The accuracy of pulmonary ultrasound in the diagnosis and monitoring of community-acquired pneumonia in women of childbearing age
Objective: To evaluate the accuracy of pulmonary ultrasound in the diagnosis of community-acquired pneumonia (CAP) in women of childbearing age. Methods: From June 2014 to July 2018, a total of 275 suspected CAP patients (20–45 years old) were enrolled, including 87 pregnant women and 188 non-pregna...
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| Format: | Article |
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IMR Press
2021-04-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2163 |
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| author | Jun Wang Xiao-Dong Zhao Gang Wang Wei-Ming Li Hua Guo Jia-Mei Gou Guo-Juan Feng Jing Rao |
| author_facet | Jun Wang Xiao-Dong Zhao Gang Wang Wei-Ming Li Hua Guo Jia-Mei Gou Guo-Juan Feng Jing Rao |
| author_sort | Jun Wang |
| collection | DOAJ |
| description | Objective: To evaluate the accuracy of pulmonary ultrasound in the diagnosis of community-acquired pneumonia (CAP) in women of childbearing age. Methods: From June 2014 to July 2018, a total of 275 suspected CAP patients (20–45 years old) were enrolled, including 87 pregnant women and 188 non-pregnant women. All subjects underwent lung ultrasonography at admission, and non-pregnant women also underwent chest X-ray and pulmonary CT examination. CT-positive patients were treated with 7–10 days of anti-infective treatment, and the results of chest X-ray, lung ultrasound, and chest CT were reviewed. Lung consolidation with pneumonia morphological features was evaluated and compared with CT. Results: Of the 188 non-pregnant patients, 48 were diagnosed with CAP. Pulmonary ultrasonography, chest X-ray and lung CT diagnosis of CAP were almost identical (kappa coefficient was 0.691, 0.578, respectively). After 48 days of anti-infective treatment in 48 non-pregnant women, the sensitivity, specificity and positive release ratio of pulmonary ultrasound for pneumonia were 10.923 and 13. Among the 87 pregnant women with suspected CAP, 32 were positive in pulmonary ultrasonography, 7 were positive in pulmonary ultrasound after 7–10 days of treatment, and pregnant women with CAP were admitted to the hospital and treated with ultrasound. There was no statistical difference in ultrasound. Conclusion: Pulmonary ultrasound can be used as the primary means of diagnosing CAP in women of childbearing age. |
| format | Article |
| id | doaj-art-dfba8fd286ec48bf989fb858fcbaba35 |
| institution | Kabale University |
| issn | 0390-6663 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-dfba8fd286ec48bf989fb858fcbaba352025-08-20T03:48:32ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-04-0148238138810.31083/j.ceog.2021.02.2163S0390-6663(21)00096-8The accuracy of pulmonary ultrasound in the diagnosis and monitoring of community-acquired pneumonia in women of childbearing ageJun Wang0Xiao-Dong Zhao1Gang Wang2Wei-Ming Li3Hua Guo4Jia-Mei Gou5Guo-Juan Feng6Jing Rao7Department of Respiration, The Sixth People’s Hospital of Chengdu, 6100051 Chengdu, ChinaDepartment of Ultrasonography, Jiangyou People’s Hospital, 621700 Jiangyou, ChinaMedical Service Center of Sichuan Province, 6100051 Chendu, ChinaDepartment of Respiration, The Sixth People’s Hospital of Chengdu, 6100051 Chengdu, ChinaDepartment of Respiration, The Sixth People’s Hospital of Chengdu, 6100051 Chengdu, ChinaDepartment of Ultrasonography, The Sixth People’s Hospital of Chengdu, 610051 Chengdu, ChinaDepartment of Ultrasonography, Jiangyou People’s Hospital, 621700 Jiangyou, ChinaDepartment of Ultrasonography, Jiangyou People’s Hospital, 621700 Jiangyou, ChinaObjective: To evaluate the accuracy of pulmonary ultrasound in the diagnosis of community-acquired pneumonia (CAP) in women of childbearing age. Methods: From June 2014 to July 2018, a total of 275 suspected CAP patients (20–45 years old) were enrolled, including 87 pregnant women and 188 non-pregnant women. All subjects underwent lung ultrasonography at admission, and non-pregnant women also underwent chest X-ray and pulmonary CT examination. CT-positive patients were treated with 7–10 days of anti-infective treatment, and the results of chest X-ray, lung ultrasound, and chest CT were reviewed. Lung consolidation with pneumonia morphological features was evaluated and compared with CT. Results: Of the 188 non-pregnant patients, 48 were diagnosed with CAP. Pulmonary ultrasonography, chest X-ray and lung CT diagnosis of CAP were almost identical (kappa coefficient was 0.691, 0.578, respectively). After 48 days of anti-infective treatment in 48 non-pregnant women, the sensitivity, specificity and positive release ratio of pulmonary ultrasound for pneumonia were 10.923 and 13. Among the 87 pregnant women with suspected CAP, 32 were positive in pulmonary ultrasonography, 7 were positive in pulmonary ultrasound after 7–10 days of treatment, and pregnant women with CAP were admitted to the hospital and treated with ultrasound. There was no statistical difference in ultrasound. Conclusion: Pulmonary ultrasound can be used as the primary means of diagnosing CAP in women of childbearing age.https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2163pulmonary ultrasoundcommunity-acquired pneumoniawomen of childbearing age |
| spellingShingle | Jun Wang Xiao-Dong Zhao Gang Wang Wei-Ming Li Hua Guo Jia-Mei Gou Guo-Juan Feng Jing Rao The accuracy of pulmonary ultrasound in the diagnosis and monitoring of community-acquired pneumonia in women of childbearing age Clinical and Experimental Obstetrics & Gynecology pulmonary ultrasound community-acquired pneumonia women of childbearing age |
| title | The accuracy of pulmonary ultrasound in the diagnosis and monitoring of community-acquired pneumonia in women of childbearing age |
| title_full | The accuracy of pulmonary ultrasound in the diagnosis and monitoring of community-acquired pneumonia in women of childbearing age |
| title_fullStr | The accuracy of pulmonary ultrasound in the diagnosis and monitoring of community-acquired pneumonia in women of childbearing age |
| title_full_unstemmed | The accuracy of pulmonary ultrasound in the diagnosis and monitoring of community-acquired pneumonia in women of childbearing age |
| title_short | The accuracy of pulmonary ultrasound in the diagnosis and monitoring of community-acquired pneumonia in women of childbearing age |
| title_sort | accuracy of pulmonary ultrasound in the diagnosis and monitoring of community acquired pneumonia in women of childbearing age |
| topic | pulmonary ultrasound community-acquired pneumonia women of childbearing age |
| url | https://www.imrpress.com/journal/CEOG/48/2/10.31083/j.ceog.2021.02.2163 |
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