Se connecter

Recherches récentes

Aucune recherche récente

Options de recherche

Disponible uniquement lorsque vous êtes connecté.
framapiaf.org est l'un des nombreux serveurs Mastodon indépendants que vous pouvez utiliser pour participer au fédiverse.
Un service Mastodon fourni par l'association d’éducation populaire Framasoft.

Administré par :

Statistiques du serveur :

1,4K
comptes actifs

framapiaf.org: À proposÉtatAnnuaire des profilsPolitique de confidentialité

Mastodon: À proposTélécharger l’applicationRaccourcis clavierVoir le code sourcev4.3.7

#echographie

0 message0 participant0 message aujourd’hui
Public
iCapitaine

Salut les docs !
Je me suis lancé dans un DIU à l’unif de Paris sur l’échographie clinique en medecine polyvalente 🥳 Je suis à la recherche de médecins spécialistes (radiologues mais pas uniquement !) localisés en Belgique 🇧🇪 qui utiliseraient l’echo au quotidien et qui accepteraient de me montrer comme a un stagiaire pendant qq heures seulement (4-5) leur usage pour m’aider dans mon apprentissage :)

Public
iCapitaine

C’est de saison :
Intérêt de l’échographie pour diagnostiquer une pneumonie bactérienne en cas de bronchiolite chez les enfants…
Exerçons notre oeil a bien voir les lignes B, consolidations sous pleurales avec bronchogramme aerique et consolidations de plus d’un centimètre…

bmcpulmmed.biomedcentral.com/a

BioMed CentralLung ultrasound for the diagnosis of pneumonia in children with acute bronchiolitis - BMC Pulmonary MedicineBackground Guidelines currently do not recommend the routine use of chest x-ray (CXR) in bronchiolitis. However, CXR is still performed in a high percentage of cases, mainly to diagnose or rule out pneumonia. The inappropriate use of CXR results in children exposure to ionizing radiations and increased medical costs. Lung Ultrasound (LUS) has become an emerging diagnostic tool for diagnosing pneumonia in the last decades. The purpose of this study was to assess the diagnostic accuracy and reliability of LUS for the detection of pneumonia in hospitalized children with bronchiolitis and to evaluate the agreement between LUS and CXR in diagnosing pneumonia in these patients. Methods We enrolled children admitted to our hospital in 2016–2017 with a diagnosis of bronchiolitis and undergone CXR because of clinical suspicion of concomitant pneumonia. LUS was performed in each child by a pediatrician blinded to the patient’s clinical, laboratory and CXR findings. An exploratory analysis was done in the first 30 patients to evaluate the inter-observer agreement between a pediatrician and a radiologist who independently performed LUS. The diagnosis of pneumonia was established by an expert clinician based on the recommendations of the British Thoracic Society guidelines. Results Eighty seven children with bronchiolitis were investigated. A final diagnosis of concomitant pneumonia was made in 25 patients. Sensitivity and specificity of LUS for the diagnosis of pneumonia were 100% and 83.9% respectively, with an area under-the-curve of 0.92, while CXR showed a sensitivity of 96% and specificity of 87.1%. When only consolidation > 1 cm was considered consistent with pneumonia, the specificity of LUS increased to 98.4% and the sensitivity decreased to 80.0%, with an area under-the-curve of 0.89. Cohen’s kappa between pediatrician and radiologist sonologists in the first 30 patients showed an almost perfect agreement in diagnosing pneumonia by LUS (K 0.93). Conclusions This study shows the good accuracy of LUS in diagnosing pneumonia in children with clinical bronchiolitis. When including only consolidation size > 1 cm, specificity of LUS was higher than CXR, avoiding the need to perform CXR in these patients. Added benefit of LUS included high inter-observer agreement. Trial registration Identifier: NCT03280732 . Registered 12 September 2017 (retrospectively registered).
ExplorerFlux en direct
À propos