Predictive value of bronchoscopy combined with CT score for refractory mycoplasma pneumoniae pneumonia in children.
BMC Pulm Med
; 24(1): 251, 2024 May 22.
Article
em En
| MEDLINE
| ID: mdl-38778338
ABSTRACT
INTRODUCTION:
Mycoplasma pneumoniae pneumonia (MPP) is prevalent in paediatric patients and can progress to refractory mycoplasma pneumoniae pneumonia (RMPP).OBJECTIVE:
To assess the predictive value of bronchoscopy combined with computed tomography (CT) score in identifying RMPP in children.METHODS:
A retrospective analysis was conducted on 244 paediatric patients with MP, categorising them into RMPP and general mycoplasma pneumoniae pneumonia (GMPP) groups. A paired t-test compared the bronchitis score (BS) and CT score before and after treatment, supplemented by receiver operating characteristic (ROC) analysis.RESULTS:
The RMPP group showed higher incidences of extrapulmonary complications and pleural effusion (58.10% and 40%, respectively) compared with the GMPP group (44.60%, p = 0.037 and 18.71%, p < 0.001, respectively). The CT scores for each lung lobe were statistically significant between the groups, except for the right upper lobe (p < 0.05). Correlation analysis between the total CT score and total BS yielded r = 0.346 and p < 0.001. The ROC for BS combined with CT score, including area under the curve, sensitivity, specificity, and cut-off values, were 0.82, 0.89, 0.64, and 0.53, respectively.CONCLUSION:
The combined BS and CT score method is highly valuable in identifying RMPP in children.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pneumonia por Mycoplasma
/
Broncoscopia
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Tomografia Computadorizada por Raios X
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Valor Preditivo dos Testes
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Curva ROC
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Mycoplasma pneumoniae
Limite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Male
Idioma:
En
Revista:
BMC Pulm Med
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China