Serial lung ultrasounds in pediatric pneumonia in Mozambique and Pakistan.
Title: | Serial lung ultrasounds in pediatric pneumonia in Mozambique and Pakistan. |
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Authors: | Ginsburg, Amy Sarah1,2 messageforamy@gmail.com, Nisar, Imran3, Madrid, Lola4, Lenahan, Jennifer L.5, Balouch, Benazir3, Vitorino, Pio6, Hwang, Jun1, Lamorte, Alessandro7, Kanth, Neel8, Bila, Rubao6, Valente, Marta4, Varo, Rosauro4, May, Susanne1, Bassat, Quique4, Jehan, Fyezah3, Volpicelli, Giovanni9 |
Source: | Scientific Reports. 3/18/2021, Vol. 11 Issue 1, p1-7. 7p. |
Subject Terms: | *PNEUMONIA in children, *LUNG radiography, *POINT-of-care testing |
Geographic Terms: | MOZAMBIQUE, PAKISTAN |
Abstract: | Lung ultrasound (LUS) is a promising point-of-care imaging technology for diagnosing and managing pneumonia. We sought to explore serial LUS examinations in children with chest-indrawing pneumonia in resource-constrained settings and compare their clinical and LUS imaging courses longitudinally. We conducted a prospective, observational study among children aged 2 through 23 months with World Health Organization Integrated Management of Childhood Illness chest-indrawing pneumonia and among children without fast breathing, chest indrawing or fever (no pneumonia cohort) at 2 district hospitals in Mozambique and Pakistan. We assessed serial LUS at enrollment, 2, 6, and 14 days, and performed a secondary analysis of enrolled children's longitudinal clinical and imaging courses. By Day 14, the majority of children with chest-indrawing pneumonia and consolidation on enrollment LUS showed improvement on follow-up LUS (100% in Mozambique, 85.4% in Pakistan) and were clinically cured (100% in Mozambique, 78.0% in Pakistan). In our cohort of children with chest-indrawing pneumonia, LUS imaging often reflected the clinical course; however, it is unclear how serial LUS would inform the routine management of non-severe chest-indrawing pneumonia. [ABSTRACT FROM AUTHOR] |
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Database: | Academic Search Complete |
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