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The Usefulness of Lung Ultrasound for the Aetiological Diagnosis of Community-Acquired Pneumonia in Children.
Scientific Reports ( IF 3.8 ) Pub Date : 2019-11-29 , DOI: 10.1038/s41598-019-54499-y Vojko Berce 1 , Maja Tomazin 1 , Mario Gorenjak 2 , Tadej Berce 3 , Barbara Lovrenčič 1
Scientific Reports ( IF 3.8 ) Pub Date : 2019-11-29 , DOI: 10.1038/s41598-019-54499-y Vojko Berce 1 , Maja Tomazin 1 , Mario Gorenjak 2 , Tadej Berce 3 , Barbara Lovrenčič 1
Affiliation
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The aetiology of community-acquired pneumonia (CAP) is not easy to establish. As lung ultrasound (LUS) has already proved to be an excellent diagnostic tool for CAP, we analysed its usefulness for discriminating between the aetiologically different types of CAP in children. We included 147 children hospitalized because of CAP. LUS was performed in all patients at admission, and follow-up LUS was performed in most patients. LUS-detected consolidations in viral CAP were significantly smaller, with a median diameter of 15 mm, compared to 20 mm in atypical bacterial CAP (p = 0.05) and 30 mm in bacterial CAP (p < 0.001). Multiple consolidations were detected in 65.4% of patients with viral CAP and in 17.3% of patients with bacterial CAP (p < 0.001). Bilateral consolidations were also more common in viral CAP than in bacterial CAP (51.9% vs. 8.0%, p < 0.001). At follow-up, a regression of consolidations was observed in 96.6% of patients with bacterial CAP and in 33.3% of patients with viral CAP (p < 0.001). We found LUS to be especially suitable for differentiating bacterial CAP from CAP due to other aetiologies. However, LUS must be interpreted in light of clinical and laboratory findings.
中文翻译：
肺超声对儿童社区获得性肺炎的病因诊断的实用性。
社区获得性肺炎（CAP）的病因不易确定。由于肺超声（LUS）已被证明是CAP的出色诊断工具，因此我们分析了其在区分儿童的病因学上不同类型的CAP方面的有用性。我们纳入了147名因CAP住院的儿童。入院时对所有患者进行LUS检查，大多数患者进行随访LUS检查。LUS检测到的病毒性CAP整合明显较小，中位直径为15毫米，而非典型细菌CAP为20毫米（p = 0.05），细菌CAP为30毫米（p <0.001）。在65.4％的病毒性CAP患者和17.3％的细菌性CAP患者中检测到多处合并（p <0.001）。与细菌性CAP相比，病毒性CAP中的双边合并也更为常见（51.9％对8.0％，p <0.001）。在随访中，在细菌性CAP患者中有96.6％和在病毒性CAP患者中有33.3％观察到巩固的消退（p <0.001）。由于其他病因，我们发现LUS特别适用于区分细菌CAP和CAP。但是，必须根据临床和实验室发现来解释LUS。
更新日期：2019-11-30
中文翻译：
肺超声对儿童社区获得性肺炎的病因诊断的实用性。
社区获得性肺炎（CAP）的病因不易确定。由于肺超声（LUS）已被证明是CAP的出色诊断工具，因此我们分析了其在区分儿童的病因学上不同类型的CAP方面的有用性。我们纳入了147名因CAP住院的儿童。入院时对所有患者进行LUS检查，大多数患者进行随访LUS检查。LUS检测到的病毒性CAP整合明显较小，中位直径为15毫米，而非典型细菌CAP为20毫米（p = 0.05），细菌CAP为30毫米（p <0.001）。在65.4％的病毒性CAP患者和17.3％的细菌性CAP患者中检测到多处合并（p <0.001）。与细菌性CAP相比，病毒性CAP中的双边合并也更为常见（51.9％对8.0％，p <0.001）。在随访中，在细菌性CAP患者中有96.6％和在病毒性CAP患者中有33.3％观察到巩固的消退（p <0.001）。由于其他病因，我们发现LUS特别适用于区分细菌CAP和CAP。但是，必须根据临床和实验室发现来解释LUS。
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