A comparison between the Use of Chest X-ray and Lung Ultrasound in the Diagnosis of Pneumonia in Children in Damietta Governorate

Background: Pneumonia is a life-threatening disease in children. Diagnosis of pneumonia is mainly clinical. However, some clinical features may be subtle or not specific. Lung ultrasound (LUS) might be used as a diagnostic tool in pneumonia as it is an easily accessible and safe imaging technique. A...

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Autores principales:	Ahmed Mohamed Karkar, Mohamed Abdelsalam Zannoun, Ahmed Mohamed Fekry Eldeek, Magdy Mohamed Ashmawy Sakr
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	pneumonia lung ultrasound air-bronchogram chest x rays children Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/830c8d9146e445358bc05ddc473c918c
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spelling	oai:doaj.org-article:830c8d9146e445358bc05ddc473c918c2021-12-02T14:33:24ZA comparison between the Use of Chest X-ray and Lung Ultrasound in the Diagnosis of Pneumonia in Children in Damietta Governorate2636-41742682-378010.21608/ijma.2020.36693.1154https://doaj.org/article/830c8d9146e445358bc05ddc473c918c2021-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_118597_c30ae2542728520a5291de165328adc5.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Pneumonia is a life-threatening disease in children. Diagnosis of pneumonia is mainly clinical. However, some clinical features may be subtle or not specific. Lung ultrasound (LUS) might be used as a diagnostic tool in pneumonia as it is an easily accessible and safe imaging technique. Aim of the work: This study aimed to investigate the role of lung ultrasound in diagnosing pneumonia compared to chest x-ray in children. Subjects and methods: This cross-sectional study was carried out at the general pediatric wards and pediatric intensive care units [PICUs], Department of Pediatrics, Al-Azhar University Hospital [Damietta]. It included 120 patients who were clinically diagnosed to have pneumonia. Each legal guardian signed informed consent. Then, everyone was subjected to chest x-ray and lung ultrasound, and results were compared. Results: Sonographic findings in children with pneumonia as consolidation was detected in 114/120 (95.6%), air bronchogram in 104/120 (86.7%), fluid bronchogram 37(31.1%), multiple B-lines in 68/120 (56.7%), pleural effusion in 29/120 (24.4%). The lung ultrasound [LUS] showed higher diagnostic accuracy (94.45%), sensitivity (95.6%), and specificity (93.3%). There was a statistically significant good agreement between LUS and chest X-ray [CXR]. Conclusion: LUS is safe, accurate, and more sensitive for the diagnosis of suspected pneumonia in the pediatric age group and had the advantage of reducing radiation hazard when compared to chest X-rayAhmed Mohamed KarkarMohamed Abdelsalam ZannounAhmed Mohamed Fekry EldeekMagdy Mohamed Ashmawy SakrAl-Azhar University, Faculty of Medicine (Damietta)articlepneumonialung ultrasoundair-bronchogramchest x rayschildrenMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 1, Pp 938-945 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pneumonia lung ultrasound air-bronchogram chest x rays children Medicine (General) R5-920
spellingShingle	pneumonia lung ultrasound air-bronchogram chest x rays children Medicine (General) R5-920 Ahmed Mohamed Karkar Mohamed Abdelsalam Zannoun Ahmed Mohamed Fekry Eldeek Magdy Mohamed Ashmawy Sakr A comparison between the Use of Chest X-ray and Lung Ultrasound in the Diagnosis of Pneumonia in Children in Damietta Governorate
description	Background: Pneumonia is a life-threatening disease in children. Diagnosis of pneumonia is mainly clinical. However, some clinical features may be subtle or not specific. Lung ultrasound (LUS) might be used as a diagnostic tool in pneumonia as it is an easily accessible and safe imaging technique. Aim of the work: This study aimed to investigate the role of lung ultrasound in diagnosing pneumonia compared to chest x-ray in children. Subjects and methods: This cross-sectional study was carried out at the general pediatric wards and pediatric intensive care units [PICUs], Department of Pediatrics, Al-Azhar University Hospital [Damietta]. It included 120 patients who were clinically diagnosed to have pneumonia. Each legal guardian signed informed consent. Then, everyone was subjected to chest x-ray and lung ultrasound, and results were compared. Results: Sonographic findings in children with pneumonia as consolidation was detected in 114/120 (95.6%), air bronchogram in 104/120 (86.7%), fluid bronchogram 37(31.1%), multiple B-lines in 68/120 (56.7%), pleural effusion in 29/120 (24.4%). The lung ultrasound [LUS] showed higher diagnostic accuracy (94.45%), sensitivity (95.6%), and specificity (93.3%). There was a statistically significant good agreement between LUS and chest X-ray [CXR]. Conclusion: LUS is safe, accurate, and more sensitive for the diagnosis of suspected pneumonia in the pediatric age group and had the advantage of reducing radiation hazard when compared to chest X-ray
format	article
author	Ahmed Mohamed Karkar Mohamed Abdelsalam Zannoun Ahmed Mohamed Fekry Eldeek Magdy Mohamed Ashmawy Sakr
author_facet	Ahmed Mohamed Karkar Mohamed Abdelsalam Zannoun Ahmed Mohamed Fekry Eldeek Magdy Mohamed Ashmawy Sakr
author_sort	Ahmed Mohamed Karkar
title	A comparison between the Use of Chest X-ray and Lung Ultrasound in the Diagnosis of Pneumonia in Children in Damietta Governorate
title_short	A comparison between the Use of Chest X-ray and Lung Ultrasound in the Diagnosis of Pneumonia in Children in Damietta Governorate
title_full	A comparison between the Use of Chest X-ray and Lung Ultrasound in the Diagnosis of Pneumonia in Children in Damietta Governorate
title_fullStr	A comparison between the Use of Chest X-ray and Lung Ultrasound in the Diagnosis of Pneumonia in Children in Damietta Governorate
title_full_unstemmed	A comparison between the Use of Chest X-ray and Lung Ultrasound in the Diagnosis of Pneumonia in Children in Damietta Governorate
title_sort	comparison between the use of chest x-ray and lung ultrasound in the diagnosis of pneumonia in children in damietta governorate
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/830c8d9146e445358bc05ddc473c918c
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A comparison between the Use of Chest X-ray and Lung Ultrasound in the Diagnosis of Pneumonia in Children in Damietta Governorate

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