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Use este identificador para citar ou linkar para este item: https://repositorio.ufba.br/handle/ri/17847
Tipo: Artigo de Periódico
Título: Adding fever to WHO criteria for diagnosing pneumonia enhances the ability to identify pneumonia cases among wheezing children
Título(s) alternativo(s): Archives of Disease in Childhood
Autor(es): Cardoso, Maria Regina Alves
Carvalho, Cristiana Maria Costa Nascimento de
Ferrero, Fernando
Alves, Fátima M.
Cousens, Simon N.
Autor(es): Cardoso, Maria Regina Alves
Carvalho, Cristiana Maria Costa Nascimento de
Ferrero, Fernando
Alves, Fátima M.
Cousens, Simon N.
Abstract: Objective To examine the ability of the criteria proposed by the WHO to identify pneumonia among cases presenting with wheezing and the extent to which adding fever to the criteria alters their performance. Design Prospective classification of 390 children aged 2–59 months with lower respiratory tract disease into five diagnostic categories, including pneumonia. WHO criteria for the identification of pneumonia and a set of such criteria modified by adding fever were compared with radiographically diagnosed pneumonia as the gold standard. Results The sensitivity of the WHO criteria was 94% for children aged <24 months and 62% for those aged ≥24 months. The corresponding specificities were 20% and 16%. Adding fever to the WHO criteria improved specificity substantially (to 44% and 50%, respectively). The specificity of the WHO criteria was poor for children with wheezing (12%). Adding fever improved this substantially (to 42%). The addition of fever to the criteria apparently reduced their sensitivity only marginally (to 92% and 57%, respectively, in the two age groups). Conclusion The authors' results reaffirm that the current WHO criteria can detect pneumonia with high sensitivity, particularly among younger children. They present evidence that the ability of these criteria to distinguish between children with pneumonia and those with wheezing diseases might be greatly enhanced by the addition of fever.
Palavras-chave: Pneumonia
Respiratory Sounds
Child
Lung Diseases
Tipo de Acesso: Acesso Aberto
URI: http://repositorio.ufba.br/ri/handle/ri/17847
Data do documento: 2011
Aparece nas coleções:Artigo Publicado em Periódico (Faculdade de Medicina)

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