Published in:
01-10-2021 | COVID-19 | IM - COMMENTARY
What is the role of bronchoalveolar lavage in the diagnosis of COVID-19?
Authors:
Bernadette Corica, Giovanni Talerico, Giulio Francesco Romiti
Published in:
Internal and Emergency Medicine
|
Issue 7/2021
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Excerpt
Since the beginning of the COVID-19 pandemic, the diagnosis of SARS-CoV-2 infection has represented one of the most significant areas of uncertainty. The need for prompt isolation and tracking of suspected cases led to extensive use of the real-time polymerase chain reaction (RT-PCR) performed on nasopharyngeal swabs (NPS), which was proposed and adopted immediately as the cornerstone in the diagnosis of COVID-19 [
1]. However, poor knowledge of the chances of false-negative and false-positive results [
2], and misleading evaluation of post-test probability [
3], often resulted in doubts and uncertainties in the diagnostic work-up of suspected COVID-19 infection—especially in those patients who had very low or very high pre-test probability of the disease. …