Fiberoptic bronchoscopy with broncho-alveolar lavage

• Done for the collection of bronchial secretions by aspiration, through a fiberoptic bronchoscope.


• Usually used as a final measure when sputum is very difficult to collect.


• Bronchoscopy should be carried out in a procedure room with appropriate infection control measures.


• Samples are usually diluted or watery and should be labeled as “bronchoscopy specimens” to avoid rejection at the laboratory.


• Post-bronchoscopy sputum collection on the next three days is often very productive.


• Bronchoscopy should not replace sputum collection in a person with suspected TB.