Аңдатпа
Aim. To present current data on the characterization, methodology, and use of lung ultrasound (LUS) in the diagnosis of pneumonia in children. Key points. Respiratory pathology is most common in childhood due to the peculiarities of immunity and structure of the respiratory tract. Pneumonia is a not uncommon disease of the lower respiratory tract in children, requiring quick, accurate and easy to perform diagnosis, as well as correct and timely treatment. Recently, lung ultrasound examination has been gaining popularity as a tool for diagnosing diseases of the lower respiratory tract, including pneumonias. It was widely used during the COVID-19 pandemic, when there were a lot of patients. The advantages of this method are the ease of the procedure, the speed of obtaining results, the absence of ionizing radiation and the non-invasiveness of the study. Ultrasound allows for a real-time assessment of the lung tissue lesion pattern. Also, an ultrasound examination lets the child stay with their mother and keep calm during the diagnostic procedure, preventing stress. Numerous trials demonstrated high specificity and sensitivity of this diagnostic method. Results of the common and more time-consuming diagnostic methods, such as lung CT and lung X-ray, have been compared with ultrasonographic results. With lung ultrasound, the possibility of dynamic patient monitoring is opened up without the fear of receiving unnecessary radiation exposure. The review presents data on the gaining popularity of LUS, its sensitivity and specificity, the technique of the study, as well as characteristic signs of pulmonary lesions in pneumonia. Conclusion. Lung ultrasound as a tool for pneumonia diagnostics is widely used abroad and has been included in pneumonia management protocols. Ease-of-use and safety for patients facilitate the introduction and application of this diagnostic method in paediatric inpatientunits; later, it can be used in outpatient settings as well. Multidisciplinary approach to the diagnosis of pneumonia contributes to the acceleration of the correct diagnosis and the beginning of adequate therapy. Keywords: lung ultrasound, pneumonia in children, ultrasound signs of pulmonary lesions.