TY - JOUR T1 - Diagnostic Value of Flexible Bronchoscopy in kidney transplant recipients JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2019.PA4786 VL - 54 IS - suppl 63 SP - PA4786 AU - Elise Godeau AU - Christian Caillard AU - Gregoire Jolly AU - Astrid Bertier AU - Kinan El Husseini AU - Matthieu Salaun AU - Dominique Bertrand AU - Dominique Guerrot AU - Stephane Dominique AU - Elodie Lhuillier AU - Maxime Patout Y1 - 2019/09/28 UR - http://erj.ersjournals.com/content/54/suppl_63/PA4786.abstract N2 - Background: Respiratory events are frequent in kidney transplant (KT) recipients. There is sparse data on the usefulness of bronchoscopy in this group of patients. The aim of our study was to evaluate the diagnostic yield and safety of bronchoscopy in KT recipients. Secondary aim was to assess if an expert review could reduce the need of bronchoscopy.Methods: Retrospective monocentric study including all KT recipients followed in Rouen University Hospital that underwent a bronchoscopy between 2011 and 2017.Results: Thirty-nine KT recipients were included. Bronchoscopy was performed for either clinical and/or radiological abnormalities, mainly fever (n:18, 46%) and pulmonary infiltrates (n:17, 44%), respectively. