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Acute Chest Infections in Adults and Children: Evidence-Based Emergency Imaging

  • Sjirk J. WestraEmail author
  • Clinton Jokerst
Chapter
Part of the Evidence-Based Imaging book series (Evidence-Based Imag.)

Abstract

This chapter reviews the evidence base of imaging in acute respiratory illnesses (ARI) in children and adults. Chest radiography is indicated in the very young and in patients older than 40 years with ARI suspected to have community-acquired pneumonia (CAR), especially in those who are ill enough to require hospitalization. In young children, the imaging findings of viral and bacterial lung infections frequently overlap, making their differentiation difficult. Improved communication of the radiographic findings and their limitations can decrease overprescription of antibiotics by referring physicians, when no bacterial cause can be proven. CT adds value to radiography only in pulmonary infections that are complicated, recurrent, or occur in patients with an impaired immune system. Ultrasound is favored over CT to determine the need and feasibility and need for percutaneous drainage of parapneumonic effusions and empyemas in children.

Keywords

Pneumonia Radiography Computed tomography Ultrasound Evidence-based imaging Cost-effectiveness of diagnostics Emergency imaging Evidence-based imaging 

Notes

Acknowledgment

Dr. Westra would like to acknowledge the work of Drs. G. Choy, P. H. Yager, and N. Noviski, his coauthors in a previous chapter on Imaging of Chest Infections in Children in Medina LS, et al., eds: Evidence-Based Imaging in Pediatrics: Improving the Quality of Imaging in Patient Care, published by Springer Science. That chapter served as a starting point for the pediatric content in this chapter, which has been thoroughly updated and revised for the topic at hand.

