Volume : 6, Issue : 2, February - 2017

CORRELATION AND OUTCOME OF LUNG ULTRASONOGRAPHY AND CHEST X-RAY IN PNEUMONIC HOSPITILIZED CHILDREN

Dr. Mangilal Barman, Dr. Suresh Kumar

Abstract :

<p>&nbsp;<b style="text-align: justify;"><span style="font-size:14.0pt;line-height:150%">Background: </span></b><span style="text-align: justify; font-size: 14pt; line-height: 150%;">The objective of the study was to correlation and outcomes of lung USG and chest x-ray in pneumonic children to define the accuracy of LUS as compared to chest X-ray (CXR) in diagnosing of pneumonia.</span></p> <p class="Default" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:150%"><span style="font-size:14.0pt;line-height:150%">&nbsp;</span></p> <p class="Default" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:150%"><b><span style="font-size:14.0pt;line-height:150%">Methods: </span></b><span style="font-size:14.0pt;line-height:150%">It was a hospital based prospective study done at department of paediatrics, NSCBMch Hospital, Jabalpur. A total of 100children between 2 months to 14 years of age admitted &nbsp;with diagnosis of Pneumonia .<o:p></o:p></span></p> <p class="Default" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:150%"><b><span style="font-size:14.0pt;line-height:150%">&nbsp;</span></b></p> <p class="Default" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:150%"><b><span style="font-size:14.0pt;line-height:150%">Results: </span></b><span style="font-size:14.0pt;line-height:150%">Of 100 patients, LUS characteristically shows sub pleural consolidation (absolute consolidation or with other findings) in 79 % (79/100), confluent B-lines abnormalities 41% (41/100), pleural line abnormalities in 12% (12/100), and pleural effusion in 12 % (12/100) patients, while LUS was indicative of pneumonia in 97 (97%), CXR was suggestive of pneumonia in 84(84%) patients (p &lt;0.01). <o:p></o:p></span></p> <p class="Default" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:150%"><span style="font-size:14.0pt;line-height:150%">&nbsp;</span></p> <p class="Default" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:150%"><b><span style="font-size:14.0pt;line-height:150%">Conclusions: </span></b><span style="font-size:14.0pt;line-height:150%">LUS was highly accurate for the diagnosis as well as for follow up of Pneumonia. Therefore, the use of ultrasound needs to be encouraged not just as a valid diagnostic alternative but as a necessary ethical choice. <o:p></o:p></span></p> <p class="Default" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:150%"><b><span style="font-size:14.0pt;line-height:150%">&nbsp;</span></b></p>