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ORIGINAL ARTICLE
Year : 2017  |  Volume : 9  |  Issue : 5  |  Page : 132-135

Bronchoalveolar lavage: General utilization and correlation between special stains and microbiologic cultures at a major pediatric institution


1 Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA; Department of Pathology, National University of Malaysia, Kuala Lumpur, Malaysia
2 Department of Pathology, Royal Medical Services, Amman, Jordan
3 Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA
4 Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital; The Ohio State University, Columbus, Ohio, USA

Correspondence Address:
Geok Chin Tan
Nationwide Children's Hospital, Columbus, Ohio 43205, USA

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmbs.ijmbs_22_17

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Background: Bronchoalveolar lavage (BAL) is a widely used method in the evaluation of lung pathology in adults and children. The main indications in children include confirming suspected infection/inflammation, aspiration pneumonia, and periodic evaluation of lungs in cystic fibrosis patients. Materials and Methods: We reviewed a total of 308 consecutive reports from pediatric BAL specimens as a part of quality assurance project aiming to compare morphologic findings of cytological examination with microbiology testing and evaluate impact of reported data at different stages of sample testing process. Results and Conclusions: We summarized our findings below and found that in most cases of infections, definitive clinical decisions were taken only after microbiologic culture results were available as compared to morphologic findings.


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