Does Lung Ultrasound Have a Role in the Clinical Management of Pregnant Women with SARS COV2 Infection?


Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
09 03 2021
Historique:
received: 18 01 2021
revised: 04 03 2021
accepted: 05 03 2021
entrez: 3 4 2021
pubmed: 4 4 2021
medline: 10 4 2021
Statut: epublish

Résumé

Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) infection is a major health threat. Pregnancy can lead to an increased susceptibility to viral infections. Although chest computed tomography (CT) represents the gold standard for the diagnosis of SARS-CoV-2 pneumonia, lung ultrasound (LUS) could be a valid alternative in pregnancy. The objectives of this prospective study were to assess the role of LUS in the diagnosis of lung involvement and in helping the physicians in the management of affected patients. Thirty pregnant women with SARS-CoV-2 infection were admitted at the obstetrical ward of our Hospital. Mean age was 31.2 years, mean gestational age 33.8 weeks. Several LUS were performed during hospitalization. The management of the patients was decided according to the LUS score and the clinical conditions. Mean gestational age at delivery was at 37.7 weeks, preterm birth was induced in 20% of cases for a worsening of the clinical conditions. No neonatal complications occurred. In 9 cases with a high LUS score, a chest CT was performed after delivery. CT confirmed the results of LUS, showing a significant positive correlation between the two techniques. LUS seems a safe alternative to CT in pregnancy and may help in the management of these patients.

Identifiants

pubmed: 33803223
pii: ijerph18052762
doi: 10.3390/ijerph18052762
pmc: PMC7967479
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Références

