AI Article Synopsis
- This study investigates the effectiveness of lung ultrasound (LUS) in distinguishing between bacterial and viral pneumonia in children under 12 years old.
- The research involved 200 children, comparing LUS findings with traditional chest radiograph (CR) results to confirm diagnoses based on clinical signs and lab tests.
- Results showed that LUS is highly accurate for diagnosing bacterial pneumonia (91% sensitivity) and useful for viral pneumonia (78% sensitivity), potentially improving treatment decisions by reducing unnecessary antibiotic use.
Article Abstract
Purpose: This study evaluates whether LUS can differentiate between bacterial and viral pneumonia in children and thus affect their management.
Methods: The 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.
Results: LUS 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]).
Conclusion: LUS 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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| http://dx.doi.org/10.1002/jcu.22951 | DOI Listing |
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