Evaluation of the Relationship Between Radiological and Laboratory Findings in Community-acquired Late-onset Neonatal Pneumonia
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Original Research
VOLUME: 5 ISSUE: 3
P: 193 - 199
2024

Evaluation of the Relationship Between Radiological and Laboratory Findings in Community-acquired Late-onset Neonatal Pneumonia

Forbes J Med 2024;5(3):193-199
1. Department of Pediatrics, Division of Neonatology, Buca Seyfi Demirsoy Training And Research Hospital, Izmir, Turkey
2. Department of Pediatrics, Division of Neonatology, Koc University Hospital, Istanbul, Turkey
3. Department of Pediatrics, Buca Seyfi Demirsoy Training And Research Hospital, Izmir, Turkey
No information available.
No information available
Received Date: 2024-11-15T14:24:33
Accepted Date: 2024-12-05T14:25:40
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Abstract

Objective: Community-acquired neonatal pneumonia is a clinical diagnosis with high mortality and morbidity. Along with laboratory tests, chest X-ray plays a significant role in the diagnostic evaluation. This study aims to assess the relationship between chest X-ray findings and laboratory results.

Methods: Between September 2022 and March 2023, the medical records of 51 late preterm and term neonates admitted to the our hospital newborn intensive care unit with a diagnosis of community-acquired late neonatal pneumonia were retrospectively reviewed. Chest X-ray findings were categorized into two subgroups: those with infiltration findings and those without. These two groups were compared in terms of clinical, radiological, and laboratory characteristics.

Results: Among the 51 cases, 24 (47%) had infiltration on chest X-ray, while 27 (53%) did not show infiltration on their chest X-rays. When comparing the groups with and without infiltration findings on chest X-ray, a significant relationship was found between the presence of infiltration and lactate levels above 2 mmol/L in blood gas at the time of admission (p=0.031). No similar relationship was observed with other laboratory results (white blood cell count, platelet count, neutrophil count, and C-reactive protein).

Conclusion: In neonates admitted to the neonatal unit with a diagnosis of community-acquired late neonatal pneumonia, a relationship was found between the presence of infiltration on chest X-ray and elevated lactate levels in blood gas parameters. With further studies, these results suggest that the presence of lung involvement in community acquired neonatal pneumonia could potentially be predicted by elevated lactate levels.

Keywords:
Neonatal pneumonia, community-acquired, chest X-ray, laboratory findings