Sonographic examination in children with pneumonia
- VernacularTitle:Хүүхдийн уушгины хатгалгааны хэт авиан оношилгооны асуудалд
- Author:
Dashmaa T
1
;
Gerelmaa Z
2
;
Bolormaa B
3
;
Bayarmaa S
3
;
Baatartsogt U
4
;
Munkhbaatar D
5
Author Information
1. MNUMS
2. Department of Pediatrics
3. Bayangol District Hospital
4. Department of Radiology, Mungunguur Hospital
5. Department of Radiology, MNUMS
- Publication Type:Journal Article
- Keywords:
lung pneumonia;
lung ultrasound
- From:Innovation
2020;14(1):32-34
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:Pneumonia is one of the leading causes of morbidity and mortality in children
around the world. Annually, it’s estimated about total of 120 million cases of pneumonia occur
in children under the age of five around the world and about 2 million of them end in mortality.
In 2017, respiratory diseases constituted 31.3% of all diseases in children under the age of five in
Ulaanbaatar city. 268 cases of respiratory diseases occur in every 1000 children, making it the
leading disease in children of that age group. Sonographic examination has several advantages
including lack of radiation, accessibility, portable (can easily bring it next to the patient’s bed),
cost effective, and can be used repeatedly on the patients. To our knowledge, currently in
Mongolia, there are no published research materials on sonographic examination in children
with pneumonia. Given, the lack of study, increased rate of pneumonia and advantages of
ultrasonographic, the present study was performed to detect lung ultrasound sign of pneumonia
and determine the specificity and sensitivity of lung ultrasound and X-ray.
Methods:The study used cross-sectional studies of analytical study. 379 inpatient children aged
between 1 month to 14 years old who are in the children’s hospital of Bayangol district between
1st of September 2019 to 1st of December 2019 participated in the study. Procedures included
collection of questionnaires from the parents or the guardians, random collection of data from
the patients’ history, and assessment of results from ultrasound and X-ray examination. The study
used Stata software to analyze the statistics.
Results:56% or 210 cases showed decreased echogenicity in the ultrasound examination.
Incorporated B line sign (р=0.001),, decreased echogenicity in the consolidation (р=0.001), and
presence air positive bronchus (р=0.001), are shown to the major sign of pneumonia in ultrasound
examination.
Conclusions:In pneumonia, following signs are present in lung ultrasound: Unilateral B-lines,
consolidation, hypoechoic, irregular shaped consolidation, positive air bronchogramm sign
in lung. From the results of our research, we discovered diagnosis sensitivity of pneumonia in
ultrasound is 85%, specificity of pneumonia in ultrasound is 87%, sensitivity of pneumonia in Х ray is
78%, specificity of pneumonia in Х ray is 84%.
- Full text:Innovation-2020-14(1);32-34.pdf