Am J Obstet Gynecol. 2020 Jun;222(6):521-531
pubmed: 32217113
J Ultrasound Med. 2020 Sep 7;:
pubmed: 32894583
Obstet Gynecol. 2008 Aug;112(2 Pt 1):333-40
pubmed: 18669732
Lancet Infect Dis. 2020 May;20(5):559-564
pubmed: 32220284
N Engl J Med. 2020 Jun 18;382(25):e100
pubmed: 32302077
Rev Med Virol. 2021 Jan 2;:e2208
pubmed: 33387448
Aging (Albany NY). 2020 Oct 30;12(20):19945-19953
pubmed: 33136555
JAMA. 2020 Jun 2;323(21):2198-2200
pubmed: 32352491
Multidiscip Respir Med. 2013 Aug 09;8(1):55
pubmed: 23937897
Eur Heart J Cardiovasc Imaging. 2020 Sep 1;21(9):941-948
pubmed: 32515793
Am J Perinatol. 2020 Aug;37(10):1055-1060
pubmed: 32403141
Clin Radiol. 2020 May;75(5):341-347
pubmed: 32216961
Am J Obstet Gynecol. 2020 Jul;223(1):128-131
pubmed: 32437667
JAMA. 2020 Apr 7;323(13):1239-1242
pubmed: 32091533
Travel Med Infect Dis. 2020 Jul - Aug;36:101639
pubmed: 32222420
MMWR Morb Mortal Wkly Rep. 2020 Nov 06;69(44):1641-1647
pubmed: 33151921
Am J Obstet Gynecol. 2004 Jul;191(1):292-7
pubmed: 15295381
J Ultrasound Med. 2020 Jul;39(7):1459-1462
pubmed: 32198775
Am J Obstet Gynecol. 2020 Jul;223(1):9-11
pubmed: 32360111
Zhonghua Fu Chan Ke Za Zhi. 2020 Mar 25;55(3):166-171
pubmed: 32145714
J Ultrasound Med. 2021 Jan;40(1):191-203
pubmed: 32478445
Ultrasound Obstet Gynecol. 2020 Aug;56(2):289
pubmed: 32573042
Ann Ist Super Sanita. 2020 Jul-Sep;56(3):378-389
pubmed: 32959805
Anesthesiology. 2015 Feb;122(2):437-47
pubmed: 25501898
Gynecol Obstet Invest. 1985;20(1):37-44
pubmed: 3930349
Chin Med J (Engl). 2020 Jun 5;133(11):1347-1349
pubmed: 32301757
Ultrasound Obstet Gynecol. 2020 Jul;56(1):106-109
pubmed: 32337795
Am J Obstet Gynecol. 2020 Jul;223(1):135
pubmed: 32333857
Eur J Obstet Gynecol Reprod Biol. 2020 Jun;249:100-101
pubmed: 32336661
Eur J Pediatr. 2021 Mar;180(3):743-744
pubmed: 32827274
J Matern Fetal Neonatal Med. 2020 Apr 30;:1-4
pubmed: 32354293
Arch Gynecol Obstet. 2021 Jan 3;:
pubmed: 33389111
Clin Infect Dis. 2020 Oct 08;:
pubmed: 33031500
BMJ. 2020 Jun 8;369:m2107
pubmed: 32513659
Ultrasound Obstet Gynecol. 2020 Jun;55(6):835-837
pubmed: 32249471
Ultrasound Obstet Gynecol. 2020 May;55(5):593-598
pubmed: 32207208
Eur J Obstet Gynecol Reprod Biol. 2021 Jan;256:194-204
pubmed: 33246205
Lancet. 2020 Mar 7;395(10226):809-815
pubmed: 32151335
JAMA. 2020 May 12;323(18):1846-1848
pubmed: 32215581
Clin Infect Dis. 2020 Jul 28;71(15):844-846
pubmed: 32119083
Radiology. 2020 Jun;295(3):200463
pubmed: 32077789
Am J Obstet Gynecol. 2020 Nov;223(5):764-768
pubmed: 32730899
Crit Ultrasound J. 2015 Mar 28;7:4
pubmed: 25883779
Respiration. 2020;99(7):617-624
pubmed: 32570265
Nat Rev Immunol. 2017 Aug;17(8):469-482
pubmed: 28627518
Am J Obstet Gynecol. 2020 Jul;223(1):36-41
pubmed: 32311350
Ultrasound Obstet Gynecol. 2020 May;55(5):709-712
pubmed: 32207189
Mucosal Immunol. 2017 Sep;10(5):1097-1107
pubmed: 28401937
J Infect. 2020 Aug;81(2):e99-e101
pubmed: 32417313
Sci China Life Sci. 2020 May;63(5):706-711
pubmed: 32146694
Immunol Res. 1996;15(2):141-50
pubmed: 8839782
JAMA. 2020 May 12;323(18):1848-1849
pubmed: 32215589
J Infect. 2020 May;80(5):e7-e13
pubmed: 32171865
J Infect Dis. 2020 May 11;221(11):1770-1774
pubmed: 32179910
Lancet Infect Dis. 2020 May;20(5):533-534
pubmed: 32087114
Best Pract Res Clin Haematol. 2003 Jun;16(2):153-68
pubmed: 12763484
BMJ. 2020 Mar 18;368:m1106
pubmed: 32188602
Clin Infect Dis. 2021 Mar 1;72(5):862-864
pubmed: 32182347
Eur Radiol. 2020 Dec;30(12):6808-6817
pubmed: 32623505
BMJ. 2020 Sep 1;370:m3320
pubmed: 32873575
Radiology. 2020 Aug;296(2):E15-E25
pubmed: 32083985
Intensive Care Med. 2020 May;46(5):849-850
pubmed: 32166346
Obstet Gynecol Clin North Am. 2001 Sep;28(3):553-69
pubmed: 11512500
Eur Rev Med Pharmacol Sci. 2020 Mar;24(5):2776-2780
pubmed: 32196627
Radiology. 2008 Mar;246(3):697-722
pubmed: 18195376
Ann N Y Acad Sci. 1977 Mar 11;286:384-97
pubmed: 152594
Am J Obstet Gynecol MFM. 2020 May;2(2):100107
pubmed: 32292902
Multidiscip Respir Med. 2014 May 09;9(1):27
pubmed: 24834347
Am J Surg. 2020 Jun;219(6):900-902
pubmed: 32312477
Transl Pediatr. 2020 Feb;9(1):51-60
pubmed: 32154135
Expert Rev Respir Med. 2019 Feb;13(2):163-172
pubmed: 30616416
Emerg Infect Dis. 2020 Jun;26(6):1335-1336
pubmed: 32134381
N Engl J Med. 2020 May 28;382(22):2163-2164
pubmed: 32283004
J Steroid Biochem Mol Biol. 2005 Dec;97(5):389-96
pubmed: 16198558
Radiology. 2020 Aug;296(2):E115-E117
pubmed: 32073353
Am J Obstet Gynecol MFM. 2020 Aug;2(3):100120
pubmed: 32363337
Acta Obstet Gynecol Scand. 2020 Jul;99(7):823-829
pubmed: 32259279
J Popul Ther Clin Pharmacol. 2020 Oct 15;27(S Pt 1):e64-e75
pubmed: 33084260
Sci Bull (Beijing). 2020 Sep 30;65(18):1537-1542
pubmed: 32346493
Radiology. 2020 Jun;295(3):715-721
pubmed: 32053470
J Reprod Immunol. 2020 Jun;139:103122
pubmed: 32244166
Best Pract Res Clin Obstet Gynaecol. 2003 Jun;17(3):385-96
pubmed: 12787533

Auteurs

Maria Grazia Porpora (MG)

Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Lucia Merlino (L)

Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Luisa Masciullo (L)

Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Rossella D'Alisa (R)

Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Gabriella Brandolino (G)

Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Cecilia Galli (C)

Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Casimiro De Luca (C)

Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Francesco Pecorini (F)

Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Giovanni Battista Fonsi (GB)

Department of Surgery, "Pietro Valdoni", Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Andrea Mingoli (A)

Department of Surgery, "Pietro Valdoni", Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Cristiana Franchi (C)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Alessandra Oliva (A)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Lucia Manganaro (L)

Department of Radiological, Oncological, and Pathological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Claudio Maria Mastroianni (CM)

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Maria Grazia Piccioni (MG)

Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH