The Association of Positive Chest Radiograph and Laboratory Parameters with Community Acquired Pneumonia in Children 1629-1631
Mr. Dhairya Lakhani,
130 - NRI Hostel, Sumandeep Vidyapeeth University, At & Po Pipariya,Vadodara – 391760, India.
Phone: +919099969191, E-mail: firstname.lastname@example.org
Context: This study was designed to compare the sensitivities of different investigations for the diagnosis of Community Acquired Pneumonia (CAP). A A prospective study was carried out which compared the sensitivities of the chest radiographs, CRP, TLC, ESR and the blood cultures in sixty-six patients who were diagnosed with WHO defined CAP.
Method and Material: The chest radiographs, serum C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), total leucocyte count (TLC) and blood cultures were determined in sixty-six patients who were amongst the age group of one month to five years of age, who were diagnosed with WHO defined CAP.
Statistical Analysis: It was carried out by calculating the proportion, mean, standard deviation (SD) and the sensitivity of the test.
Results: The chest radiographs were found to be positive in 93.9% (n=62) patients, CRP was positive in 90.9% (n=60) patients, ESR was positive in 72.7% (n=42) patients, TLC was positive in 48.5% (n=38) patients and the blood cultures were positive in 6.1% (n=4) patients. Hence, the sensitivity of the chest radiograph, CRP, ESR, TLC and the blood culture in the diagnosis of CAP were 93.9%, 90.9%, 72.7%, 48.5% and 6.1%.
Conclusion: In view of the high sensitivity of CRP, which is almost similar to that of chest X-Ray in detecting CAP, CRP can be used as an alternative test to the chest radiographs at peripheral centres, where X-ray machines are not available.