Utility of bronchoalveolar lavage in acutely unwell haematological patients

Suheil Ponnambath Abdul Gaffoor, Llinos Mair Jones.

Author address: 

Respiratory Medicine, St James's University Hospital, Leeds, United Kingdom


Introduction: Bronchoalveolar lavage (BAL) is frequently requested for acutely unwell haematology patients. Previous studies suggest that the yield from BAL is limited and only rarely induces a therapeutic change Method: A retrospective analysis was undertaken of haematology inpatients who had had a BAL over a 12 month period. Results: 20 cases were identified. The average age was 50.4 years. 13 patients were neutropenic. Fig 1. shows the BAL results. Therapeutic changes occurred in 9 patients but not necessarily due to the results of the BAL. The commonest addition was antiviral therapy (5/20). There were no adverse events. Discussion: As reflected in other studies a diagnostic strategy that does not include BAL may be as effective without exposing the patients to risk. Prospective studies may clarify the utility of BAL in this population at our teaching hospital

abstract No: 


Full conference title: 

20th European Respiratory Society conference
    • ERS 20th (2010)