Pediatric ultrasound practice in Italy: an exploratory survey.

Italy Humans Ultrasonography Pediatrics Surveys and Questionnaires Practice Patterns, Physicians' / statistics & numerical data Female Male Child Pediatricians
Education Pediatric residency Pediatric ultrasound Point-of-care ultrasound Survey Training

Journal

Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759

Informations de publication

Date de publication:
09 Jun 2024
Historique:
received: 10 02 2024
accepted: 25 05 2024
medline: 10 6 2024
pubmed: 10 6 2024
entrez: 9 6 2024
Statut: epublish

Résumé

The aim of this exploratory survey is to describe the current state of US (ultrasound) technique across different pediatric settings nationwide. A questionnaire was emailed to all members of the Italian Society of Pediatrics, including pediatric residents. The survey was open from December 2021 to March 2022. There were 1098 respondents. Seven hundred and seven pediatricians (84.1%) reported any use of US, while 51 (44.3%) residents denied it. The majority of participants (n = 956, 87.1%) reported to have a US machine available within the department, mostly cart-based (n = 516, 66.9%) and provided from 1 to 5 years prior to the survey (n = 330, 42.8%). Lung and neonatal cerebral regions were the most frequently scanned (n = 289, 18.7% and n = 218, 14.1%, respectively). The suspicion of pneumonia or respiratory distress represented the main reasons for performing US in emergency room (n = 390, 78% and n = 330, 66%, respectively). The majority of family pediatricians reported to scan lung and kidney/urinary tract regions (n = 30, 16.9%, and n = 23,12.9%, respectively). Regarding US training, the majority of respondents (n = 358, 34.6%) declared an experience-based education, with a deficient certification enabling the use of US in 71.6% (n = 552) of cases. The most common barriers included the lack of a well-defined training program (n = 627, 57.1%), unavailability of the US machine (n = 196, 17.9%) and legal responsibility concern (n = 175, 15.9%). Despite the growing interest on pediatric US nationally, significant barriers still limit widespread adoption. These obstacles may be addressed through the dissemination of a specific US education plan and providing additional resources.

Sections du résumé

BACKGROUND BACKGROUND
The aim of this exploratory survey is to describe the current state of US (ultrasound) technique across different pediatric settings nationwide.
METHODS METHODS
A questionnaire was emailed to all members of the Italian Society of Pediatrics, including pediatric residents. The survey was open from December 2021 to March 2022.
RESULTS RESULTS
There were 1098 respondents. Seven hundred and seven pediatricians (84.1%) reported any use of US, while 51 (44.3%) residents denied it. The majority of participants (n = 956, 87.1%) reported to have a US machine available within the department, mostly cart-based (n = 516, 66.9%) and provided from 1 to 5 years prior to the survey (n = 330, 42.8%). Lung and neonatal cerebral regions were the most frequently scanned (n = 289, 18.7% and n = 218, 14.1%, respectively). The suspicion of pneumonia or respiratory distress represented the main reasons for performing US in emergency room (n = 390, 78% and n = 330, 66%, respectively). The majority of family pediatricians reported to scan lung and kidney/urinary tract regions (n = 30, 16.9%, and n = 23,12.9%, respectively). Regarding US training, the majority of respondents (n = 358, 34.6%) declared an experience-based education, with a deficient certification enabling the use of US in 71.6% (n = 552) of cases. The most common barriers included the lack of a well-defined training program (n = 627, 57.1%), unavailability of the US machine (n = 196, 17.9%) and legal responsibility concern (n = 175, 15.9%).
CONCLUSIONS CONCLUSIONS
Despite the growing interest on pediatric US nationally, significant barriers still limit widespread adoption. These obstacles may be addressed through the dissemination of a specific US education plan and providing additional resources.

Identifiants

DOI: 10.1186/s13052-024-01680-3 PMID: 38853266
pubmed: 38853266
doi: 10.1186/s13052-024-01680-3
pii: 10.1186/s13052-024-01680-3
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

114

Informations de copyright

© 2024. The Author(s).

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Auteurs

Anna Maria Musolino (AM)

Unit of Emergency Pediatrics, Department of Emergency, Admission and General Pediatrics, Bambino Gesù Children's Hospital (IRCCS), Rome, Italy.

Monica Tei (M)

Clinical Pediatrics, Department of Mother and Child, Siena University Hospital, Viale Bracci 16, Siena, 53100, Italy. monicatei24@gmail.com.
ORCID: 0000-0003-1651-7402

Cristina De Rose (C)

Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.

Danilo Buonsenso (D)

Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.

Maria Chiara Supino (MC)

Unit of Emergency Pediatrics, Department of Emergency, Admission and General Pediatrics, Bambino Gesù Children's Hospital (IRCCS), Rome, Italy.

Stefania Zampogna (S)

Department Pediatrics, Hospital of Crotone President of SIMEUP (Italian Society of Pediatric Emergency Medicine Urgency), Crotone, Italy.

Annamaria Staiano (A)

Department of Translational Medical Sciences, Section of Pediatrics, University of Naples "Federico II", President of SIP (Italian Society of Pediatric), Naples, Italy.

Massimiliano Raponi (M)

Management and Diagnostic Innovations and Clinical Pathways Research Area, Medical Directorate, Bambino Gesù Children's Hospital, IRCCS, Rome, 00165, Italy.

Antonella Amendolea (A)

Pediatric Unit, Cecina Civil Hospital, Cecina, Italy.

Vincenzo Colacino (V)

Health District of Central Friuli, Cividale del Friuli, Italy.

Laura Gori (L)

Department of Maternal and Child Health, Santa Chiara Hospital, University of Pisa, Pisa, 56100, Italy.

Alessandro Manganaro (A)

Pathology and Neonatal and Pediatric Intensive Care Unit, University Hospital G. Martino, Messina, Italy.

Riccardo Ricci (R)

Professional Development, Continuing Education and Research, Bambino Gesù Children's Hospital (IRCCS), Rome, Italy.

Victoria D'Inzeo (V)

Department of Cardiac Surgery, Cardiology and Heart and Lung Transplant, Bambino Gesù Children's Hospital (IRCCS), Rome, Italy.

Salvatore Grosso (S)

Clinical Pediatrics, Department of Mother and Child, Siena University Hospital, Viale Bracci 16, Siena, 53100, Italy.

Alberto Villani (A)

Unit of General Pediatrics, Department of Emergency, Admission and General Pediatrics, Bambino Gesù Children's Hospital (IRCCS), Rome, Italy.

Rino Agostiniani (R)

Department of Pediatrics and Neonatology, San Jacopo Hospital, Via Ciliegiole 97, 51100, Pistoia, Italy.

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Europe › Italie › Pediatric ultrasound practice in Italy: an...
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