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East Mediterr Health J. 2004 Jul-Sep;10(4-5):482-7.

Detection of pneumonia among children under six years by clinical evaluation.

Author information

  • 1Department of Paediatrics, Queen Alia Military Hospital, Royal Medical Services, Amman, Jordan.

Abstract

To determine the most useful clinical symptoms and signs for detection of pneumonia in children, we carried out a prospective clinical study at Queen Alia Hospital, Amman, on 147 children admitted between August 2002 and January 2003 with clinical pneumonia. All the children had chest X-rays, which were read by the same radiologist. The most sensitive and specific signs and symptoms for prediction of pneumonia were coughing, tachypnoea (respiratory rate > 50/min) and chest wall indrawing. We found that presence of tachypnoea and lower chest wall indrawing can detect most cases of pneumonia. If all clinical signs are negative, chest X-ray findings are unlikely to be positive.

PMID:
16335638
[PubMed - indexed for MEDLINE]
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