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

Authors

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

DOI:

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

Keywords:

Lung CT Scan, diagnosis, pneumonia, lung ultrasound

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.

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Author Biographies

  • Adityo Wibowo, Universitas Indonesia
    Program Pendidikan Dokter Spesialis Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran
  • Airin Aldiani, Universitas Indonesia
    Program Pendidikan Dokter Spesialis Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran
  • Faiza Hatim, Universitas Indonesia
    Program Pendidikan Dokter Spesialis Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran
  • Galoeh Adyasiwi, Universitas Indonesia
    Program Pendidikan Dokter Spesialis Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran
  • Hendra Wahyuni MS, Universitas Indonesia
    Program Pendidikan Dokter Spesialis Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran
  • Khairunnisa Imaduddin, Universitas Indonesia
    Program Pendidikan Dokter Spesialis Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran
  • Malsephira Hasmeryasih, Universitas Indonesia
    Program Pendidikan Dokter Spesialis Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran
  • Mega Juliana, Universitas Indonesia
    Program Pendidikan Dokter Spesialis Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran
  • Nesia Priandari, Universitas Indonesia
    Program Pendidikan Dokter Spesialis Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran
  • Nina Ratu Nur Kharima, Universitas Indonesia
    Program Pendidikan Dokter Spesialis Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran
  • Rudy Satriawan, Universitas Indonesia
    Program Pendidikan Dokter Spesialis Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran
  • Agus Dwi Susanto, Universitas Indonesia, RSUP Persahabatan
    Departemen Pulmonologi dan Kedokteran Respirasi, Fakultas Kedokteran

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.

Published

2021-04-30

Issue

Section

Case Report

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