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Flexible Bronchoscopy in Non-resolving Pneumonia

Javeed Iqbal Bhat1, Wasim Ahmad Wani2, Qazi Iqbal Ahmad2

  • 1Department of Pediatrics, SKIMS, Srinagar, Jammu and Kashmir, 190011, India. drjaveediqbal@gmail.com.

Indian Journal of Pediatrics
|May 24, 2017
PubMed

Insights

Flexible bronchoscopy and bronchoalveolar lavage (BAL) are safe and effective for diagnosing non-resolving pneumonia in children. Early use aids in identifying infections, foreign bodies, and airway abnormalities.

Area of Science:

  • Pediatric Pulmonology
  • Diagnostic Procedures
  • Infectious Diseases

Background:

  • Non-resolving pneumonia presents a diagnostic challenge in pediatric patients.
  • Identifying the underlying etiology is crucial for effective management.

Purpose of the Study:

  • To evaluate the diagnostic utility of flexible bronchoscopy and bronchoalveolar lavage (BAL) in children with non-resolving pneumonia.
  • To determine the spectrum of abnormalities and causative organisms identified by these procedures.

Main Methods:

  • A cross-sectional study included 52 children (1 month to 14 years) with non-resolving pneumonia.
  • Flexible bronchoscopy was performed, with bronchoalveolar lavage (BAL) collected for microbiological and cytological analysis.
  • BAL analysis included Gram staining, culture, GeneXpert, and lipid-laden macrophage examination.

Main Results:

  • Flexible bronchoscopy yielded a definitive diagnosis in 30.7% of cases.
  • Bronchoalveolar lavage (BAL) cultures were positive for organisms in 52.3% of children.
  • Morphological abnormalities, including foreign bodies, were identified in several patients.

Conclusions:

  • Flexible bronchoscopy and BAL are valuable tools for diagnosing non-resolving pneumonia in children.
  • These procedures help identify infectious and non-infectious causes, such as tracheobronchomalacia and foreign body aspiration.
  • Early application of bronchoscopy and BAL analysis can significantly guide diagnosis and treatment.
Abstract

Keywords:
Bronchoalveolar lavageBronchoscopyNon resolving pneumonia

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