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Bronchoscopy following diagnosis with cystic fibrosis
  1. Tom N Hilliard,
  2. Seema Sukhani,
  3. Jacqueline Francis,
  4. Neil Madden,
  5. Mark Rosenthal,
  6. Ian Balfour-Lynn,
  7. Andrew Bush,
  8. Jane C Davies
  1. Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London, UK
  1. Tom Hilliard, Royal Hospital for Children, Bristol BS2 8BJ, UK; tom.hilliard{at}


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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  • Funding: None.

  • Competing interests: None.

  • Abbreviations:
    bronchoalveolar lavage
    cystic fibrosis

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