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- Title
Clinical Factors Associated with Focal Infiltrates in Wheezing Infants and Toddlers.
- Authors
Mahabee-Gittens, E. M.; Dowd, M. D.; Beck, J. A.; Smith, S. Z.
- Abstract
Summary: It can be challenging to determine which findings are associated with focal infiltrates in young wheezing children. A prospective study of wheezing children ≤ 18 months of age revealed focal infiltrates on chest radiograph in 23%. By use of multivariate analysis, findings significantly associated with focal infiltrates included grunting (OR 4.1, 95% CI, 2.0, 8.6) and oxygen saturation ≤ 93% (OR 2.2, 95% CI, 1.1, 4.8); with a sensitivity and specificity of 12.5% and 97%, respectively. Variables not associated with focal infiltrates included first-time wheezing, fever, and tachypnea. The combination of grunting and oxygen saturation ≤ 93% is highly specific and can be used to help diagnose pneumonia in wheezing infants and toddlers. Clin Pediatr. 2000;39:387-393
- Subjects
FOCAL infection; WHEEZE; PEDIATRIC respiratory diseases; DIAGNOSIS
- Publication
Clinical Pediatrics, 2000, Vol 39, Issue 7, p387
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/000992280003900702