References

  1. 1.
    Gonzales R, Bartlett JG, Besser RE, et al. Ann Intern Med. 2001;134(6):521–9.CrossRefGoogle Scholar
  2. 2.
    Hansell DM, Bankier AA, MacMahon H, et al. Radiology. 2008;246(3):697–722.CrossRefGoogle Scholar
  3. 3.
  4. 4.
    Allen CM, Al-Jahdali HH, Irion KL, et al. Ann Thorac Med. 2010;5(4):201–16.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Ruuskanen O, Lahti E, Jennings LC, et al. Lancet. 2011;377(9773):1264–75.CrossRefGoogle Scholar
  6. 6.
    Singh V, Aneja S. Paediatr Respir Rev. 2011;12(1):52–9.CrossRefGoogle Scholar
  7. 7.
    Kabra SK, Lodha R, Pandey RM. Cochrane Database Syst Rev. 2010;3(3):CD004874.Google Scholar
  8. 8.
    Rudan I, Boschi-Pinto C, Biloglav Z, et al. Bull World Health Organ. 2008;86(5):408–16.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Murphy SL, Xu J, Kochanek KD. Natl Vital Stat Rep. 2011;60(4):1–51.PubMedGoogle Scholar
  10. 10.
    Centers for Disease Control. MMWR Prevention and Control of Influenza: Recommendations of the Advisory Committee on Immunization Practices (ACIP). Vol. 56: June 2007.Google Scholar
  11. 11.
    Torio CM, Andrews RM. National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011. HCUP Statistical Brief #160. Agency for Healthcare Research and Quality, Rockville, MD, August 2013.Google Scholar
  12. 12.
    Current estimates from the National Health Interview Survey, 1994. US Department of Health and Human Services 1995; PHS 96-1521, Series 10:1528–935.Google Scholar
  13. 13.
    Shoham Y, Dagan R, Givon-Lavi N, et al. Pediatrics. 2005;115(5):1213–9.CrossRefGoogle Scholar
  14. 14.
    Benacerraf BR, McLoud TC, Rhea JT, et al. Radiology. 1981;138(2):293–9.CrossRefGoogle Scholar
  15. 15.
    Heckerling PS. Arch Intern Med. 1986;146(7):1321–4.CrossRefGoogle Scholar
  16. 16.
    O’Brien WT Sr, Rohweder DA, Lattin GE Jr, et al. J Am Coll Radiol. 2006;3(9):703–6.CrossRefGoogle Scholar
  17. 17.
    Okimoto N, Yamato K, Kurihara T, et al. Respirology. 2006;11(3):322–4.CrossRefGoogle Scholar
  18. 18.
    Ebrahimzadeh A, Mohammadifard M, Naseh G, et al. Iran J Radiol. 2015;12(1):e13547.PubMedPubMedCentralGoogle Scholar
  19. 19.
    Nolt BR, Gonzales R, Maselli J, et al. Am J Emerg Med. 2007;25(6):631–6.CrossRefGoogle Scholar
  20. 20.
    Basi SK, Marrie TJ, Huang JQ, Majumdar SR. Am J Med. 2004;117(5):305–11.CrossRefGoogle Scholar
  21. 21.
    Aagaard E, Maselli J, Gonzales R. Med Decis Mak. 2006;26(6):599–605.CrossRefGoogle Scholar
  22. 22.
    Hagaman JT, Rouan GW, Shipley RT, et al. Am J Med Sci. 2009;337(4):236–40.CrossRefGoogle Scholar
  23. 23.
    Mandell LA, Wunderink RG, Anzueto A, et al. Clin Infect Dis. 2007;44(Suppl 2):S27–72.CrossRefGoogle Scholar
  24. 24.
    Watkins RR, Lemonovich TL. Am Fam Physician. 2011;83(11):1299–306.PubMedGoogle Scholar
  25. 25.
    Lim WS, Baudouin SV, George RC, et al. Thorax. 2009;64:iii1–iii55.CrossRefGoogle Scholar
  26. 26.
    Adapted from Ebell MH. Am Fam Physician 2007;76(4):562.Google Scholar
  27. 27.
    Rigsby CK, Strife JL, Johnson ND, et al. Pediatr Radiol. 2004;34(5):379–83.CrossRefGoogle Scholar
  28. 28.
    Lamme T, Nijhout M, Cadman D, et al. CMAJ. 1986;134(4):353–6.PubMedPubMedCentralGoogle Scholar
  29. 29.
    Patenaude Y, Blais C, Leduc CP. Investig Radiol. 1995;30(1):44–8.CrossRefGoogle Scholar
  30. 30.
    Graffelman AW, le Cessie S, Knuistingh Neven A, et al. J Fam Pract. 2007;56(6):465–70.PubMedGoogle Scholar
  31. 31.
    Roback MG, Dreitlein DA. Pediatr Emerg Care. 1998;14(3):181–4.CrossRefGoogle Scholar
