Role of Chest Ultrasound in Differentiation between Simple and Complicated Bronchiolitis in Zagazig University Hospitals

Document Type : Original Article

Authors

1 Pediatrics department, faculty of medicine, Zagazig university, Zagazig, Egypt.

2 Pediatrics

3 Radiology department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

4 Zagazig university neonatal intensive care unit

Abstract

Introduction: Acute bronchiolitis is a defined as inflammatory injury of the bronchioles, caused by droplet inhalation of viruses. The most common causative agent is the Respiratory Syncytial Virus (RSV), responsible for the most severe infection. Recently, Chest Ultrasound has been introduced as a diagnostic tool in many of the pediatric and neonatal respiratory diseases. The main advantages of chest ultrasound are the low risk of irradiation, the feasibility of a bedside evaluation, and the short time needed for the examination. Objective: The purpose of this study was to differentiate between simple and complicated cases of bronchiolitis. Method: We carried out a prospective observational study on 65 cases of bronchiolitis. Chest X ray and Chest Ultrasound were done for all cases, findings of both were compared. Results: There was statistically difference between Chest X ray and Chest Ultrasound in detection of complicated bronchiolitis. Conclusion: Chest Ultrasound is more accurate, sensitive and specific than Chest X ray in detection of complicated bronchiolitis.

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