BET 3: Bedside lung ultrasound for the diagnosis of pneumonia in children

Audette, Louis-David; Parent, Marc

doi:10.1136/emermed-2016-206047.3

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…However, when sensitivity and specificity were estimated only using CR, the sensitivity remained at 96% (95% CI 94%–98%), whereas the specificity was reduced to 84% (95% CI 80%–88%), demonstrating the poor ability of CR to be used in CAP diagnosis. On the other hand, it is well known that the gold standard method for evaluating the diagnostic value of an imaging technique of the lung is CT [ 47 ]. However, CT is not always feasible, cannot be performed at the point-of-care, is expensive and requires intensive exposure to radiation.…”

Section: Discussionmentioning

confidence: 99%

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Lung ultrasonography to diagnose community-acquired pneumonia in children

et al. 2017

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BackgroundEarly diagnosis of community-acquired pneumonia (CAP) is essential to reduce the total burden of this disease. Traditionally, chest radiography (CR) is used to identify true CAP. However, CR is not a perfect diagnostic test for CAP. The use of lung ultrasonography (LUS) has been suggested as an alternative to overcome the problems associated with CR and increase the feasibility and accuracy of CAP diagnosis. LUS has largely been used for the diagnosis of several lung problems, including CAP, in adult patients with satisfactory results. Experience with LUS in children has grown over recent years. The main aim of this paper is to discuss the advantages and limits of LUS in the diagnosis of paediatric CAP.DiscussionThe presence of a consolidation pattern during LUS may represent pneumonia or atelectasis, although this conclusion is operator dependent. An overall agreement between LUS and CR was observed in most of the studies that were examined. In most reports where a disagreement between the two methods was found, CR was not able to identify the cases that were correctly diagnosed by LUS, particularly when CR was performed only with postero-anterior/antero-posterior projection and consolidation was observed in lung areas that are poorly visualized by CR. However, the lack of standardized LUS methods is problematic. Finally, the real advantage of LUS for the diagnosis of CAP in children remains unclear.SummaryLUS is an interesting diagnostic modality that appears a useful first imaging test in children with suspected CAP. However, the methods used to perform LUS in children are not precisely standardized, and the diagnosis of interstitial CAP is inaccurate. Further studies are needed before LUS can be routinely used in everyday paediatric practice.

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Section: Discussionmentioning

confidence: 99%

“…Finally, as highlighted by Audette and Parent [ 47 ], the real advantage of LUS for the diagnosis of CAP in children remains unclear. Data regarding the reduction of CR use and the impact on patients are scant.…”

Section: Discussionmentioning

confidence: 99%

Lung ultrasonography to diagnose community-acquired pneumonia in children

et al. 2017

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“…A literature search of lung ultrasound for pneumonia in children yielded 24 original studies, 11 commentaries, a meta-analysis, and a summary of evidence. 62 Only three studies compared ultrasound pathogens), microbiological and viral culture, antigen detection, and molecular testing for nucleic acid from the pathogen. Some of these tests may be used with other specimen types-for example, molecular or antigen testing of urine samples.…”

Section: Advances In Radiological Diagnosismentioning

confidence: 99%

Advances in the diagnosis of pneumonia in children

Zar

Andronikou

Nicol

2017

BMJ

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Pneumonia remains a major cause of childhood mortality and morbidity globally. Accurate diagnosis and attribution of the causes of pneumonia are important for measuring the burden of disease, implementing appropriate preventive or treatment strategies, and developing more effective interventions. This review summarizes recent diagnostic advances in radiological techniques, specimen collection, and laboratory methods. Although chest ultrasound and chest magnetic resonance imaging are promising modalities for radiological diagnosis, their role in clinical management and their impact on outcomes need further study. Rapid, highly sensitive, multiplex laboratory tests performed on upper respiratory tract samples or induced sputum can detect nucleic acid from potential pathogens in most children with pneumonia. However, it may be difficult to attribute causality because it is often impossible to distinguish between organisms colonizing or infecting the upper respiratory tract and those causing pneumonia. Currently available host biomarkers lack accuracy for distinguishing bacterial or mixed bacterial-viral infections from viral infections. New biomarkers derived from host transcriptional profile analysis may be more accurate but require validation. Prospective studies with appropriate control populations, including studies of clinical impact, are needed to improve our understanding of the role of tests. Although progress has been made in radiological techniques and laboratory testing, current methods for diagnosing and attributing the causes of pneumonia are suboptimal.

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“…Subsequently, several studies that focused on the pediatric population were published in the literature ( Copetti and Cattarossi, 2008 ; Reissig et al, 2012 ; Chiappini et al, 2013 ; Audette and Parent, 2016 ; Milliner and Tsung, 2017 ; Pervaiz et al, 2018 ; Xin et al, 2018 ). The most used study model was the prospective one, but we also took into consideration the other studies whose scientific validity is lower (case report, letter to editor, commentary, meta-analysis, and reviews).…”

Section: The Main Fields Of Application Of Lung Ultrasound In Pediatricsmentioning

confidence: 99%

Ten Years of Pediatric Lung Ultrasound: A Narrative Review

et al. 2022

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Lung diseases are the most common conditions in newborns, infants, and children and are also the primary cause of death in children younger than 5 years old. Traditionally, the lung was not thought to be a target for an ultrasound due to its inability to penetrate the gas-filled anatomical structures. With the deepening of knowledge on ultrasound in recent years, it is now known that the affected lung produces ultrasound artifacts resulting from the abnormal tissue/gas/tissue interface when ultrasound sound waves penetrate lung tissue. Over the years, the application of lung ultrasound (LUS) has changed and its main indications in the pediatric population have expanded. This review analyzed the studies on lung ultrasound in pediatrics, published from 2010 to 2020, with the aim of highlighting the usefulness of LUS in pediatrics. It also described the normal and abnormal appearances of the pediatric lung on ultrasound as well as the benefits, limitations, and possible future challenges of this modality.

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BET 3: Bedside lung ultrasound for the diagnosis of pneumonia in children

Cited by 5 publications

References 10 publications

Lung ultrasonography to diagnose community-acquired pneumonia in children

Lung ultrasonography to diagnose community-acquired pneumonia in children

Advances in the diagnosis of pneumonia in children

Ten Years of Pediatric Lung Ultrasound: A Narrative Review

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