Chest
BronchoscopyA Prospective Study of Fever and Bacteremia After Flexible Fiberoptic Bronchoscopy in Children
Section snippets
Materials and Methods
Children undergoing FB between January 1997 and June 1998 in the Pediatric Respiratory Unit at the Shaare Zedek Medical Center were enrolled in the study. Exclusion criteria were as follows: immunocompromised state, concurrent treatment with antibiotics or systemic steroids, fever > 38°C during the 48 h prior to bronchoscopy, or bronchoscopy performed late in the day rendering strict follow-up impossible. Informed consent was obtained from the parents of each patient enrolled in the study. All
Results
Of the 130 children who underwent FB in our department during the study period, 91 were entered in the study. Those excluded either had fever before the procedure, were receiving antibiotic therapy, or were immunodeficient. Indications for FB included stridor (19 cases), BAL for bacteriology and cytology (19 cases), upper airway obstruction (14 cases), recurrent pneumonia (11 cases), suspected foreign body aspiration (9 cases), atelectasis (9 cases), persistent wheezing (5 cases), hoarse voice
Discussion
In this prospective study, nearly half of the children who underwent FB developed fever within 24 h after the procedure. Postbronchoscopy fever was associated with younger age (mainly < 2 years), presence of significant bacterial growth from BALF, and abnormal bronchoscopic findings. Bacteremia was not detected in any of the cases in our study. Furthermore, recurrent aspiration was not found to be a risk factor for developing fever.
To the best of our knowledge, no prospective study of fever
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2007, ChestCitation Excerpt :Fever after FB has also been documented among healthy adult volunteers, with reported incidences of 21%20and 50%.21 As in adults, the incidence of fever after FB with BAL in children varies according to different studies3,6,22(17 to 48%). Differences in the populations studied, methods of performing the FB and BAL, definition of fever, and data collection may explain the different incidences reported.
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