Ultrasound in Suspected Pneumonic COVID-19: Our Experience

Background: Coronavirus disease-19 [COVID-19] is a pandemic spreading all over the world. The novel corona virus has a specific tropism for the low respiratory airways causing viral pneumonia. Early diagnosis of suspicious COVID-19 pneumonia represents a pillar for immediate management. Computed to...

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Autores principales:	Atef Alrifai, Fathiya Mostafa El-Raey, Ahmed M. Yousef, Samy Zaky
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	covid-19 lung ultrasound pneumonia screening diagnosis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/97027d952350458d9bc5c21c5b1f02eb
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spelling	oai:doaj.org-article:97027d952350458d9bc5c21c5b1f02eb2021-12-02T10:38:22ZUltrasound in Suspected Pneumonic COVID-19: Our Experience2636-41742682-378010.21608/ijma.2020.43493.1176https://doaj.org/article/97027d952350458d9bc5c21c5b1f02eb2020-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_117961_748ed8ec20d5786e04e0103923196acb.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Coronavirus disease-19 [COVID-19] is a pandemic spreading all over the world. The novel corona virus has a specific tropism for the low respiratory airways causing viral pneumonia. Early diagnosis of suspicious COVID-19 pneumonia represents a pillar for immediate management. Computed tomography [CT] scan is considered the gold-standard screening tool, but it has several limitations. A chest ultrasound could play a role in COVID-19. Aim of the work:To evaluate the role of lung ultrasound [LUS] in diagnosis of suspicious COVID-19 pneumonia. Patients and Methods:Sixty patients with suspected COVID-19 pneumonia were included. They were initially evaluated in triage and initial diagnosis [Al-Azhar University Hospital; Damietta] and followed up by the surveillance and infection control team till the final diagnosis or discharge from isolation hospitals. All were evaluated clinically, by imaging modalities [LUS, chest computed tomography [CT]] and diagnosis confirmed by polymerase chain reaction. Data of LUS and chest CT compared to results of PCR. Results: LUS had sensitivity of 88.2%, specificity of 11.5%, PPV of 56.6%, NPV of 42.8% and overall diagnostic accuracy of 55.0%. on the other side, CT scan had 94.1%, 3.85, 56.14%, 33.33% and 57.0% for sensitivity, specificity, positive predictive value, negative predictive value and overall diagnostic accuracy, successively. Results of LUS are slightly lower than CT. Conclusion: US is a useful screening and monitoring tool in suspected COVID-19. It is feasible, portable with an accepted rate of sensitivity. However, it is advisable to be used as an integrated diagnostic tool.Atef AlrifaiFathiya Mostafa El-RaeyAhmed M. YousefSamy ZakyAl-Azhar University, Faculty of Medicine (Damietta)articlecovid-19lung ultrasoundpneumoniascreeningdiagnosisMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 4, Pp 682-689 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 lung ultrasound pneumonia screening diagnosis Medicine (General) R5-920
spellingShingle	covid-19 lung ultrasound pneumonia screening diagnosis Medicine (General) R5-920 Atef Alrifai Fathiya Mostafa El-Raey Ahmed M. Yousef Samy Zaky Ultrasound in Suspected Pneumonic COVID-19: Our Experience
description	Background: Coronavirus disease-19 [COVID-19] is a pandemic spreading all over the world. The novel corona virus has a specific tropism for the low respiratory airways causing viral pneumonia. Early diagnosis of suspicious COVID-19 pneumonia represents a pillar for immediate management. Computed tomography [CT] scan is considered the gold-standard screening tool, but it has several limitations. A chest ultrasound could play a role in COVID-19. Aim of the work:To evaluate the role of lung ultrasound [LUS] in diagnosis of suspicious COVID-19 pneumonia. Patients and Methods:Sixty patients with suspected COVID-19 pneumonia were included. They were initially evaluated in triage and initial diagnosis [Al-Azhar University Hospital; Damietta] and followed up by the surveillance and infection control team till the final diagnosis or discharge from isolation hospitals. All were evaluated clinically, by imaging modalities [LUS, chest computed tomography [CT]] and diagnosis confirmed by polymerase chain reaction. Data of LUS and chest CT compared to results of PCR. Results: LUS had sensitivity of 88.2%, specificity of 11.5%, PPV of 56.6%, NPV of 42.8% and overall diagnostic accuracy of 55.0%. on the other side, CT scan had 94.1%, 3.85, 56.14%, 33.33% and 57.0% for sensitivity, specificity, positive predictive value, negative predictive value and overall diagnostic accuracy, successively. Results of LUS are slightly lower than CT. Conclusion: US is a useful screening and monitoring tool in suspected COVID-19. It is feasible, portable with an accepted rate of sensitivity. However, it is advisable to be used as an integrated diagnostic tool.
format	article
author	Atef Alrifai Fathiya Mostafa El-Raey Ahmed M. Yousef Samy Zaky
author_facet	Atef Alrifai Fathiya Mostafa El-Raey Ahmed M. Yousef Samy Zaky
author_sort	Atef Alrifai
title	Ultrasound in Suspected Pneumonic COVID-19: Our Experience
title_short	Ultrasound in Suspected Pneumonic COVID-19: Our Experience
title_full	Ultrasound in Suspected Pneumonic COVID-19: Our Experience
title_fullStr	Ultrasound in Suspected Pneumonic COVID-19: Our Experience
title_full_unstemmed	Ultrasound in Suspected Pneumonic COVID-19: Our Experience
title_sort	ultrasound in suspected pneumonic covid-19: our experience
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/97027d952350458d9bc5c21c5b1f02eb
work_keys_str_mv	AT atefalrifai ultrasoundinsuspectedpneumoniccovid19ourexperience AT fathiyamostafaelraey ultrasoundinsuspectedpneumoniccovid19ourexperience AT ahmedmyousef ultrasoundinsuspectedpneumoniccovid19ourexperience AT samyzaky ultrasoundinsuspectedpneumoniccovid19ourexperience
_version_	1718396894927912960

Ultrasound in Suspected Pneumonic COVID-19: Our Experience

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