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COVID-19 infections: Bronchoscopy provides additional diagnostic certainty

Presented By
Dr Thomas Malfait, Ghent University Hospital, Belgium
ERS 2020
Findings from a retrospective analysis of bronchoscopy results suggest that a bronchoscopy may add diagnostic value in patients with unclear COVID-19 diagnosis [1]. “Reliable tests with a high negative predictive value can help to defer non-COVID patients to a normal ward without isolation and preserve isolation rooms for COVID-19 patients,” said Dr Thomas Malfait (Ghent University Hospital, Belgium). Thus, clinicians are in need of fast and reliable diagnostic results. The current gold-standard for confirmation of a suspected COVID-19 infection is a real-time reverse transcriptase-polymerase chain reaction (rRT-PCR), and specimens taken by bronchoalveolar lavage (BAL) show the highest rate of positivity in rRT-PCR [2,3]. However, recommendations have been in favour of postponing bronchoscopy to protect healthcare workers. Due to this advice, the diagnostic value of bronchoscopy in this setting is not yet known. Thus, Dr Malfait and his fellow investigator...

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