Can lung ultrasound differentiate between bacterial and viral pneumonia in children?

Journal of Clinical Ultrasound : JCU
Deepawali MallaLalendra Upreti

Abstract

This study evaluates whether LUS can differentiate between bacterial and viral pneumonia in children and thus affect their management. 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. 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]). LUS has a high accuracy in differentiating between bacterial and viral pneumonia in children and can help in their ma...Continue Reading

References

Jan 1, 1988·Pediatric Radiology·F A BettenayD B McCrossin
Apr 30, 2002·Thorax·R VirkkiO Ruuskanen
Feb 25, 2005·JAMA : the Journal of the American Medical Association·Stephanie A CallW Paul McKinney
Apr 4, 2008·La Radiologia medica·R Copetti, L Cattarossi
Jun 7, 2008·Annals of Emergency Medicine·Alexander J KallenJeffrey Hageman
Sep 20, 2008·Annals of Emergency Medicine·Gregory J Moran, David A Talan
Dec 2, 2008·The American Journal of Emergency Medicine·Giovanni Volpicelli, Mauro F Frascisco
Jun 27, 2009·The American Journal of Emergency Medicine·Stefano ParlamentoStefano Di Bartolomeo
Feb 22, 2012·Critical Care : the Official Journal of the Critical Care Forum·Americo TestaNicolò Gentiloni-Silveri
May 4, 2012·Pediatric Pulmonology·Vito Antonio CaiuloGiuseppe Mele
Jun 26, 2012·European Journal of Internal Medicine·Angelika ReissigStefano Aliberti
Jun 21, 2014·Critical Ultrasound Journal·Nga Wing TsaiJames W Tsung
Mar 18, 2015·Pediatrics·Maria A PeredaWilliam Checkley
Oct 19, 2017·Pediatric Radiology·Jacob A M StadlerHeather J Zar

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Citations

Aug 28, 2021·Healthcare·Angela AmmirabileAntonio Di Mauro

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