Far beyond the X-ray: Point-Of-Care Ultrasound for pneumonia diagnosis

Authors

Keywords:

Neumonía, Ultrasonografía, Radiografía Torácica

Abstract

Lung ultrasound, especially POCUS (Point-Of-Care Ultrasound), has been shown to be more effective than traditional X-rays in diagnosing pneumonia in adults, mainly in emergency and intensive care settings. With a sensitivity of 92% and specificity of 94%, POCUS outperforms X-rays, which have a sensitivity and specificity of 75%. In addition, it is safe for pregnant women and speeds up management in critically ill patients. It can also differentiate between bacterial and viral pneumonia, guiding the use of antibiotics. Although it has anatomical limitations, only 8% of cases go undetected. In Peru, pneumonia cases increased in 2023, highlighting the importance of this technique in diagnosis and treatment.

Downloads

Download data is not yet available.

References

Pantoja LF, Pérez NG, Matamoros EBD. Características ecográficas del pulmón en pacientes con diagnóstico de neumonía grave adquirida en la comunidad [Internet]. Rev Cuba Med Mil. 2024 [acceso: 21/09/2024]; 53(3):024038124. Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/38124

Desai D, Shah AB, Dela JRC, Mugibel TA, Sumaily KM, Sabi EM, et al. Lung Ultrasonography Accuracy for Diagnosis of Adult Pneumonia: Systematic Review and Meta-Analysis [ Internet]. Adv Respir Med. 2024; 92(3):241-53. DOI: 10.3390/arm92030024

Gentilotti E, Nardo PD, Cremonini E, Górska A, Mazzaferri F, Canziani LM, et al. Diagnostic accuracy of point-of-care tests in acute community-acquired lower respiratory tract infections. A systematic review and meta-analysis [ Internet]. Clin Microbiol Infect. 2022 [acceso: 22/09/2024]; 28(1):13-22. Disponible en: https://www.clinicalmicrobiologyandinfection.com/article/S1198-743X(21)00551-6/fulltext

Mearelli F, Casarsa C, Trapani A, D'agaro P, Moras C, Spagnol F, et al. Lung ultrasound may support internal medicine physicians in predicting the diagnosis, bacterial etiology and favorable outcome of community-acquired pneumonia [ I nternet]. Sci Rep. 2021; 11(1):17016. DOI: 10.1038/s41598-021-96380-x

Boccatonda A, Cocco G, D'Ardes D, Delli Pizzi A, Vidili G, De Molo C, et al. Infectious Pneumonia and Lung Ultrasound: A Review [ I nternet]. J Clin Med. 2023; 12(4):1402. DOI: 10.3390/jcm12041402

Centro Nacional de Epidemiología, Prevención y Control de Enfermedades. Boletín Epidemiológico del Perú SE 52 - 2023 [Internet]. Perú, Lima; 2023. [acceso: 25/09/2024]. Disponible en: https://www.dge.gob.pe/epipublic/uploads/boletin/boletin_202452_02_171641.pdf

Centro Nacional de Epidemiología, Prevención y Control de Enfermedades. Boletín Epidemiológico del Perú SE 52 - 2022 [Internet]. Perú, Lima; 2022. [acceso: 25/09/2024]. Disponible en: https://www.dge.gob.pe/epipublic/uploads/boletin/boletin_202252_31_153743.pdf

Downloads

Published

2025-01-21

How to Cite

1.
Lara Luján SB. Far beyond the X-ray: Point-Of-Care Ultrasound for pneumonia diagnosis . Rev Cubana Med Milit [Internet]. 2025 Jan. 21 [cited 2025 Jan. 30];54(1):e025075496. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/75496

Issue

Vol. 54 No. 1 (2025): January - March (in progress...)

Section

Letter to the Editor

License

Copyright (c) 2025 Sebastian Bilmer Lara Luján

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Authors who have publications with this Journal accept the following terms:

  • The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
  • The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
  • Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.