Radiological Evaluation of WHO-Defined Pneumonia and Severe Pneumonia

Md. Fazlul Kader, B. Ahmmad, M. K. Das, Mst Ruksana Begum Chowdhury, Dilruba Sultana, Md Iqbal Bari, Md. Belal Uddin
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Abstract

In developing countries like Bangladesh, Pneumonia remains a significant cause of morbidity and mortality. In about 50% of cases, no organism can be identified. Therefore, pneumonia diagnosis is usually based on radiographic findings, even in developed countries. World Health Organization (WHO) defines pneumonia based on the clinical Conclusions obtained by chest inspection and respiratory rate of the under-five year children. It was a cross-sectional descriptive type of study conducted in the department of pediatrics in collaboration with the Department of Radiology & Imaging, Rajshahi Medical College, for two years. Chest x-rays with interpretation showed out of 100 patients, 14% were normal, and 31%, 30%, and 25% were suggestive of bacterial Pneumonia, bronchiolitis, and viral Pneumonia, respectively. The chest radiograph is the single most important tool for the diagnosis, exclusion, management, planning of further diagnostic procedures, and follow-up of pneumonia patients. So diagnosis and management of pneumonia are impossible without the use of a chest x-ray evaluation. TAJ 2022; 35: No-2: 111-118
世卫组织定义的肺炎和重症肺炎的放射学评价
在孟加拉国等发展中国家,肺炎仍然是发病和死亡的重要原因。在大约50%的病例中,没有发现任何微生物。因此,即使在发达国家,肺炎诊断通常也是基于x线检查结果。世界卫生组织(WHO)对肺炎的定义是基于对五岁以下儿童的胸部检查和呼吸频率得出的临床结论。这是一项横断面描述性研究,在儿科与Rajshahi医学院放射与影像学系合作进行,为期两年。100例患者中,有解释的胸部x线片显示,14%正常,31%、30%和25%提示细菌性肺炎、细支气管炎和病毒性肺炎。胸片是肺炎患者诊断、排除、管理、进一步诊断程序规划和随访的最重要工具。因此,如果不使用胸部x线检查,肺炎的诊断和治疗是不可能的。泰姬酒店2022;35: No-2: 111-118
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