Role of chest X-ray and Lung Ultrasound in diagnosis and treatment of Children and Infants with Pneumonia
Keywords:
0Keywords, Chest X-Ray, Ultrasound, Lung UltrasonographyAbstract
Background: When accessible, chest X-rays (CXRs) are frequently utilized to aid in clinical care decisions regarding pneumonia in children and serve as a benchmark for diagnosis in research investigations. Its technical and diagnostic limits are acknowledged, nevertheless, for both uses. According to recent data, lung ultrasonography (LUS) may be useful in the diagnosis of pneumonia. Objective: To identify knowledge gaps and provide practical guidance for countries with low or middle-income (LMICs) regarding the usage of chest X-rays and ultrasounds of the lung for the handling severe pneumonia in children. Methodology: Â Peer-reviewed papers including babies and children with severe pneumonia, ages one month to nine years, and published between 2015 and 2020 were included in our analysis. LUS research and CXR reports were restricted to only LMICs. The mapping of LUS and CXR papers was done using the themes of role in management, role in diagnosis, indications, effect on findings, and practical considerations for LMIC situations. Results: A total of 22 papers, comprising 13 CXR investigations and nine LUS studies, satisfied all inclusion requirements. Studies on CXR were mostly observational and looked at correlations between radiographic anomalies and the causes or effects of pneumonia. The correlation between CXR consolidation and mortality risk was the most consistent finding. The inability to get high-quality CXR pictures and the variation in interpretation among readers were often mentioned as difficulties. Conclusion: The current body of research refutes the notion that CXR and LUS are necessary diagnostic or treatment instruments for severe pneumonia. To ascertain the clinical relevance and viability of these imaging modalities in less resourced locations, more research is necessary.References
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