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118597

A comparison between the Use of Chest X-ray and Lung Ultrasound in the Diagnosis of Pneumonia in Children in Damietta Governorate

Article

Last updated: 04 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Pediatrics

Abstract

Background: Pneumonia is a life-threatening disease in children. Diagnosis of pneumonia is mainly clinical. However, some clinical features may be subtle or not specific. Lung ultrasound (LUS) might be used as a diagnostic tool in pneumonia as it is an easily accessible and safe imaging technique.
Aim of the work: This study aimed to investigate the role of lung ultrasound in diagnosing pneumonia compared to chest x-ray in children.
Subjects and methods: This cross-sectional study was carried out at the general pediatric wards and pediatric intensive care units [PICUs], Department of Pediatrics, Al-Azhar University Hospital [Damietta]. It included 120 patients who were clinically diagnosed to have pneumonia. Each legal guardian signed informed consent. Then, everyone was subjected to chest x-ray and lung ultrasound, and results were compared.
Results: Sonographic findings in children with pneumonia as consolidation was detected in 114/120 (95.6%), air bronchogram in 104/120 (86.7%), fluid bronchogram 37(31.1%), multiple B-lines in 68/120 (56.7%), pleural effusion in 29/120 (24.4%). The lung ultrasound [LUS] showed higher diagnostic accuracy (94.45%), sensitivity (95.6%), and specificity (93.3%). There was a statistically significant good agreement between LUS and chest X-ray [CXR].
Conclusion: LUS is safe, accurate, and more sensitive for the diagnosis of suspected pneumonia in the pediatric age group and had the advantage of reducing radiation hazard when compared to chest X-ray

DOI

10.21608/ijma.2020.36693.1154

Keywords

pneumonia, lung ultrasound, Air-bronchogram, Chest X rays, children

Authors

First Name

Ahmed Mohamed

Last Name

Karkar

MiddleName

-

Affiliation

Department of Pediatrics, Damietta General Hospital, Ministry of Health, Egypt

Email

karkor2018@yahoo.com

City

Damietta

Orcid

-

First Name

Mohamed Abdelsalam

Last Name

Zannoun

MiddleName

-

Affiliation

Department of Pediatrics, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

m_zannoun@yahoo.com

City

Menofia

Orcid

-

First Name

Ahmed Mohamed Fekry

Last Name

Eldeek

MiddleName

-

Affiliation

Department of Radiology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

deekscan@yahoo.com

City

Damietta

Orcid

-

First Name

Magdy Mohamed Ashmawy

Last Name

Sakr

MiddleName

-

Affiliation

Department of Pediatrics, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

sakrmagdy@hotmail.com

City

Cairo

Orcid

-

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2020-08-14

Publish Date

2021-01-01

Page Start

938

Page End

945

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 938-945.pdf

PDF . 1.2MB

Link

https://ijma.journals.ekb.eg/article_118597.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=118597

Order

6

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

A comparison between the Use of Chest X-ray and Lung Ultrasound in the Diagnosis of Pneumonia in Children in Damietta Governorate

Details

Type

Article

Created At

22 Jan 2023