การศึกษาโรคติดเชื้อเฉียบพลันระบบหายใจในเด็ก ในโรงพยาบาลมหาราชนครราชสีมา : ค่าความไวและความจำเพาะของ Simple clinical signs ในการวินิจฉัยโรคปอดบวม Acute respiratory tract infection in children : Sensitivity and Specificity of Simple clinical signs for the D

Abstract

A prospective study of Pediatric out-patients was performed between Febuary 1993 and January 1994 in children under 5 years old in Maharat Nakhon Ratchasima Hospital. They presented with cough and dyspnea. The objective of the study was to determine the sensitivity and specificity of simple clinical signs for the diagnosis of pneumonia.

All 78 cases, diagnosed pneumonia by WHO Standard Case Management of Acute Respiratory Tract Infection in Children were included in this study. Pneumonia, defined by appropriate abnormal chest roentgenographic finding, occurred in 59 cases. Fast breathing and abnormal breath sound were found to be highly sensitive but not significantly specific signs for the diagnosis of pneumonia (Sensitivity test were 88.1%, 96.6% respectively). Highly specitic without definite sensitive sign was chest indrawing (78.9%).