ArticlePediatric pulmonology2019
Training and standardization of general practitioners in the use of lung ultrasound for the diagnosis of pediatric pneumonia.
Article in Pediatric pulmonology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Evaluating the performance of a video expert panel in assessing respiratory rate from recorded videos for the diagnosis of non-severe paediatric pneumonia.BMJ open respiratory research · 2025Article
- Community-acquired pneumonia in Indonesian children: insights into diagnosis, treatment compliance, and healthcare provider challenges.Archives of public health = Archives belges de sante publique · 2025Article
- The effect of focused lung ultrasound on antibiotic prescribing in patients with acute lower respiratory tract infections in Danish general practice (PLUS-FLUS): a pragmatic, randomised controlled, post-market trial.EClinicalMedicine · 2025Article
- ESICM-ESPNIC international expert consensus on quantitative lung ultrasound in intensive care.Intensive care medicine · 2025Article
- Evaluating general practitioners' focused lung ultrasound competence and findings in patients with suspected community-acquired pneumonia in general practice.Scandinavian journal of primary health care · 2025Article
- A Train-the-Trainer Point of Care Ultrasound (POCUS) Program for Pediatric Pneumonia in a Low-Resource Setting.POCUS journal · 2025Article
- Lung Ultrasound Protocol and Quality Control of Image Interpretation Using an Adjudication Panel in the Household Air Pollution Intervention Network (HAPIN) Trial.Ultrasound in medicine & biology · 2023Article
- The utility of chest x-ray and lung ultrasound in the management of infants and children presenting with severe pneumonia in low-and middle-income countries: A pragmatic scoping review.Journal of global health · 2022Article
- Effectiveness of the 10-valent pneumococcal conjugate vaccine on pediatric pneumonia confirmed by ultrasound: a matched case-control study.Respiratory research · 2022Article
- Neonatologist performed lung ultrasound: NPLUS-proposal for a consistent ultrasound terminology.Frontiers in pediatrics · 2022Article
- Usefulness of Lung Ultrasound in Paediatric Respiratory Diseases.Diagnostics (Basel, Switzerland) · 2021Review
- Performance of lung ultrasound in the diagnosis of pediatric pneumonia in Mozambique and Pakistan.Pediatric pulmonology · 2021Observational
- Consensus on the Application of Lung Ultrasound in Pneumonia and Bronchiolitis in Children.Diagnostics (Basel, Switzerland) · 2020Article
- Design and conduct of facility-based surveillance for severe childhood pneumonia in the Household Air Pollution Intervention Network (HAPIN) trial.ERJ open research · 2020Article
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Authors and funding
14 authors.
Funding
Abstract
backgroundPneumonia is a leading cause of death in children of low-resource settings. Barriers to care include an early and accurate diagnosis. Lung ultrasound is a novel tool for the identification of pediatric pneumonia; however, there is currently no standardized approach to train in image acquisition and interpretation of findings in epidemiological studies. We developed a training program for physicians with limited ultrasound experience on how to use ultrasound for the diagnosis of pediatric pneumonia and how to standardize image interpretation using a panel of readers.
methodsTwenty-five physicians participating in the training program conducted lung ultrasounds in all children with suspected pneumonia, aged 3 to 35 months, presenting to three subdistrict hospitals in Sylhet, Bangladesh, between June 2015 and September 2017.
resultsA total of 9051 pediatric lung ultrasound assessments were conducted through 27 months of data collection. Study physicians underwent training and all were successfully standardized, achieving 91% agreement and maintained a sensitivity and specificity of 88% and 92%, respectively, when their diagnosis was compared with experts. Overall kappa between two readers was high (0.86, 95% confidence interval [CI], 0.84-0.87), and remained high when a third expert reader was included (0.80, 95% CI, 0.79-0.81). Agreement and kappa statistics were similarly high when stratified by age, sex, presence of danger signs, or hypoxemia.
conclusionsLung ultrasound is a novel tool for the diagnosis of pediatric pneumonia with evidence supporting its validity and feasibility of implementation. Here we introduced a training program that resulted in a high level of inter-sonographer agreement.
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