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The role of bronchoscopy and bronchoalveolar lavage (BAL) in patients with suspected COVID-19 but a negative nasopharyngeal (NP) swab is controversial. This is a cohort analysis of 50 patients who had a negative NP swab and who underwent bronchoscopy. The authors found that a supplementary BAL PCR can prevent the allocation of true COVID-19 patients to non-quarantining medical floors.
Patients with high clinical or radiographical suspicion of COVID-19 should be considered for bronchoscopy for diagnostic clarification.
– Kolene E. Bailey, MD
This abstract is available on the publisher's site.
Medical societies have made excellent efforts to provide health care workers with consensus based guidelines tackling practical aspects of the SARS-CoV2 pandemic. Nevertheless, local situations are dynamic and often require specific solutions to manage the reality of the SARS-CoV2 pandemic. A recent paper by Wahidi et al highlights that this is particularly the case when it comes to bronchoscopic procedures since evidence-based guidance is currently lacking.