| Autor: |
Daniel, Zenteno A, Guido, Girardi B, Luis, Fuentes O, M Angélica, Pérez H, Ramiro, González V, Selim, Abara E, J Pablo, Díaz G, Ricardo, Kogan A, Julio, Maggiolo M, Mónica, Parietti B, Dolores, Pavón T, Lilian, Rubilar O |
| Rok vydání: |
2008 |
| Předmět: |
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| Zdroj: |
Revista chilena de infectologia : organo oficial de la Sociedad Chilena de Infectologia. 25(1) |
| ISSN: |
0716-1018 |
| Popis: |
Chest X-ray (CR) utility to predict etiology in community-acquired pneumonia (CAP), in children has been controversial. Nevertheless, some authors propose the use of well standardized radiological patterns.To evaluate usefulness of modified Swischuk's radiological patterns (RaP) to determine probable etiology in children hospitalized with CAP.Eighty children were studied using 6 standardized RaP. The RaP were blindly and individually analyzed by 9 pneumologists, who registered the results (stage 1). Thereafter, (stage 2) a second evaluation adding clinical information was performed. Then, the patients complementary examinations and clinical evolution were included (stage 3). The reference standard (RS) was generated from a blind consensus. Every result was compared with the RS using Student test.According to RS, children were classified as having a virus-like pneumonia in 63% of cases, bacterial in 13%, mixed in 16%, atypical in 5% and ADV in 3%. The agreement of stage 1 and 2 with RS was 64 and 77%, respectively. Virus and bacterial RaP agreement increased from 66 to 82 % (p0.001) and from 82 to 90% (p0.05), respectively after incorporating clinical parameters.Modified Swischuk's RaP used in association with clinical elements allows a quite satisfactory approach to etiologic diagnosis of CAP. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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