Pediatrics Ultrasound-Guided Tissue Sampling in a Resource-Limited Setting: Initial Experience from Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, Ethiopia: A Retrospective Cross- Sectional Study from July 2022-June 2024
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Date
2024-06-01
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Addis Ababa University
Abstract
Ultrasound guided tissue biopsy is a minimally invasive, increasingly preferred tool for evaluation of pediatric pathologies due to its decreased complications and ease of accessibility in resource limited settings. However, the diagnostic yield and safety of these procedures in Ethiopian pediatric patients are not well known. We conducted a retrospective cross-sectional study to review the records of pediatric patients who underwent ultrasound guided tissue sampling from July 2022 to June 2024 at TASH. We collected data on demographic characteristics, type of procedure, diagnostic yield, and complications. A total of 102 ultrasound guided tissue samples were performed, CNB accounted for 69.6%. The overall diagnostic yield was 93.1%. CNB had significantly higher diagnostic yield when compared to FNAC; the odds of obtaining a diagnostic yield were 10 times better for CNB(p<0.003). One bleeding complication (0.97%) requiring blood transfusion was recorded. Our results are consistent with other international studies and a previous Ethiopian study which reported diagnostic yield of 92.7% for image guided procedures in a different demographic. Conclusion: USG guided tissue sampling is safe and highly effective diagnostic tool for the pediatric population at Tikur Anbessa Specialized Hospital (TASH) with high diagnostic yield and minimal complications. Our results support the wider adoption and standardization of ultrasound guided procedures in similar resource limited settings in Ethiopia
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Ultrasound-Guided Biopsy, Pediatric, Diagnostic Yield, Core Needle Biopsy, Fine-Needle Aspiration, Ethiopia, Tikur Anbessa Specialized Hospital