Paediatria Croatica, Vol. 57 No. 3, 2013.
Izvorni znanstveni članak
Pneumonias in children – comparison of lung ultrasonography fi ndings with chest X-rays
Jovan Lovrenski
; Radiology Department, Institute for Children and Adolescents Health Care of Vojvodina, Medical Faculty, Novi Sad, Serbia;
Slobodanka Petrović
; Pulmonology Department, Institute for Children and Adolescents Health Care of Vojvodina, Medical Faculty, Novi Sad, Serbia;
Ivan Varga
; Medical Faculty, University of Novi Sad, Novi Sad, Serbia
Jan Varga
; Clinic of Pediatric Surgery, Institute for Children and Adolescents Health Care of Vojvodina, Medical Faculty, Novi Sad, Serbia
Sažetak
The aim of the study was to compare lung ultrasonography with chest X-ray fi ndings in children with clinical suspicion of pneum
o-
nia and to investigate the accuracy of lung ultrasonography and its value in patient management and in reducing the number of
chest X-rays. This prospective study included 52 patients (2 months to 15 years of age), with suspected pneumonia and clinicall
y in-
dicated chest X-rays. In each patient, chest X-rays and prior to it lung ultrasonography examination were performed and their fi
nd-
ings compared. Some patients also had follow-up lung ultrasonography and chest X-ray examinations compared. Each hemithorax
was evaluated and compared separately. For lung ultrasonography examinations, a combined transthoracic-transabdominal ap-
proach was used. The ultrasonography characteristics of pneumonia were determined. Also, the impact of lung ultrasonography on
the patient management was analyzed. Comparison between chest X-ray and lung ultrasonography fi ndings was performed in 134
hemithoraces. Fifty-four of them were negative for pneumonia. In the rest of 80 hemithoraces, lung ultrasonography showed a
pneumonia-positive fi nding, while chest X-ray were positive in 74 hemithoraces. In 11 of 43 (25.6%) children with pneumonia-pos
i-
tive fi nding, new information gained from sonography aff
ected the course of therapy. Ultrasonography fi nding of pneumonia was
presented with subpleural consolidation (100%), air bronchogram (92.5%), interstitial/alveolar-interstitial edema (79%), pleura
l
thickening and irregularity (46%), pleural eff
usion (41%), and fl uid bronchogram (7.5%). In conclusion, lung ultrasonography might
become an important part of the standard diagnostic protocol in the evaluation of pneumonias in children and reduce the number
of chest X-ray.
Ključne riječi
ultrasonography; chest X-ray; pneumonia; infant; child; adolescent
Hrčak ID:
119709
URI
Datum izdavanja:
30.9.2013.
Posjeta: 1.903 *