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132297

Pediatric Chest Ultrasound for Bedside Diagnosis of Pneumonia: A Validation Study for Diagnostic Options in Developing Countries

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Last updated: 22 Jan 2023

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Abstract

Background: Pneumonia remains a major cause of morbidity and mortality in childhood with a higher burden in developing countries. Diagnosis relies on clinical findings with supporting evidence from chest X-ray (CXR) and occasionally chest computed tomography (CT). 
Aim of the work: The aim of this study was to assess the role of lung ultrasonography (LUS) for bedside diagnosis of pediatric pneumonia in comparison to chest CT as a gold standard. 
Methods: The study was performed on 50 children admitted to Cairo University Children's Hospitals. All children presented with the classical clinical picture of pneumonia and did CXR, LUS and chest CT. 
Results: Radiological findings demonstrated lung consolidation in 48 patients (96%) by CXR, 49 (98%) patients by LUS and all 50 patients (100%) by CT chest. Pleural effusion was found in 8 (16%) patients by CT chest, all of which were detected by LUS (100%), but only 5 were correctly detected by CXR (specificity 62.5%) in addition to 3 false positive cases. LUS detected pleurisy in 29 children (58%) (specificity 100%) while X-rays did not. Also 70% of children needed sedation before CT scanning as compared to none for LUS.
Conclusion: Lung ultrasound is a sensitive, specific, safe and available tool that can be used by clinicians in cases of suspected pneumonia. It is more reliable than CXR, does not require sedation, and can be repeated at the patient's bedside with no risk of irradiation.

DOI

10.21608/cupsj.2020.34773.1002

Keywords

Chest X-ray, CT, Developing countries, lung ultrasound, pneumonia

Authors

First Name

Christine

Last Name

Basanti

MiddleName

W.S.

Affiliation

Pediatric Department, Faculty of Medicine, Cairo University, Egypt

Email

christine.w.shaker@gmail.com

City

-

Orcid

0000-0002-3149-9233

First Name

Magd A.

Last Name

Kotb

MiddleName

-

Affiliation

Pediatric Department, Faculty of Medicine, Cairo University, Egypt

Email

magdkotb@kasralainy.edu.eg

City

-

Orcid

https://orcid.org/00

First Name

Hadeel M.

Last Name

Seif

MiddleName

-

Affiliation

Radiology Department, Faculty of Medicine, Cairo University, Egypt

Email

hadeel_mseif1@hotmail.com

City

-

Orcid

-

First Name

Fayez I.

Last Name

Farag

MiddleName

-

Affiliation

Pediatric Department, Al Dakhla General Hospital, Al Wadi Al Gadid, Egypt

Email

honeyfozza1983@gmail.com

City

-

Orcid

-

First Name

Azza

Last Name

Abdelmegeid

MiddleName

K.

Affiliation

Pediatric Department, Faculty of Medicine, Cairo University, Egypt

Email

azzakamal1718@gmail.com

City

-

Orcid

0000-0002-6665-3771

Volume

1

Article Issue

1

Related Issue

19715

Issue Date

2021-01-01

Receive Date

2020-08-14

Publish Date

2021-01-01

Page Start

15

Page End

24

Print ISSN

2805-279X

Online ISSN

2682-3985

Article File

CUPSJ_Volume 1_Issue 1_Pages 15-24.pdf

PDF . 2.7MB

Link

https://cupsj.journals.ekb.eg/article_132297.html

Detail API

https://cupsj.journals.ekb.eg/service?article_code=132297

Order

4

Type

Original Research

Type Code

1,229

Publication Type

Journal

Publication Title

Pediatric Sciences Journal

Publication Link

https://cupsj.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023