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.
- cystic fibrosis