU, emergency, neonatal pathology, mandibulofacial surgical, Otolaryngologic departments. Our goal was to describe the clinico-epidemiological characteristic of patients with acute respiratory tract infection (ARTI) applied to the Muratsan UHC in January 2019. Acute respiratory tract infections are the most common childhood infections worldwide, with close to 100% of children being infected during the first years of life. Whereas the vast majority of viral respiratory infections are mild and self-limiting, more severe disease leads to the hospitalization. Methods and materials We used the medical charts of patients (up to 18 year) applied to the Muratsan University Hospital Complex in January 2019. Results In January 2019 3572 patients applied to the Muratsan UHC, 1117 of them were hospitalized. 1523(58.7%) outpatients from 2594 and 603(53.9%) inpatients from 1117 had symptoms of Acute respiratory tract infection. Analyzing outpatients with ARTI, we mentioned, that 688(43.2%) were female, and 865(56.8%) - male. The 1021(67%) were from Yerevan and 502(33%) from regions. Patients were divided to four age groups 0–1 years old 388(25.5%), 1–3 years 565(37,1%), 3–7 years 422 (27.7%), and above 7- 148 (9.7%). 1247(81.9%) patients of 1523 applied up to 3 days of diseases, 181(11.9%)-4–5thdays and 95(6.2%) more than 6thday. High temperature up to 38.0°C had 1182 patients, 38.1–40.0°C-336 and more than 40.1–5, 77.6%, 22.1% and 0.3% respectively. The main symptoms at the moment of admission were cough 1025(67.3%), catarrhal symptoms- 575(37.8%), vomiting -28(1.8%) and diarrhea- 12(0.89%). Chest X-ray were done in 152 cases, and in 50 cases pneumonia was established (1.9%). Among hospitalized patients pneumonia had 191(17.1%) Conclusion We find out that patients with ARTI applied in first 3 days of disease, with subfebrile temperature and cough and were children up to 7 years old(90.7%). Only 1.9% of outpatients had pneumonia. As we mentioned children who admitted to the hospital didn’t have severe complications. And education of population and some training courses for pediatricians of primary care can decrease hospital application rate.