NDLI: Can lung ultrasound replace chest radiography for the diagnosis of pneumonia in hospitalized children?

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Can lung ultrasound replace chest radiography for the diagnosis of pneumonia in hospitalized children?

Content Provider	Semantic Scholar
Author	Reali, Francesca Papa, Giuseppe Francesco Sferrazza Carlucci, Paolo Fracasso, Paola Marco, Fabiano Di Mandelli, Marzia Soldi, Simone Riva, Enrica Centanni, Stefano
Copyright Year	2014
Abstract	BACKGROUND Lung ultrasound is a non-radiating accurate alternative tool to chest X-ray (CXR) in the diagnosis of community-acquired pneumonia (CAP) in adults. OBJECTIVES The aim of our study was to define the accuracy of ultrasound in the diagnosis of CAP in children. METHODS 107 consecutive children with suspected CAP underwent clinical examination, blood sample analysis, CXR and lung ultrasound on admission to the Pediatric Department of the San Paolo Hospital. The diagnosis of pneumonia was made by an independent committee of physicians on the basis of the overall clinical and CXR data. RESULTS The diagnosis of CAP was confirmed by the committee in 81 patients (76%). Ultrasound and CXR were performed in all patients. Ultrasound had a sensitivity of 94% and specificity of 96%, while CXR showed a sensitivity of 82% and a specificity of 94%. In patients with CAP, ultrasound revealed subpleural consolidations with air bronchogram in 70 cases and focal B-lines in 6. A parapneumonic pleural effusion was detected in 17 patients by ultrasound, while only 11 of them could be detected by CXR. CONCLUSIONS In our series, lung ultrasound was highly accurate for the diagnosis of CAP in hospitalized children. These results provide the rationale for a multicenter study in children.
Starting Page	126
Ending Page	129
Page Count	4
File Format	PDF HTM / HTML
Alternate Webpage(s)	https://www.karger.com/Article/Pdf/362692
PubMed reference number	24992951v1
Alternate Webpage(s)	https://doi.org/10.1159/000362692
DOI	10.1159/000362692
Journal	Respiration; international review of thoracic diseases
Volume Number	88
Issue Number	2
Language	English
Access Restriction	Open
Subject Keyword	Acquired Immunodeficiency Syndrome Blood specimen Patients Plain chest X-ray Pleural effusion disorder Radiographic imaging procedure Structure of parenchyma of lung X-Ray Computed Tomography community acquired pneumonia
Content Type	Text
Resource Type	Article

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