Efficacy of chest ultrasonography versus chest X RAY in the diagnosis of pediatric pneumonia
Abstract
Background: Pneumonia is a major public health and economic problem with a considerable impact on morbidity and mortality in children. The single largest and the most common infectious cause of death in children worldwide. Aim and objectives: to evaluate the ultrasound efficacy in assessment of pneumonia in pediatric age group, Compared to chest x ray technique. Subjects and methods: the study was a cross sectional comparative study of 60 Egyptian children with pneumonia in the general ward and PICU of Al-Hussein hospital Al-Azhar University during period from May 2021 to November 2021 ,they were selected by simple random method & according to inclusions criteria Result: the most prevalent finding on X-ray and US was consolidation (46.7%, 81.7%)) followed by air bronchogram (25%, 63.3%) with statistically significant difference regarding consolidation, air bronchogram and pleural effusion. Conclusion: Chest ultrasound may also influence medical decision-making in the emergency department. In a small series of patients presenting with acute dyspnea, the use of chest ultrasound changed the diagnosis in 44% and altered management in 58%, it is more sensitive than x ray , allow free radiation technique in detecting consolidatin.
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