Predictive value of bronchoscopy combined with CT score for refractory mycoplasma pneumoniae pneumonia in children.
Humans
Pneumonia, Mycoplasma
/ diagnostic imaging
Male
Female
Retrospective Studies
Child
Bronchoscopy
Tomography, X-Ray Computed
Child, Preschool
ROC Curve
Mycoplasma pneumoniae
/ isolation & purification
Predictive Value of Tests
Anti-Bacterial Agents
/ therapeutic use
Adolescent
Sensitivity and Specificity
Lung
/ diagnostic imaging
Bronchitis
/ diagnostic imaging
Bronchitis score
Bronchoalveolar lavage
Children
Computed tomography score
Mycoplasma pneumoniae pneumonia
Journal
BMC pulmonary medicine
ISSN: 1471-2466
Titre abrégé: BMC Pulm Med
Pays: England
ID NLM: 100968563
Informations de publication
Date de publication:
22 May 2024
22 May 2024
Historique:
received:
16
08
2023
accepted:
04
04
2024
medline:
23
5
2024
pubmed:
23
5
2024
entrez:
22
5
2024
Statut:
epublish
Résumé
Mycoplasma pneumoniae pneumonia (MPP) is prevalent in paediatric patients and can progress to refractory mycoplasma pneumoniae pneumonia (RMPP). To assess the predictive value of bronchoscopy combined with computed tomography (CT) score in identifying RMPP in children. 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. 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. The combined BS and CT score method is highly valuable in identifying RMPP in children.
Identifiants
pubmed: 38778338
doi: 10.1186/s12890-024-02996-w
pii: 10.1186/s12890-024-02996-w
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
251Subventions
Organisme : Youth Fund Project of the First Affiliated Hospital of Xinxiang Medical University
ID : QN-2022-A05, QN-2022-A10
Organisme : Youth Fund Project of the First Affiliated Hospital of Xinxiang Medical University
ID : QN-2022-A05, QN-2022-A10
Informations de copyright
© 2024. The Author(s).
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