Chest ultrasound compared to chest X-ray for pediatric pulmonary tuberculosis.
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ABSTRACT: Introduction
Chest ultrasound is increasingly used to radiologically diagnose childhood pneumonia, but there are limited data on its use for pulmonary tuberculosis (PTB).Aim
Compare chest ultrasound with a chest X-ray (CXR) findings.Methods
Children (up to 13 years) with suspected PTB were enrolled. Bedside chest ultrasound findings were compared to CXR. The analysis was stratified by PTB category: confirmed PTB (microbiologically confirmed), unconfirmed PTB (clinical diagnosis with negative microbiological tests), or unlikely PTB (other respiratory diseases with improvement without tuberculosis treatment).Results
One hundred fifty-nine children were enrolled (57% boys, median age 26.6 months [interquartile range 15.1-59.3]). Ultrasound detected abnormalities in 72% (n?=?114), CXR in 56% (n?=?89), P?ConclusionUltrasound detected abnormalities more frequently than CXR with the higher inter-reader agreement; ultrasound abnormalities were most common in children with confirmed PTB. Ultrasound is a promising modality for detecting abnormalities in PTB. Further studies should evaluate the diagnostic accuracy of ultrasound against a gold standard.
SUBMITTER: Heuvelings CC
PROVIDER: S-EPMC6899616 | biostudies-literature | 2019 Dec
REPOSITORIES: biostudies-literature
Publications
Chest ultrasound compared to chest X-ray for pediatric pulmonary tuberculosis.
Heuvelings Charlotte C CC Bélard Sabine S Andronikou Savvas S Lederman Henrique H Moodley Halvani H Grobusch Martin P MP Zar Heather J HJ
Pediatric pulmonology 20190901 12
<h4>Introduction</h4>Chest ultrasound is increasingly used to radiologically diagnose childhood pneumonia, but there are limited data on its use for pulmonary tuberculosis (PTB).<h4>Aim</h4>Compare chest ultrasound with a chest X-ray (CXR) findings.<h4>Methods</h4>Children (up to 13 years) with suspected PTB were enrolled. Bedside chest ultrasound findings were compared to CXR. The analysis was stratified by PTB category: confirmed PTB (microbiologically confirmed), unconfirmed PTB (clinical dia ...[more]
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