PDF(Pubmed)
Abstract：
BACKGROUND: The aim of this exploratory survey is to describe the current state of US (ultrasound) technique across different pediatric settings nationwide.
METHODS: A questionnaire was emailed to all members of the Italian Society of Pediatrics, including pediatric residents. The survey was open from December 2021 to March 2022.
RESULTS: There were 1098 respondents. Seven hundred and seven pediatricians (84.1%) reported any use of US, while 51 (44.3%) residents denied it. The majority of participants (n = 956, 87.1%) reported to have a US machine available within the department, mostly cart-based (n = 516, 66.9%) and provided from 1 to 5 years prior to the survey (n = 330, 42.8%). Lung and neonatal cerebral regions were the most frequently scanned (n = 289, 18.7% and n = 218, 14.1%, respectively). The suspicion of pneumonia or respiratory distress represented the main reasons for performing US in emergency room (n = 390, 78% and n = 330, 66%, respectively). The majority of family pediatricians reported to scan lung and kidney/urinary tract regions (n = 30, 16.9%, and n = 23,12.9%, respectively). Regarding US training, the majority of respondents (n = 358, 34.6%) declared an experience-based education, with a deficient certification enabling the use of US in 71.6% (n = 552) of cases. The most common barriers included the lack of a well-defined training program (n = 627, 57.1%), unavailability of the US machine (n = 196, 17.9%) and legal responsibility concern (n = 175, 15.9%).
CONCLUSIONS: Despite the growing interest on pediatric US nationally, significant barriers still limit widespread adoption. These obstacles may be addressed through the dissemination of a specific US education plan and providing additional resources.
METHODS: A questionnaire was emailed to all members of the Italian Society of Pediatrics, including pediatric residents. The survey was open from December 2021 to March 2022.
RESULTS: There were 1098 respondents. Seven hundred and seven pediatricians (84.1%) reported any use of US, while 51 (44.3%) residents denied it. The majority of participants (n = 956, 87.1%) reported to have a US machine available within the department, mostly cart-based (n = 516, 66.9%) and provided from 1 to 5 years prior to the survey (n = 330, 42.8%). Lung and neonatal cerebral regions were the most frequently scanned (n = 289, 18.7% and n = 218, 14.1%, respectively). The suspicion of pneumonia or respiratory distress represented the main reasons for performing US in emergency room (n = 390, 78% and n = 330, 66%, respectively). The majority of family pediatricians reported to scan lung and kidney/urinary tract regions (n = 30, 16.9%, and n = 23,12.9%, respectively). Regarding US training, the majority of respondents (n = 358, 34.6%) declared an experience-based education, with a deficient certification enabling the use of US in 71.6% (n = 552) of cases. The most common barriers included the lack of a well-defined training program (n = 627, 57.1%), unavailability of the US machine (n = 196, 17.9%) and legal responsibility concern (n = 175, 15.9%).
CONCLUSIONS: Despite the growing interest on pediatric US nationally, significant barriers still limit widespread adoption. These obstacles may be addressed through the dissemination of a specific US education plan and providing additional resources.
摘要：
背景：这项探索性调查的目的是描述美国（超声）技术在全国不同儿科环境中的现状。
方法：通过电子邮件发送了一份问卷给意大利儿科学会的所有成员，包括儿科住院医师.该调查于2021年12月至2022年3月开放。
结果：有1098名受访者。700名儿科医生(84.1%)报告了任何使用美国的情况，51名(44.3%)居民否认。大多数参与者（n=956，87.1％）报告说该部门内有一台美国机器，主要是基于购物车（n=516，66.9%），并在调查前1至5年提供（n=330，42.8%）。肺和新生儿大脑区域是最常见的扫描（n=289，18.7％和n=218，14.1％，分别)。怀疑肺炎或呼吸窘迫是在急诊室执行US的主要原因（n=390，78％和n=330，66％，分别)。大多数家庭儿科医生报告要扫描肺部和肾脏/泌尿道区域（n=30，16.9％，n=23,12.9%，分别)。关于美国的培训，大多数受访者(n=358，34.6%)表示体验教育，缺乏认证，使得在71.6%(n=552)的病例中使用美国。最常见的障碍包括缺乏明确的培训计划（n=627，57.1％），美国机器不可用（n=196，17.9%）和法律责任问题（n=175，15.9%）。
结论：尽管美国全国对儿科的兴趣越来越大，重大障碍仍然限制了广泛采用。这些障碍可以通过传播特定的美国教育计划和提供额外资源来解决。
方法：通过电子邮件发送了一份问卷给意大利儿科学会的所有成员，包括儿科住院医师.该调查于2021年12月至2022年3月开放。
结果：有1098名受访者。700名儿科医生(84.1%)报告了任何使用美国的情况，51名(44.3%)居民否认。大多数参与者（n=956，87.1％）报告说该部门内有一台美国机器，主要是基于购物车（n=516，66.9%），并在调查前1至5年提供（n=330，42.8%）。肺和新生儿大脑区域是最常见的扫描（n=289，18.7％和n=218，14.1％，分别)。怀疑肺炎或呼吸窘迫是在急诊室执行US的主要原因（n=390，78％和n=330，66％，分别)。大多数家庭儿科医生报告要扫描肺部和肾脏/泌尿道区域（n=30，16.9％，n=23,12.9%，分别)。关于美国的培训，大多数受访者(n=358，34.6%)表示体验教育，缺乏认证，使得在71.6%(n=552)的病例中使用美国。最常见的障碍包括缺乏明确的培训计划（n=627，57.1％），美国机器不可用（n=196，17.9%）和法律责任问题（n=175，15.9%）。
结论：尽管美国全国对儿科的兴趣越来越大，重大障碍仍然限制了广泛采用。这些障碍可以通过传播特定的美国教育计划和提供额外资源来解决。
