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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Hazir, Tabish Raza, Mujahid Masood, Syed Asif Qazi, Shamim A. Nisar, Yasir Bin Khan, Shazia F. Zameer, Shehla |
| Spatial Coverage | Pakistan |
| Description | Author Affiliation: Hazir T ( ARI Research Cell, Children's Hospital, Pakistan Institute of Medical Sciences, Islamabad, Pakistan. arichi99@arireseach.edu.pk); |
| Abstract | Objectives To evaluate the chest radiographs of children diagnosed with non-severe pneumonia on the basis of the current World Health Organization guidelines (fast breathing alone) for radiological evidence of pneumonia. Design Descriptive analysis. Setting Outpatient departments of six hospitals in four cities in Pakistan. Participants 2000 children with non-severe pneumonia were enrolled; 1932 children were selected for chest radiography. Interventions Two consultant radiologists used standardised WHO definitions to evaluate chest radiographs; no clinical information was made available to them. If they disagreed, the radiographs were read by a third radiologist; the final classification was based on agreement between two of the three radiologists. Main outcome measures Presence or absence of pneumonia on radiographs. Results Chest radiographs were reported normal in 1519 children (82%). Radiological evidence of pneumonia was reported in only 263 (14%) children, most of whom had interstitial pneumonitis. Lobar consolidation was present in only 26 children. The duration of illness did not correlate significantly with the presence of radiological changes (relative risk 1.17, 95% confidence interval 0.91 to 1.49). Conclusion Most children diagnosed with non-severe pneumonia on the basis of the current WHO definition had normal chest radiographs. |
| ISSN | 09598138 |
| e-ISSN | 17561833 |
| Journal | BMJ (British Medical Journal) |
| Issue Number | 7569 |
| Volume Number | 333 |
| Language | English |
| Publisher | British Medical Journal Publishing Group |
| Publisher Date | 2006-09-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Pneumonia Bronchiolitis Epidemiology Child, Preschool Infant Observer Variation Pakistan Radiography, Thoracic Multicenter Study Research Support, Non-U.S. Gov't Medicine |
| Content Type | Text |
| Resource Type | Article |
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