Respiratory tract infections are a major cause of hospitalization among pediatric and adult patients, regardless of the cause, whether viral or bacterial. It is critical to stratify each patient's risk to predict the subsequent clinical course. Point-of-care chest ultrasonography in parallel with clinical evaluation has been found to be an effective tool to assess the severity of pathology. A number of scores have been validated on the basis of the ultrasound picture. Currently, a growing interest is directed toward the unambiguous validation of an ultrasound score that can predict the patient's outcome in terms of hospitalization, ICU admission, need for a more pronounced approach in terms of respiratory care both qualitatively and quantitatively.
Patients aged 0 to 20 years with a clinical diagnosis of respiratory tract infection, evaluated in the emergency department and then discharged home or admitted to the Pediatric Intensive Care Unit or Pediatrics Department.
Informed consent signed by parents or patient of legal age
Refusal to sign informed consent
Patients with bronchopulmonary dysplasia
Foreign body aspiration cases
Patients with pulmonary malformations
Patients aged 0 to 20 years with a clinical diagnosis of respiratory tract infection, evaluated in the emergency department and then discharged home or admitted to the Pediatric Intensive Care Unit or Pediatrics Department.
Cohort
Prospective
Ultrasound evaluation
Diagnostic testThe subjects will constitute a cohort whose medical history, clinical, ultrasound and treatment data reported in the appropriate data collection form will be prospectively collected. Enrolled patients will undergo clinical and ultrasonographic evaluation in a manner not unlike routine clinical practice.
The ultrasound pattern of patients with respiratory tract infections
To evaluate the ultrasound pattern of patients with respiratory tract infections by score.
the duration of hospitalization
Validate a qualitative and quantitative ultrasound protocol to assess respiratory tract infections to predict the duration of hospitalization
Use the SatO2/FiO2 ratio to evaluate outcome
Use the SatO2/FiO2 ratio in conjunction with clinical assessment to evaluate the initiation of respiratory assistance with high-flow oxygen
correlation between ultrasound score and vital parameters
Assess a correlation between ultrasound score and vital parameters (FR, HR, SatO2)
correlation between ultrasound score and indices of inflammation
Assess a correlation between ultrasound score and indices of inflammation (PCR, PCT)
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