Bronchoscopy following diagnosis with cystic fibrosis

Tom N Hilliard ^1*, Seema Sukhani ², Jacqueline Francis ², Neil Madden ², Mark Rosenthal ², Ian Balfour-Lynn ², Andrew Bush ² and Jane Davies ²

¹ Bristol Children's Hospital, United Kingdom
² Royal Brompton Hospital, United Kingdom

^* To whom correspondence should be addressed. E-mail: tom.hilliard{at}ubht.nhs.uk.

Accepted 30 October 2006

Abstract

We recently changed our practice to perform bronchoscopy following diagnosis of cystic fibrosis. On a retrospective review of 25 children, Pseudomonas aeruginosa was detected in bronchoalveolar lavage for the first time in 5 (20%) and Staphylococcus aureus in 4 (16%). Lavage culture was positive in 8 of 18 children without respiratory symptoms. This highlights the potential of bronchoscopy following diagnosis, even in asymptomatic children.

Keywords: bronchoscopy, child, cystic fibrosis, diagnosis, infection

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