  32. 32.
    Swingler GH, Zwarenstein M. Cochrane Database Syst Rev (Online). 2005(3):CD001268.Google Scholar
  33. 33.
    Swingler GH, Hussey GD, Zwarenstein M. Lancet. 1998;351(9100):404–8.CrossRefGoogle Scholar
  34. 34.
    Perlstein PH, Kotagal UR, Bolling C, et al. Pediatrics. 1999;104(6):1334–41.CrossRefGoogle Scholar
  35. 35.
    Bradley JS, Byington CL, Shah SS, et al. Clin Infect Dis. 2011;53(7):617–30.CrossRefPubMedPubMedCentralGoogle Scholar
  36. 36.
    Harris M, Clark J, Coote N, et al. Thorax. 2011;66(Suppl 2):ii1–23.CrossRefGoogle Scholar
  37. 37.
    Neuman MI, Shah SS, Shapiro DJ, et al. Acad Emerg Med Off J Soc Acad Emerg Med. 2013;20(3):240–6.CrossRefGoogle Scholar
  38. 38.
    Alario AJ, McCarthy PL, Markowitz R, et al. J Pediatr. 1987;111(2):187–93.CrossRefGoogle Scholar
  39. 39.
    Graffelman AW, Willemssen FE, Zonderland HM, et al. Br J Gen Pract. 2008;58(547):93–7.CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Donnelly LF. J Thorac Imaging. 2001;16(4):238–50.CrossRefGoogle Scholar
  41. 41.
    Osborne D. Am J Roentgenol. 1978;130(1):29–33.CrossRefGoogle Scholar
  42. 42.
    Han BK, Son JA, Yoon HK, et al. Am J Roentgenol. 1998;170(4):1077–80.CrossRefGoogle Scholar
  43. 43.
    Bettenay FA, de Campo JF, DB MC. Pediatr Radiol. 1988;18(6):453–4.CrossRefGoogle Scholar
  44. 44.
    Miller WT Jr, Mickus TJ, Barbosa E, et al. Am J Roentgenol. 2011;197(5):1088–95.CrossRefGoogle Scholar
  45. 45.
    Bloomfield FH, Teele RL, Voss M, et al. Pediatr Radiol. 1999;29(6):459–62.CrossRefGoogle Scholar
  46. 46.
    Davies HD, Wang EE, Manson D, et al. Pediatr Infect Dis J. 1996;15(7):600–4.CrossRefGoogle Scholar
  47. 47.
    Johnson J, Kline JA. Emerg Radiol. 2010;17(4):285–90.CrossRefGoogle Scholar
  48. 48.
    Stickler GB, Hoffman AD, Taylor WF. Clin Pediatr (Phila). 1984;23(7):398–9.CrossRefGoogle Scholar
  49. 49.
    Spottswood SE, Liaw K, Hernanz-Schulman M, et al. Pediatr Radiol. 2009;39(4):348–53.CrossRefGoogle Scholar
  50. 50.
    Neuman MI, Lee EY, Bixby S, et al. J Hosp Med. 2012;7(4):294–8.CrossRefGoogle Scholar
  51. 51.
    Grossman LK, Caplan SE. Ann Emerg Med. 1988;17(1):43–6.CrossRefGoogle Scholar
  52. 52.
    Shiley KT, Lautenbach E, Lee I. Infect Control Hosp Epidemiol. 2010;31(11):1177–83.CrossRefPubMedPubMedCentralGoogle Scholar
  53. 53.
    Donnelly LF. In: Donnelly LF, editor. Diagnostic imaging: pediatrics. Amirsys; 2005. 900p.Google Scholar
  54. 54.
    Riggs W. Appl Radiol. 1996:38–9.Google Scholar
  55. 55.
    Syrjälä H, Broas M, Suramo I, et al. Clin Infect Dis. 1998;27(2):358.CrossRefGoogle Scholar
  56. 56.
    Hayden GE, Wrenn KW. J Emerg Med. 2009;36(3):266–70.CrossRefGoogle Scholar
  57. 57.
    Self WH, Courtney DM, McNaughton CD, et al. Am J Emerg Med. 2013;31(2):401–5.CrossRefGoogle Scholar
  58. 58.
    Maughan BC, Asselin N, Carey JL, et al. RI Med J. 2014;97(8):20–3.Google Scholar
  59. 59.
    Baber CE, Hedlund LW, Oddson TA, et al. Radiology. 1980;135(3):755–8.CrossRefGoogle Scholar
  60. 60.
    Banker PD, Jain VR, Haramati LB. Emerg Radiol. 2007;14(6):383–8.CrossRefGoogle Scholar
  61. 61.
    Donnelly LF, Klosterman LA. Am J Roentgenol. 1998;170(6):1627–31.CrossRefGoogle Scholar
  62. 62.
    Donnelly LF, Klosterman LA. Am J Roentgenol. 1998;171(1):253–6.CrossRefGoogle Scholar
  63. 63.
    Tan Kendrick AP, Ling H, Subramaniam R, et al. Pediatr Radiol. 2002;32(1):16–21.CrossRefGoogle Scholar
  64. 64.
    Cereser L, Zuiani C, Graziani G, et al. Radiol Med. 2010;115(2):205–14.CrossRefGoogle Scholar
