Consensus on the Application of Lung Ultrasound in Pneumonia and Bronchiolitis in Children

This evidence-based consensus aims to establish the role of point-of-care lung ultrasound in the management of pneumonia and bronchiolitis in paediatric patients. A panel of thirteen experts form five Polish tertiary pediatric centres was involved in the development of this document. The literature...

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Main Authors: Joanna Jaworska, Anna Komorowska-Piotrowska, Andrzej Pomiećko, Jakub Wiśniewski, Mariusz Woźniak, Błażej Littwin, Magdalena Kryger, Piotr Kwaśniewicz, Józef Szczyrski, Katarzyna Kulińska-Szukalska, Natalia Buda, Zbigniew Doniec, Wojciech Kosiak
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/11/935
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author Joanna Jaworska
Anna Komorowska-Piotrowska
Andrzej Pomiećko
Jakub Wiśniewski
Mariusz Woźniak
Błażej Littwin
Magdalena Kryger
Piotr Kwaśniewicz
Józef Szczyrski
Katarzyna Kulińska-Szukalska
Natalia Buda
Zbigniew Doniec
Wojciech Kosiak
author_facet Joanna Jaworska
Anna Komorowska-Piotrowska
Andrzej Pomiećko
Jakub Wiśniewski
Mariusz Woźniak
Błażej Littwin
Magdalena Kryger
Piotr Kwaśniewicz
Józef Szczyrski
Katarzyna Kulińska-Szukalska
Natalia Buda
Zbigniew Doniec
Wojciech Kosiak
author_sort Joanna Jaworska
collection DOAJ
description This evidence-based consensus aims to establish the role of point-of-care lung ultrasound in the management of pneumonia and bronchiolitis in paediatric patients. A panel of thirteen experts form five Polish tertiary pediatric centres was involved in the development of this document. The literature search was done in PubMed database. Statements were established based on a review of full-text articles published in English up to December 2019. The development of this consensus was conducted according to the GRADE (Grading of Recommendations, Assessment, Development and Evaluations)—adopted and Delphi method. Initially, 22 proposed statements were debated over 3 rounds of on-line discussion and anonymous voting sessions. A total of 17 statements were agreed upon, including four statements referring to general issues, nine referring to pneumonia and four to bronchiolitis. For five statements experts did not achieve an agreement. The evidence supporting each statement was evaluated to assess the strength of each statement. Overall, eight statements were rated strong, five statements moderate, and four statements weak. For each statement, experts provided their comments based on the literature review and their own experience. This consensus is the first to establish the role of lung ultrasound in the diagnosis and management of pneumonia and bronchiolitis in children as an evidence-based method of imaging.
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spelling doaj.art-c4ac9cfdd3284c2fb9cc202d3bd181072023-11-20T20:31:55ZengMDPI AGDiagnostics2075-44182020-11-01101193510.3390/diagnostics10110935Consensus on the Application of Lung Ultrasound in Pneumonia and Bronchiolitis in ChildrenJoanna Jaworska0Anna Komorowska-Piotrowska1Andrzej Pomiećko2Jakub Wiśniewski3Mariusz Woźniak4Błażej Littwin5Magdalena Kryger6Piotr Kwaśniewicz7Józef Szczyrski8Katarzyna Kulińska-Szukalska9Natalia Buda10Zbigniew Doniec11Wojciech Kosiak12Cystic Fibrosis Department, Institute of Mother and Child, 01-211 Warsaw, PolandPediatric Pulmonology and Allergy Department, Medical University of Warsaw, 02-091 Warsaw, PolandClinic of Pediatrics, Hematology and Oncology, University Clinical Center, 80-210 Gdansk, PolandClinic of Pediatrics, Hematology and Oncology, University Clinical Center, 80-210 Gdansk, PolandDepartment of Pulmonology, Institute of Tuberculosis and Lung Diseases, Regional Branch in Rabka Zdrój, 34-700 Rabka-Zdroj, PolandClinic of Pediatrics, Hematology and Oncology, University Clinical Center, 80-210 Gdansk, PolandClinic of Pediatrics, Hematology and Oncology, University Clinical Center, 80-210 Gdansk, PolandDepartment of Diagnostic Imaging, Mother and Child Institute, 01-211 Warsaw, PolandClinic of Pediatrics, Hematology and Oncology, University Clinical Center, 80-210 Gdansk, PolandPediatric Department of Respiratory Tract Disorders, Lung Diseases and Rehabilitation Center, 91-520 Łódź, PolandDepartment and Clinic of Internal Medicine, Connective Tissue Diseases and Geriatrics, Medical University of Gdańsk, 80-210 Gdansk, PolandDepartment of Pulmonology, Institute of Tuberculosis and Lung Diseases, Regional Branch in Rabka Zdrój, 34-700 Rabka-Zdroj, PolandDepartment of Pediatrics, Hematology and Oncology, Medical University of Gdansk, 80-210 Gdansk, PolandThis evidence-based consensus aims to establish the role of point-of-care lung ultrasound in the management of pneumonia and bronchiolitis in paediatric patients. A panel of thirteen experts form five Polish tertiary pediatric centres was involved in the development of this document. The literature search was done in PubMed database. Statements were established based on a review of full-text articles published in English up to December 2019. The development of this consensus was conducted according to the GRADE (Grading of Recommendations, Assessment, Development and Evaluations)—adopted and Delphi method. Initially, 22 proposed statements were debated over 3 rounds of on-line discussion and anonymous voting sessions. A total of 17 statements were agreed upon, including four statements referring to general issues, nine referring to pneumonia and four to bronchiolitis. For five statements experts did not achieve an agreement. The evidence supporting each statement was evaluated to assess the strength of each statement. Overall, eight statements were rated strong, five statements moderate, and four statements weak. For each statement, experts provided their comments based on the literature review and their own experience. This consensus is the first to establish the role of lung ultrasound in the diagnosis and management of pneumonia and bronchiolitis in children as an evidence-based method of imaging.https://www.mdpi.com/2075-4418/10/11/935paediatric pneumoniabronchiolitispoint-of-care ultrasoundLUS
spellingShingle Joanna Jaworska
Anna Komorowska-Piotrowska
Andrzej Pomiećko
Jakub Wiśniewski
Mariusz Woźniak
Błażej Littwin
Magdalena Kryger
Piotr Kwaśniewicz
Józef Szczyrski
Katarzyna Kulińska-Szukalska
Natalia Buda
Zbigniew Doniec
Wojciech Kosiak
Consensus on the Application of Lung Ultrasound in Pneumonia and Bronchiolitis in Children
Diagnostics
paediatric pneumonia
bronchiolitis
point-of-care ultrasound
LUS
title Consensus on the Application of Lung Ultrasound in Pneumonia and Bronchiolitis in Children
title_full Consensus on the Application of Lung Ultrasound in Pneumonia and Bronchiolitis in Children
title_fullStr Consensus on the Application of Lung Ultrasound in Pneumonia and Bronchiolitis in Children
title_full_unstemmed Consensus on the Application of Lung Ultrasound in Pneumonia and Bronchiolitis in Children
title_short Consensus on the Application of Lung Ultrasound in Pneumonia and Bronchiolitis in Children
title_sort consensus on the application of lung ultrasound in pneumonia and bronchiolitis in children
topic paediatric pneumonia
bronchiolitis
point-of-care ultrasound
LUS
url https://www.mdpi.com/2075-4418/10/11/935
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