Accuracy of lung ultrasonography in diagnosis of community acquired pneumonia in hospitalized children as compared to chest x-ray

Tirdia, Prahlad R.; Vajpayee, Shailja; Singh, Jagdish; Rk, Gupta

doi:10.18203/2349-3291.ijcp20162385

Cited by 5 publications

(5 citation statements)

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“…These results are close to those reported by Caiulo et al who had 79.4% of pneumonia detected by standard chest X-rays [11]. Tirdia et al had 76.9% of alveolar syndrome detected by chest X-rays [7]. These findings were higher than that gotten by Boursiani et al in their study where-in standard chest X-rays demonstrated a consolidation syndrome in 33.3% of cases [4].…”

Section: Conventional Chest X-rayssupporting

confidence: 87%

Diagnostic Value of the Thoracic Ultrasonography Compared to Conventional Chest X-Rays in Pneumonia for Children between 0 to 15 Years: Case Study in Two Hospitals in Yaoundé

Merci¹,

Mbede²,

Philippe³

et al. 2019

OJRad

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Introduction: The diagnosis of pneumonia is usually made based on clinical manifestations and chest X-ray. The use of ultrasound in detecting pulmonary diseases in general, and especially consolidation syndrome has been demonstrated. The objective of this study was to determine the accuracy of thoracic ultrasound compared to chest X-ray in the diagnosis of infectious pneumonia in children. Methods: Children between 0 to 15 years were included in our study. The lung ultrasound results obtained were compared with those of the chest X-ray used as the reference. Our data were introduced into the EpiInfo 3.5.4 software and analyzed with the EpiInfo 3.5.4 and IBMSPSS Statistics version 20.0 softwares. Microsoft Office Excel 2016 was used to produce Charts. Continuous quantitative variables were presented. Cohen's Kappa concordance test was applied with confidence interval of 95%. Results: 52 children were enrolled in the study. In imaging, the dominant sign was consolidation syndrome (75.0%) of cases by chest radiography, and in 78.8% of cases by lung ultrasound (p < 0.05). The chest radiograph was identified pleural effusion in 5 cases whereas lung ultrasound was identified in 6 cases. 3 patients with apparently normal chest X-rays had pulmonary ultrasounds suggestive of pneumonia. The degree of agreement between chest X-ray and lung ultrasound in detecting lesions compatible with pneumonia

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Section: Conventional Chest X-rayssupporting

confidence: 87%

Diagnostic Value of the Thoracic Ultrasonography Compared to Conventional Chest X-Rays in Pneumonia for Children between 0 to 15 Years: Case Study in Two Hospitals in Yaoundé

Merci¹,

Mbede²,

Philippe³

et al. 2019

OJRad

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“…Therefore, the LUS in these three children appeared normal. Tirdia et al 27 who performed a study on the accuracy of LUS in community acquired pneumonia on 139 hospitalized children with a mean age of 3.28 years had observed a significant decrease in the number of children showing confluent B lines on follow up LUS.…”

Section: Discussionmentioning

confidence: 99%

Can lung ultrasound differentiate between bacterial and viral pneumonia in children?

Malla

Rathi

Gomber

et al. 2020

J of Clinical Ultrasound

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PurposeThis study evaluates whether LUS can differentiate between bacterial and viral pneumonia in children and thus affect their management.MethodsThe prospective, cross‐sectional, analytical study included 200 children under 12 years of age (excluding neonates) with clinical suspicion of pneumonia who had undergone a chest radiograph (CR). The CR and LUS findings were classified as bacterial or viral pneumonia. The final diagnosis was made on the basis of a combination of clinical profile, available routine laboratory investigations and CR diagnosis which was taken as the gold standard for the study and LUS was compared with the gold standard.ResultsLUS has a high sensitivity (91%; 95% CI [84‐96]) and specificity (91.3%; 95% CI [84‐96]) in diagnosing bacterial pneumonia with a high positive predictive value (91.9%; 95% CI [85‐96]) and negative predictive value (90.3%; 95% CI [82‐95]). For diagnosing viral pneumonia, the sensitivity of LUS was 78.4%; (95% CI [68‐86]), specificity was high (90.4%; 95% CI [83‐95]) and so was the positive predictive value (87.3%; 95% CI [78‐94]) and negative predictive value (91.3%; 95% CI [84‐96]).ConclusionLUS has a high accuracy in differentiating between bacterial and viral pneumonia in children and can help in their management by avoiding an ill‐advised use of antibiotic therapy.

