Suggested studies for specimens obtained at bronchoscopy when evaluating lung transplant rejection

Bronchoalveolar lavage

Cytology

Standard aerobic bacterial culture

Herpesvirus PCR – (CMV, HSV1/2, VZV*)

Pneumocystis jirovecii (Pneumocystis carinii) stain or PCR

Legionella culture*

Nocardia culture*

Respiratory virus PCR (RSV, influenza, parainfluenza, SARS-CoV-2, adenovirus, rhinovirus, HMPV)*

AFB culture*

Transbronchial biopsies (5 or more)

Pathology

AFB: acid-fast bacilli; CMV: cytomegalovirus; HMPV: human metapneumovirus; HSV1/2: herpes simplex virus 1 and 2; PCR: polymerase chain reaction; RSV: respiratory syncytial virus; SARS-CoV-2: severe acute respiratory syndrome coronavirus 2; VZV: varicella zoster virus.

* Denotes when clinically indicated.

Graphic 72570 Version 3.0

خرید پکیج

Suggested studies for specimens obtained at bronchoscopy when evaluating lung transplant rejection