Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) infection is a major health threat. Pregnancy can lead to an increased susceptibility to viral infections. Although chest computed tomography (CT) represents the gold standard for the diagnosis of SARS-CoV-2 pneumonia, lung ultrasound (LUS) could be a valid alternative in pregnancy. The objectives of this prospective study were to assess the role of LUS in the diagnosis of lung involvement and in helping the physicians in the management of affected patients. Thirty pregnant women with SARS-CoV-2 infection were admitted at the obstetrical ward of our Hospital. Mean age was 31.2 years, mean gestational age 33.8 weeks. Several LUS were performed during hospitalization. The management of the patients was decided according to the LUS score and the clinical conditions. Mean gestational age at delivery was at 37.7 weeks, preterm birth was induced in 20% of cases for a worsening of the clinical conditions. No neonatal complications occurred. In 9 cases with a high LUS score, a chest CT was performed after delivery. CT confirmed the results of LUS, showing a significant positive correlation between the two techniques. LUS seems a safe alternative to CT in pregnancy and may help in the management of these patients

Does lung ultrasound have a role in the clinical management of pregnant women with SARS COV2 infection? / Porpora, Maria Grazia; Merlino, Lucia; Masciullo, Luisa; D’Alisa, Rossella; Brandolino, Gabriella; Galli, Cecilia; De Luca, Casimiro; Pecorini, Francesco; Fonsi, Giovanni Battista; Mingoli, Andrea; Franchi, Cristiana; Oliva, Alessandra; Manganaro, Lucia; Mastroianni, Claudio Maria; Piccioni, Maria Grazia. - In: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. - ISSN 1660-4601. - 18:5(2021), pp. 1-16. [10.3390/ijerph18052762]

Does lung ultrasound have a role in the clinical management of pregnant women with SARS COV2 infection?

Porpora, Maria Grazia
Primo
;
Merlino, Lucia
Secondo
;
Masciullo, Luisa;Brandolino, Gabriella;Galli, Cecilia
;
Pecorini, Francesco;Fonsi, Giovanni Battista;Mingoli, Andrea;Franchi, Cristiana;Oliva, Alessandra;Manganaro, Lucia;Mastroianni, Claudio Maria
Penultimo
;
Piccioni, Maria Grazia
Ultimo
2021

Abstract

Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) infection is a major health threat. Pregnancy can lead to an increased susceptibility to viral infections. Although chest computed tomography (CT) represents the gold standard for the diagnosis of SARS-CoV-2 pneumonia, lung ultrasound (LUS) could be a valid alternative in pregnancy. The objectives of this prospective study were to assess the role of LUS in the diagnosis of lung involvement and in helping the physicians in the management of affected patients. Thirty pregnant women with SARS-CoV-2 infection were admitted at the obstetrical ward of our Hospital. Mean age was 31.2 years, mean gestational age 33.8 weeks. Several LUS were performed during hospitalization. The management of the patients was decided according to the LUS score and the clinical conditions. Mean gestational age at delivery was at 37.7 weeks, preterm birth was induced in 20% of cases for a worsening of the clinical conditions. No neonatal complications occurred. In 9 cases with a high LUS score, a chest CT was performed after delivery. CT confirmed the results of LUS, showing a significant positive correlation between the two techniques. LUS seems a safe alternative to CT in pregnancy and may help in the management of these patients
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11573/1519981
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