Association between radiological findings and severity of community-acquired pneumonia in children

Italian Journal of Pediatrics

Susanna Esposito²  Maria Angela Pavesi³  Carlotta Galeone¹  Mara Lelii²  Benedetta Longhi²  Maria Francesca Patria² 

[1] Luigi Devoto Department of Occupational Health, University of Milan, Milan, Italy;Pediatric Clinic 1, Department of Pathophysiology and Transplantation, University of Milan, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy;Pediatric Radiology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

关键词: Pneumonia;    Community-acquired pneumonia;    Chest radiograph;    CAP;   

Others  :  812569
DOI  :  10.1186/1824-7288-39-56

 received in 2013-07-22, accepted in 2013-08-31,  发布年份 2013

【 摘 要 】

Background

There are few published data concerning radiological findings and their relationship with community-acquired pneumonia (CAP) severity. The aim if this study was to assess radiographic findings in children with CAP of different severity in order to evaluate whether some parameters are associated with severe CAP.

Methods

We analysed the characteristics of parenchymal densities in 335 chest radiographs of otherwise healthy children (173 males; mean age ± standard deviation, 7.5 ± 4.5 years) admitted to our Emergency Room for CAP. Upon admission, chest radiographs were obtained in the two standard projections, and the children with severe or mild/moderate CAP were compared in order to identify any correlations between CAP severity and the radiological findings.

Results

Seventy-six of the 335 enrolled children (22.7%) fulfilled the criteria for severe CAP. In comparison with the children with mild/moderate CAP, in severe CAP there was a significantly greater frequency of a bilateral multifocal distribution (p = 0.01), the simultaneous involvement of ≥3 sites (p = 0.007), and the involvement of the right hilum (p = 0.02). The same results were confirmed in the multiple logistic regression model.

Conclusions

This study shows that radiological findings such as a multifocal bilateral distribution, the simultaneous involvement of at least three sites, and right hilar consolidation are associated with severe CAP in otherwise healthy children, and could be considered markers of disease severity in children with CAP.

【 授权许可】

   
2013 Patria et al.; licensee BioMed Central Ltd.

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