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Archives of Disease in Childhood 2007;92(Supplement 1):A16-A19
Copyright © 2007 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health

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Respiratory

The first 150 words of the full text of this article appear below.


G/TUES/RES1 CAN LUNG ULTRASONOGRAPHY DIAGNOSE PNEUMONIA IN CHILDREN?
S. Haque-Lobbes.Kinderarztpraxis, Vechelde, Germany

Background: Isolation of bacteria in respiratory tract infections (RTI) is virtually impossible in a paediatric primary care setting. Chest x ray, the standard for diagnosing lower respiratory tract infections (LRTI) is not usually available in the primary care clinic.

Aim: The object of this investigation was to assess the value of trans-thoracic ultrasonography in detecting lower respiratory tract infections in children.

Method: Restrospective review of all patients attending a single-handed general paediatric practice with RTI over a period of 22 months. Patients with clinical features of LRTI in whom antibacterial treatment would have been an option were selected as having at least two or more of the following: cough >1 week, fever >38.5°C, tachypnoea (adjusted for age) and inspiratory crackles. Trans-thoracic ultrasonography (US) was performed on these children by the same examiner using a 5 MHz probe. Patients with abnormal US scans also had chest . . . [Full text of this article]







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