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Published Online First: 6 November 2006. doi:10.1136/adc.2006.105825
Archives of Disease in Childhood 2007;92:898-899
Copyright © 2007 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

Short reports

Bronchoscopy following diagnosis with cystic fibrosis

Tom N Hilliard, Seema Sukhani, Jacqueline Francis, Neil Madden, Mark Rosenthal, Ian Balfour-Lynn, Andrew Bush, Jane C Davies

Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London, UK

Tom Hilliard, Royal Hospital for Children, Bristol BS2 8BJ, UK; tom.hilliard{at}ubht.nhs.uk

We recently changed our practice to perform bronchoscopy following diagnosis with cystic fibrosis. On a retrospective review of 25 children, Pseudomonas aeruginosa was detected in bronchoalveolar lavage for the first time in five children (20%) and Staphylococcus aureus in four (16%). Lavage culture was positive in eight of 18 children without respiratory symptoms. This highlights the potential of bronchoscopy following diagnosis, even in asymptomatic children.


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