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“…In another study 7 , sub-pleural consolidation was detected in 93.5% cases as this study included diagnosed cases of pneumonia, where the diagnosis was confirmed by two expert paediatricians clinically and on the basis of initial presentation and follow-up; while our study included only clinically suspected cases of pneumonia. Our study results are similar to another report 8 that reported sub-pleural consolidation in 70% and air-bronchograms in 44% cases of neonatal pneumonia.…”

Section: Discussionmentioning

confidence: 95%

“…5 Lung ultrasonography took an average of 5 to 10 minutes, regardless of whether the physician was skilled or recently trained. 5 Till date, only three studies [6][7][8] have been conducted in India to evaluate the role of lung ultrasonography in diagnosing childhood pneumonia, of which one was done in neonates. 8 In the present study we assessed whether lung ultrasonography can replace chest radiograph for the diagnosis of childhood pneumonia in India and estimated the time taken for lung ultrasonography.…”

Section: Introductionmentioning

confidence: 99%

Lung Ultrasonography in the Diagnosis of Childhood Pneumonia

Gomber¹,

Upreti²,

Sharma³

et al. 2022

The Indian Journal of Chest Diseases and Allied Sciences

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Background. Chest radiograph is presently considered the investigation of choice for diagnosing pneumonia in children. Lung ultrasonogaphy has evolved as a useful alternative technique as it avoids exposure to ionising radiation, is easy to perform at the child's bedside and takes little time to conduct. Methods.Lung ultrasonography was done in 100 children with clinical suspicion of pneumonia by a radiologist. Chest radiograph was interpreted by another radiologist who had no knowledge of the lung ultrasonography findings. Findings were recorded as positive or negative for pneumonia, on both the imaging modalities. The time taken for lung ultrasonography was also recorded. Considering chest radiograph as the reference standard, the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of lung ultrasonography were calculated.Results. The mean time taken to conduct lung ultrasound in children was 6.4 minutes. The sensitivity, specificity, PPV and NPV of lung ultrasonography in detecting pneumonic consolidation was 91%, 73%, 64.5% and 83.3%, respectively. Conclusions.Performing lung ultrasonography has a short learning curve. Lung ultrasonography appears to be a good alternative to chest radiograph as the investigation of choice for the diagnosis of pneumonia in children.

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Accuracy of lung ultrasonography in diagnosis of community acquired pneumonia in hospitalized children as compared to chest x-ray

Cited by 5 publications

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Diagnostic Value of the Thoracic Ultrasonography Compared to Conventional Chest X-Rays in Pneumonia for Children between 0 to 15 Years: Case Study in Two Hospitals in Yaoundé

Diagnostic Value of the Thoracic Ultrasonography Compared to Conventional Chest X-Rays in Pneumonia for Children between 0 to 15 Years: Case Study in Two Hospitals in Yaoundé

Can lung ultrasound differentiate between bacterial and viral pneumonia in children?

Lung Ultrasonography in the Diagnosis of Childhood Pneumonia

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Accuracy of lung ultrasonography in diagnosis of community acquired pneumonia in hospitalized children as compared to chest x-ray

Cited by 5 publications

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Diagnostic Value of the Thoracic Ultrasonography Compared to Conventional Chest X-Rays in Pneumonia for Children between 0 to 15 Years: Case Study in Two Hospitals in Yaound&#233;

Diagnostic Value of the Thoracic Ultrasonography Compared to Conventional Chest X-Rays in Pneumonia for Children between 0 to 15 Years: Case Study in Two Hospitals in Yaound&#233;

Can lung ultrasound differentiate between bacterial and viral pneumonia in children?

Lung Ultrasonography in the Diagnosis of Childhood Pneumonia

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Diagnostic Value of the Thoracic Ultrasonography Compared to Conventional Chest X-Rays in Pneumonia for Children between 0 to 15 Years: Case Study in Two Hospitals in Yaoundé

Diagnostic Value of the Thoracic Ultrasonography Compared to Conventional Chest X-Rays in Pneumonia for Children between 0 to 15 Years: Case Study in Two Hospitals in Yaoundé