The Accuracy of Lung Ultrasound in Pneumonia Diagnosis: Evidence-Based Case Report

Adityo Wibowo, Airin Aldiani, Faiza Hatim, Galoeh Adyasiwi, Hendra Wahyuni MS, Khairunnisa Imaduddin, Malsephira Hasmeryasih, Mega Juliana, Nesia Priandari, Nina Ratu Nur Kharima, Rudy Satriawan, Agus Dwi Susanto

Abstract


Background: There are various microorganisms which caused pneumonia in developing countries such as Indonesia. The diagnosjs of pneumonia is still mainly confirmed by Chest X-ray which is unspecific to determine the etiology of pneumonia due to its low accuracy. On the other hand, the higher accuracy diagnostic tool, Computed Tomography (CT) scan, is not cost-effective. Therefore, an alternative diagnostic tool with high precision, affordability, and user-friendly is highly needed. Lung ultrasound (LUS) is an alternative diagnostic device. This study aims to investigate the diagnostic accuracy level of LUS in diagnosing pneumonia. Methods: Literature-researches was done in five databases namely PubMed/MEDLINE, ScienceDirect, Proquest, Cochrane and EBSCO/MEDLINE using keywords according to the clinical scenario. The articles were appraised with CEEBM worksheet. Results: Four articles met the inclusion and exclusion criteria. Sensitivity of LUS ranged around 85-97% and specificity ranged around 8694%. All appraised articles recommended the use of LUS for its high sensitivity in confirming diagnosjs of pneumonia and other lung diseases, and its favorable bedside use especially for critically ill patients. Lung US was also considered as being more inexpensive with less radiation exposure compared to CT scan or other radiographic imaging. Conclusion: Examination using LUS had a high diagnostic value in confirming the diagnosis of pneumonia.

Keywords


Lung CT Scan; diagnosis; pneumonia; lung ultrasound

References


Gunderman RB, Lydon BT. Respiratory disease: an update for radiologists. Acad Radiolol. 2016;23:3-4.

Alzahrani SA, Al-Salamah MA, Al-Madani WH, Elbarbary MA. Systematic review and meta-analysis for the use of ultrasound versus radiology in diagnosing of pneumonia. Crit Ultrasound J. 2017;9:6.

Xia Y, Ying Y, Wang S, Li W, Shen H. Effectiveness of lung ultrasonography for diagnosis of pneumonia in adults: a systematic review and meta-analysis. J Thorac Dis. 2016;8:2822–31.

Hu QJ, Shen YC, Jia LQ, Guo SJ, Long HY, Pang CS, et al. Diagnostic performance of lung ultrasound in the diagnosis of pneumonia: a bivariate meta-analysis. Int J Clin Exp Med. 2014;7:115–21.

Long L, Zhao HT, Zhang ZY, Wang GY, Zhao HL. Lung ultrasound for the diagnosis of pneumonia in adults: a meta-analysis. Medicine. 2017;96:1-6.

Perhimpunan Dokter Paru Indonesia. Pneumonia komunitas pedoman diagnosis dan penatalaksanaan di Indonesia. Edisi 2. Jakarta: Balai Penerbit FKUI. 2014. p8-19.

Chavez MA, Shams N, Ellington LE, Naithani N, Gilman RH, Steinhoff MC, et al. Lung ultrasound for the diagnosis of pneumonia in adults: a systematic review and meta-analysis. Respir Res. 2014;15:1-9.




DOI: https://doi.org/10.36497/jri.v41i2.175

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Jurnal Respirologi Indonesia
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