Accuracy of Lung Ultrasonography in Diagnosis of Community Acquired Pneumonia as Compared to Chest X-Ray in Pediatric Age Group

Mohamed, Abeer El-Sayed Metwally; Kamel, Omar Farouk; Ghazy, Mohamed Shaker

doi:10.21608/ejhm.2018.10273

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Of the patients, 85 (71.1%) lived in cities, but 35 (28.9%) lived in rural areas. Also, Mohamed et al (5) (2018) studied the accuracy of LUS as compared to chest X-ray (CXR) in diagnosing community-acquired pneumonia (CAP) in 139 children. They reported that the mean age was 3.28 ± 0.62 year, they were 91 (65.5%) males and 48 (34.5%) females, 72 (51.79%) were rural, 57 (41.00%) were urban and 10 (7.19%) were slum, 22 (15.82%) had positive family history of respiratory distress and 117 (84.17%) were negative.…”

Section: Discussionmentioning

confidence: 99%

“…Mohamed et al (5) found that, out of 139 patients who received a clinical diagnosis of pneumonia, 126 (90.64%) had CXR suggestive of the illness, and 136 (97.84%) had LUS suggestive of the illness (p=0.01). Eleven patients with negative CXR showed LUS findings suggestive of pneumonia with a clinical history consistent with pneumonia (p <0.01), compared to one patient with negative LUS and abnormal CXR.…”

Section: Discussionmentioning

confidence: 99%

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The Role of Lung Ultrasonography as a Diagnostic Tool in Different Pediatric Lung Diseases in Benha University Hospital

2024

The Egyptian Journal of Hospital Medicine

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Background: Lung illnesses account for the majority of problems that affect newborns and children, as well as the main cause of death for children under the age of five. Thus, prompt and precise diagnosis is critical to effective therapy and better patient outcomes for those suffering from lung conditions. This study aimed to assess the role of lung ultrasonography as a diagnostic tool in different pediatric lung diseases. Patients and Methods: This case-control study was conducted at Pediatric Department, Benha University Hospital during the period from December 2022 to December 2023. It included 120 participants presenting with symptoms and signs suggesting lung diseases, the average age of the participants was 5.27 years with a standard deviation of 2.21. Results: Chest X-ray was (100%) diagnostic in different studied lung diseases, except for bronchitis where it was diagnostic in 69.7% of cases. Chest ultrasound was diagnostic in 84.8% of patients with bronchitis and (75%) of patients with pneumonia, while it was 100% diagnostic in cases with pneumonia complicated with effusion, collapse, and pneumothorax. In diagnosis of bronchitis, based on chest radiography (CXR), as a reference standard, US had overall sensitivity, specificity, and diagnostic accuracy of 100%, 50% and 84.8% respectively. Kappa statistics revealed significant moderate agreement between LUS and X-ray (kappa =0.582, p<0.001). In diagnosis of pneumonia, US had overall sensitivity, and diagnostic accuracy of 75% and 75% respectively. Conclusion: LUS has good sensitivity and specificity in diagnosing and following up common pediatric lung diseases at least as accurate as chest X-ray.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Role of Lung Ultrasonography as a Diagnostic Tool in Different Pediatric Lung Diseases in Benha University Hospital

2024

The Egyptian Journal of Hospital Medicine

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The usefulness of lung point-of-care ultrasound with mobile ultrasound scanner for the diagnosis of pneumonia in elderly patients

Lee

Koda

Shimosaka

et al. 2021

Jpn J Med Ultrasonics

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Point-of-care Lung Ultrasound in Pediatric Pneumonia

Bansal¹,

Gupta²

2021

Pediatric Infectious Disease

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Pneumonia has remained the leading cause of morbidity and mortality in children. Timely diagnosis and prompt treatment can avert many deaths; however, diagnosis of pneumonia in children still remains a challenge. Chest radiography has been widely used worldwide to diagnose pneumonia in children; however, in recent times, lung ultrasound (LUS) is emerging as a useful tool to diagnose pneumonia. The ease of performing LUS, its bedside availability, no exposure to ionizing radiation, and allowance of real-time monitoring of patients make LUS an attractive tool for the intensivists. In this article, we would elaborate the ultrasound equipment, the technique, normal artifacts, and various sonographic patterns of pneumonia in children. The LUS features of various complications of pneumonia like pleural effusion and pneumothorax will also be discussed. This article also summarizes the current evidence of using LUS in the diagnosis of pediatric pneumonia along with the strengths and limitations of this technique.

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Accuracy of Lung Ultrasonography in Diagnosis of Community Acquired Pneumonia as Compared to Chest X-Ray in Pediatric Age Group

Cited by 3 publications

References 10 publications

The Role of Lung Ultrasonography as a Diagnostic Tool in Different Pediatric Lung Diseases in Benha University Hospital

The Role of Lung Ultrasonography as a Diagnostic Tool in Different Pediatric Lung Diseases in Benha University Hospital

The usefulness of lung point-of-care ultrasound with mobile ultrasound scanner for the diagnosis of pneumonia in elderly patients

Point-of-care Lung Ultrasound in Pediatric Pneumonia

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