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Lung Ultrasound in Children with COVID-19: Preliminary Findings.
Ultrasound Med Biol. 2020 08; 46(8):2094-2098.UM

Abstract

Recent evidence indicates the usefulness of lung ultrasound (LUS) in detecting coronavirus disease 19 (COVID-19) pneumonia. However, no data are available on the use of LUS in children with COVID-19 pneumonia. In this report, we describe LUS features of 10 consecutively admitted children with COVID-19 in two tertiary-level pediatric hospitals in Rome. LUS revealed signs of lung involvement during COVID-19 infection. In particular, vertical artifacts (70%), pleural irregularities (60%), areas of white lung (10%) and subpleural consolidations (10%) were the main findings in patients with COVID-19. No cases of pleural effusions were found. According to our experience, the routine use of LUS in the evaluation of children with suspected or confirmed COVID-19, when performed by clinicians with documented experience in LUS, was useful in diagnosing and monitoring pediatric COVID-19 pneumonia, reducing unnecessary radiation/sedation in children and exposure of health care workers to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Authors+Show Affiliations

Department of Pediatric Emergency, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.Department of Pediatric Emergency, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Istituto di Microbiologia, Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: danilobuonsenso@gmail.com.Department of Pediatric Emergency, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Istituto di Microbiologia, Università Cattolica del Sacro Cuore, Rome, Italy.Department of Imaging, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.Pediatric Unit, University Department of Pediatrics, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.Division of Immunology and Infectious Diseases, University-Hospital Pediatric Department (DPUO), Bambino Gesù Children's Hospital, IRCSS, Rome, Italy.Division of Immunology and Infectious Diseases, University-Hospital Pediatric Department (DPUO), Bambino Gesù Children's Hospital, IRCSS, Rome, Italy.Pediatric Unit, University Department of Pediatrics, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.No affiliation info available

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

32409232

Citation

Musolino, Anna Maria, et al. "Lung Ultrasound in Children With COVID-19: Preliminary Findings." Ultrasound in Medicine & Biology, vol. 46, no. 8, 2020, pp. 2094-2098.
Musolino AM, Supino MC, Buonsenso D, et al. Lung Ultrasound in Children with COVID-19: Preliminary Findings. Ultrasound Med Biol. 2020;46(8):2094-2098.
Musolino, A. M., Supino, M. C., Buonsenso, D., Ferro, V., Valentini, P., Magistrelli, A., Lombardi, M. H., Romani, L., D'Argenio, P., & Campana, A. (2020). Lung Ultrasound in Children with COVID-19: Preliminary Findings. Ultrasound in Medicine & Biology, 46(8), 2094-2098. https://doi.org/10.1016/j.ultrasmedbio.2020.04.026
Musolino AM, et al. Lung Ultrasound in Children With COVID-19: Preliminary Findings. Ultrasound Med Biol. 2020;46(8):2094-2098. PubMed PMID: 32409232.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lung Ultrasound in Children with COVID-19: Preliminary Findings. AU - Musolino,Anna Maria, AU - Supino,Maria Chiara, AU - Buonsenso,Danilo, AU - Ferro,Valentina, AU - Valentini,Piero, AU - Magistrelli,Andrea, AU - Lombardi,Mary Haywood, AU - Romani,Lorenza, AU - D'Argenio,Patrizia, AU - Campana,Andrea, AU - ,, Y1 - 2020/05/03/ PY - 2020/04/17/received PY - 2020/04/22/revised PY - 2020/04/24/accepted PY - 2020/5/16/pubmed PY - 2020/7/17/medline PY - 2020/5/16/entrez KW - Children KW - Coronavirus disease 19 (COVID-19) KW - Lung ultrasound KW - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) SP - 2094 EP - 2098 JF - Ultrasound in medicine & biology JO - Ultrasound Med Biol VL - 46 IS - 8 N2 - Recent evidence indicates the usefulness of lung ultrasound (LUS) in detecting coronavirus disease 19 (COVID-19) pneumonia. However, no data are available on the use of LUS in children with COVID-19 pneumonia. In this report, we describe LUS features of 10 consecutively admitted children with COVID-19 in two tertiary-level pediatric hospitals in Rome. LUS revealed signs of lung involvement during COVID-19 infection. In particular, vertical artifacts (70%), pleural irregularities (60%), areas of white lung (10%) and subpleural consolidations (10%) were the main findings in patients with COVID-19. No cases of pleural effusions were found. According to our experience, the routine use of LUS in the evaluation of children with suspected or confirmed COVID-19, when performed by clinicians with documented experience in LUS, was useful in diagnosing and monitoring pediatric COVID-19 pneumonia, reducing unnecessary radiation/sedation in children and exposure of health care workers to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). SN - 1879-291X UR - https://www.unboundmedicine.com/medline/citation/32409232/Lung_Ultrasound_in_Children_with_COVID_19:_Preliminary_Findings_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301-5629(20)30198-8 DB - PRIME DP - Unbound Medicine ER -