[Bronchoalveolar lavage (BAL) in the diagnosis of pulmonary infections in immunocompromised children].
The authors report their personal case records of broncho-alveolar lavage in immuno-compromised children. 22 children were observed from 1991 to 1992 at the E.N.T. Department of the Bambino Gesù Hospital, National Research Institute, in Rome. Flexible bronchoscopy is used under both local and general anesthesia without muscle relaxants. The epithelial lining fluid collection is greater than that obtained when muscle relaxation is used. For each patient 3 specimens are collected: for virological, bacteriological, mycological and immunological analysis. In 90% of the cases a correct etiological diagnosis of the pulmonary disease was possible. In 14 cases the diagnosis was possible even after a week from the beginning of the antibiotic therapy.
Bottero
S
S
Divisione di ORL, Ospedale Pediatrico Bambino Gesù, Roma.
Pierro
V
V
Tieri
L
L
Marsella
P
P
Bianchi
P M
PM
Partipilo
P
P
Caniglia
M
M
D017088:AIDS-Related Opportunistic Infections / Q000150:complications; D001992:Bronchoalveolar Lavage Fluid / Q000166:cytology / Q000276:immunology / Q000382:microbiology*; D020680:Bronchoscopes; D001999:Bronchoscopy / Q000379:methods; D002648:Child; D002675:Child, Preschool; D006681:HLA-D Antigens; D006801:Humans; D016867:Immunocompromised Host; D007153:Immunologic Deficiency Syndromes / Q000150:complications; D007223:Infant; D008171:Lung Diseases / Q000175:diagnosis* / Q000276:immunology / Q000382:microbiology; D017563:Lung Diseases, Interstitial / Q000150:complications
D006681:HLA-D Antigens
Il lavaggio bronco-alveolare (BAL) nella diagnostica delle infezioni polmonari nei bambini immunocompromessi.