Authors: Ly Aïssata, Ly Fatou, Touré Kamadore, Badji Nfally, Diop Alioune B, Dieng Coumba Khadija, Diop Cheikh Tidiane.
Bacterial pneumonias are acute lower respiratory infections related to an inflammation of the pulmonary parenchyma determining a radio-clinical syndrome of lobar or segmental condensation [1].
Frequent reasons for hospitalization in pediatric settings, their distribution is worldwide with a high prevalence in Africa. Streptococcus Pneumoniae (STO.P) or Pneumococcus first infectious cause of pediatric mortality is responsible for 15% of deaths before 5 years. In Africa, it is the cause of 21% of deaths, 28% if we include the neonatal period, or nearly a third of deaths. A real public health problem, pneumococcal pneumonia is the subject of numerous guidelines from the World Health Organization (WHO). The emergence of strains of Pneumococcus with reduced sensitivity to penicillin, the difficulty of their biological objectification and the co-detection of several pathogens in the same sample complicate their management [2]. Radiography, an available and inexpensive technique, makes it possible to diagnose parenchymal involvement, obtain an etiological orientation, guide antibiotic therapy, ensure follow-up, and thus avoid complications.
The general objective of this work is to evaluate the role of standard radiography in the management of bacterial pneumopathies in children.
The specific objectives are:
− To list the pathogens involved in the different age groups after the introduction of the pneumococcal vaccine in the Extended Vaccination Program (EVP) of Senegal,
− To describe the radiological syndromes characteristic of these pathogenic agents.
The prognosis of bacterial pneumopathies in children being severe, it is imperative to make an early diagnosis. Unfortunately, non-specific clinical signs, late and random bacteriological results do not allow a good etiological orientation. The fine study of radiological syndromes, confronted with epidemiological and clinical data, has the merit of guiding probabilistic antibiotic therapy and avoiding complications.
View/Download pdf