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

Basanti, Christine William Shaker; Kotb, Magd A.; Seif, Hadeel; Farag, Fayez I.; Abdelmegeid, Azza

doi:10.21608/cupsj.2020.34773.1002

Cited by 4 publications

(4 citation statements)

References 22 publications

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“…Basanti et al (7) 48 patients (sensitivity 96% by CXR), 49 patients (sensitivity 98% by LUS), and all 50 patients (100%) by CT chest showed evidence of lung consolidation. They came to the conclusion that chest ultrasonography is a less demanding method for interpreting, safe, readily available, portable, sensitive, and specific for early CAP diagnosis.…”

Section: Discussionmentioning

confidence: 97%

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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: 97%

“…In contrast, LUS detected one case each with subpleural hepatization and pleural line irregularity in nonpneumonia cases. Basanti et al (7) investigated the diagnostic accuracy of lung ultrasonography for pediatric community-acquired pneumonia (CAP). Pleural effusion, lung consolidation, air-bronchogram, and pleurisy were all evident.…”

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 two most frequent indications for echocardiography in the current study were critical normal study, which occurred in 62 (74.7%) patients, and pulmonary hypertension secondary to lung disease, which occurred in 11 (13.3%) patients, whereas the study by Rabah F, et al 9 shows that 27 (26.7%) examinations were performed to evaluate left ventricular function in haemodynamically unstable patients and the second frequent indication was suspicion of congenital heart disease (18.8%). Due to the great sensitivity and specificity of echocardiography, its value extends to the detection of peripheral lung pathology 10 .…”

Section: Discussionmentioning

confidence: 99%

Effectivity of functional echocardiography in paediatric intensive care unit: An observational study

Bhadane

2023

Sri Lanka J Child Health

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Introduction: Bedside echocardiography is an important screening tool for evaluating intravascular volume status and cardiac functions in the paediatric intensive care unit (PICU). It offers a good image of the heart and is a useful bedside imaging modality and an accurate diagnostic tool.Objectives: To detect the role of echocardiography in PICUs in the management of critical patients.Method: It was a descriptive, observational, prospective case control study in a tertiary care children's hospital from 1 st August 2018 to 31 st July 2019. Critically ill children were admitted from emergency paediatric department or directly from outpatient department; 83 of 100 critically ill PICU children fulfilling study criteria, were included. Initial echocardiogram was done within 48 hours of admission and repeated as and when indicated.Results: During the study period, 100 children were admitted to the PICU, 83% being critical. Left ventricular hypertrophy (LVH) was noted in 22.9% and high left ventricular mass index (LVMI) was noted in children with abnormal renal profile, hypertension and hypocalcaemia. Left ventricular (LV) systolic dysfunction was significant in the sepsis group of patients and those who had a PICU stay of more than 10 days duration. Isolated LV diastolic dysfunction was found in 88.7%. Abnormal right __________________________________________

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“…The ambulation of the echo machine is another important factor that should be addressed in the NICU and pediatric ICU setting (8). Again the value of echocardiography extends to screening for peripheral lung pathology as well, for its proven high sensitivity and specificity (14).…”

Section: Discussionmentioning

confidence: 99%

Validity of Clinical Indications of Pediatric Bedside Echocardiography in Critically Ill Children: A Single Center Study

Abd El Maseeh,

Mostafa,

Younis

et al. 2022

Pediatric Sciences Journal

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Background: Management of critically ill pediatric patients is a demanding task that relies on a combination of clinical skills and measurement of hemodynamic variables. Echocardiography is currently considered a key tool for the hemodynamic assessment in intensive care units, able to identify causes of hemodynamic instability and to correctly guide therapy. Aim of the work:To determine the type of indications for requesting bedside echocardiography in neonatal and pediatric intensive care units in our center, and to find which of these indications have the highest sensitivity to confirm the presence of echocardiographic abnormalities. Methods: We conducted a prospective study at Cairo University Children's Hospital on 271 critically ill patients admitted to neonatal and pediatric intensive care units and who underwent bedside echocardiography examination. Detailed clinical examination, chest X-ray and echocardiography were done for all patients and comparative results were evaluated. Results:The commonest encountered condition detected with bedside echocardiography in the neonatal intensive care units was pulmonary hypertension representing 35.8% of the examined neonates, while in the pediatric intensive care units it was impaired cardiac contractility representing 33.1% of the totally examined children. The commonest indication for requesting bedside echocardiography was screening for hemodynamically significant patent ductus arteriosus in preterm infants (n= 73, 42%) in neonatal intensive care units' group, while the most common indication for requesting bedside echocardiography was in pediatric intensive care units' group assessment of the cardiac function (n= 60, 61.9%). Of the total requested bedside echocardiography examinations, we found that 51.7% of those performed in neonatal intensive care units' and 19.6% in the pediatric intensive care units' had no significant cardiac abnormality. Conclusion:The use of bed side echocardiography by intensivists and pediatric cardiologists is necessary. Adequate training to attain skills for bedside echocardiography examination by neonatal and pediatric intensivists is an essential requisite for sound primary echocardiographic assessment.

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

Cited by 4 publications

References 22 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

Effectivity of functional echocardiography in paediatric intensive care unit: An observational study

Validity of Clinical Indications of Pediatric Bedside Echocardiography in Critically Ill Children: A Single Center Study

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