title: [Role of flexible bronchoscopy in the diagnosis and treatment of refractory pneumonia in children].
abstract: OBJECTIVE
  To evaluate the effectiveness of the flexible bronchoscopy in the diagnosis and treatment of refractory pneumonia among children.
  
  
  METHODS
  Sixty children with refractory pneumonia were randomly divided into two groups: lavage and control (n=30 each). The control group received conventional medical treatment. The lavage group was given flexible bronchoscopy besides conventional medical treatment. The therapeutic effects were compared between the two groups. The results of bacterial culture and detection of antibodies against Mycoplasma pneumoniae in bronchoalveolar lavage fluid (BALF) were observed.
  
  
  RESULTS
  The coincidence of bacterial culture results between BALF and sputum samples was 63.3%, and there were no significant differences in the positive bacterial culture results between them. The coincidence of PCR test for antibodies against Mycoplasma pneumoniae between BALF and serum samples was 73.3%. The results of Fisher's exact test showed the positive rate of Mycoplasma pneumoniae antibodies of BALF was higher than that of serum (P<0.05). The effective rate in the lavage group was significantly higher than that in the control group (97% vs 73%; P<0.01).
  
  
  CONCLUSIONS
  The flexible bronchoscopy is useful for the diagnosis and treatment of refractory pneumonia in children.
authors.affiliation: Department of Respiratory and Cardiology, Children's Hospital of Hebei Province, Shijiazhuang 050031, China.
authors.forename: Shu-Hua
authors.initials: SH
authors.lastname: An
authors.forename: Meng-Meng
authors.initials: MM
authors.lastname: Wang
authors.forename: Jin-Ying
authors.initials: JY
authors.lastname: Li
authors.forename: Bo-Juan
authors.initials: BJ
authors.lastname: Zheng
authors.forename: Yan-Yan
authors.initials: YY
authors.lastname: Wang
authors.forename: Qing-Juan
authors.initials: QJ
authors.lastname: Zhao
authors.forename: Ning
authors.initials: N
authors.lastname: Wang
mesh_terms: D001419:Bacteria / Q000302:isolation & purification; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D001999:Bronchoscopy / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011014:Pneumonia / Q000175:diagnosis* / Q000628:therapy; D016133:Polymerase Chain Reaction; D007507:Therapeutic Irrigation