Farhat Batool Jiskani, Farzana Shaikh, Abdul Rehman Syal, Mohammad Akbar Nizamani, Ram Shaikh M Akram.
X-Ray Chest Findings in Children Aged 2 Months To 59 Months Classified As Pneumonia According To Imnci Guidelines.
Pak Armed Forces Med J Jan ;67(5):779-82.

Objective: To determine the x-ray chest findings in children aged 02 months to 59 months classified as pneumonia according to IMNCI guidelines. Study Design: Descriptive case series. Place and Duration of Study: This descriptive case series study of six months was carried out in the Department of Pediatric Medicine, Liaquat University Hospital Hyderabad. Material and Methods: the study was conducted on the children who met the inclusion as well as exclusion criteria of the study. All the patients presented with history of cough and/or difficult breathing, on physical examination having (i) fast breathing (respiratory rate >50/min if age 2-11 months, rate >40/min if age 12-59 months) or (ii) lower chest wall in-drawing was admitted in the ward and further evaluate for x-ray chest findings specific for pneumonia by advising chest radiograph. Results: the mean age of the patients was 11.2 ± 5.6 months with age range of 02-59 months. There were 92 (55.8%) male and 73 (44.2%) female patients. There were 64 (38.8%) patients who had consolidation and 66 (40%) patients had reticular shadowing on chest x-ray. Conclusion: It is concluded from this study that considering/ evaluating x-ray chest findings in children according to IMNCI guidelines was a better approach for diagnosing pneumonia. This would certainly contribute towards evidence based clinical assessment of suspected cases of pneumonia.

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