Omran Ahmed, Awad Heba, Ibrahim Mostafa, El-Sharkawy Sonya, Elfiky Samar, Rezk Ahmed R
Department of Pediatrics & Neonatology, Faculty of Medicine, Suez Canal University, Ismailia 41522, Egypt.
Department of Radiodiagnosis, Faculty of Medicine, Suez Canal University, Ismailia 41522, Egypt.
Children (Basel). 2022 Sep 23;9(10):1457. doi: 10.3390/children9101457.
Lung ultrasound (LUS) is a crucial diagnostic tool for identifying pneumonia in the pediatric age group. However, it plays a limited role in the early distinction between viral and bacterial pneumonia in children. The objectives of our study were to determine if LUS and the neutrophil-lymphocyte ratio (NLR) were useful in identifying and distinguishing between viral and bacterial pneumonia in Egyptian children under the age of two. Within the first 12 h of being admitted to our department, 52 children with clinical symptoms and signs suggestive of community-acquired pneumonia (CAP) underwent LUS and the NLR. LUS and the NLR strongly differentiated children with viral from those with bacterial pneumonia. For the early diagnosis and differentiation between viral and bacterial pneumonia in young Egyptian children, LUS was proven to be a noninvasive and reliable method. Combining the NLR with LUS increased the diagnostic accuracy when evaluating children suspected of having pneumonia.
肺部超声（LUS）是识别儿童肺炎的重要诊断工具。然而，它在早期区分儿童病毒性肺炎和细菌性肺炎方面作用有限。我们研究的目的是确定LUS和中性粒细胞与淋巴细胞比值（NLR）是否有助于识别和区分埃及两岁以下儿童的病毒性肺炎和细菌性肺炎。在入住我们科室的前12小时内，52名有社区获得性肺炎（CAP）临床症状和体征的儿童接受了LUS检查和NLR检测。LUS和NLR能够很好地区分病毒性肺炎患儿和细菌性肺炎患儿。对于埃及幼儿病毒性肺炎和细菌性肺炎的早期诊断与鉴别，LUS被证明是一种无创且可靠的方法。在评估疑似肺炎的儿童时，将NLR与LUS相结合可提高诊断准确性。