  65. 65.
    Safadi AR, Soubani AO. Eur J Intern Med. 2009;20(3):268–79.CrossRefGoogle Scholar
  66. 66.
    ACR Appropriateness Criteria® acute respiratory illness in immunocompromised patients. Updated 2014.Google Scholar
  67. 67.
    Nyamande K, Lalloo UG, Vawda F, et al. Br J Radiol. 2007;80(953):302.CrossRefGoogle Scholar
  68. 68.
    Schueller G, Matzek W, Kalhs P, et al. Eur J Radiol. 2005;53(3):489–94.CrossRefGoogle Scholar
  69. 69.
    Heussel CP, Kauczor HU, Heussel G, et al. Am J Roentgenol. 1997;169(5):1347–53.CrossRefGoogle Scholar
  70. 70.
    Janzen DL, Padley SP, Adler BD, et al. Clin Radiol. 1993;47(3):159–65.CrossRefGoogle Scholar
  71. 71.
    Mori M, Galvin JR, Barloon TJ, et al. Radiology. 1991;178(3):721–6.CrossRefGoogle Scholar
  72. 72.
    Winer-Muram HT, Arheart KL, Jennings SG, et al. Radiology. 1997;204(3):643–9.CrossRefGoogle Scholar
  73. 73.
    Winer-Muram HT, Rubin SA, Fletcher BD, et al. Radiology. 1994;193(1):127–33.CrossRefGoogle Scholar
  74. 74.
    Katz DS, Leung AN. Clin Chest Med. 1999;20(3):549–62.CrossRefGoogle Scholar
  75. 75.
    Kuhlman JE, Fishman EK, Burch PA, et al. Chest. 1987;92(1):95–9.CrossRefGoogle Scholar
  76. 76.
    Winer-Muram HT, Rubin SA, Kauffman WM, et al. Clin Radiol. 1995;50(12):842–7.CrossRefGoogle Scholar
  77. 77.
    Hachem R, Sumoza D, Hanna H, et al. Cancer. 2006;106(7):1581–6.CrossRefGoogle Scholar
  78. 78.
    Hardak E, Brook O, Yigla M. Lung. 2010;188(2):159–63.CrossRefGoogle Scholar
  79. 79.
    Park YS, Seo JB, Lee YK, et al. Clin Radiol. 2008;63(6):673–80.CrossRefGoogle Scholar
  80. 80.
    Vogel MN, Brodoefel H, Hierl T, et al. Br J Radiol. 2007;80(955):516–23.CrossRefGoogle Scholar
  81. 81.
    Demirkazik FB, Akin A, Uzun O, et al. Diagn Interv Radiol. 2008;14(2):75–82.PubMedGoogle Scholar
  82. 82.
    Franquet T. Eur Radiol. 2006;16(3):707–18.CrossRefGoogle Scholar
  83. 83.
    Ketai L, Jordan K, Marom EM. Clin Chest Med. 2008;29(1):77–105. viCrossRefGoogle Scholar
  84. 84.
    Franquet T. Eur Respir J. 2001;18(1):196–208.CrossRefGoogle Scholar
  85. 85.
    Hidalgo A, Falco V, Mauleon S, et al. Eur Radiol. 2003;13(5):1179–84.PubMedGoogle Scholar
  86. 86.
    Barloon TJ, Galvin JR, Mori M, et al. Chest. 1991;99(4):928–33.CrossRefGoogle Scholar
  87. 87.
    Ramnath RR, Heller RM, Ben-Ami T, et al. Pediatrics. 1998;101(1 Pt 1):68–71.CrossRefGoogle Scholar
  88. 88.
    Mayo PH, Doelken P. Clin Chest Med. 2006;27(2):215–27.CrossRefGoogle Scholar
  89. 89.
    Donnelly LF, Klosterman LA. Am J Roentgenol. 1997;169(1):179–82.CrossRefGoogle Scholar
  90. 90.
    King S, Thomson A. Br Med Bull. 2002;61:203–14.CrossRefGoogle Scholar
  91. 91.
    Kearney SE, Davies CW, Davies RJ, et al. Clin Radiol. 2000;55(7):542–7.CrossRefGoogle Scholar
  92. 92.
    Kurian J, Levin TL, Han BK, et al. Am J Roentgenol. 2009;193(6):1648–54.CrossRefGoogle Scholar
  93. 93.
    Tan Kendrick AP, Ling H, Subramaniam R, et al. Pediatr Radiol 2002, 9502;32(1):16–21.Google Scholar
  94. 94.
    Donnelly LF. Radiol Clin N Am. 2005;43(2):253–65.CrossRefGoogle Scholar
  95. 95.
    Tu CY, Hsu WH, Hsia TC, et al. Chest. 2004;126(4):1274–80.CrossRefGoogle Scholar
  96. 96.
    Coley BD. Radiol Clin N Am. 2005;43(2):405–18.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Pediatric RadiologyMassachusetts General Hospital, Harvard Medical SchoolBostonUSA
  2. 2.Department of RadiologyMayo Clinic ArizonaPhoenixUSA

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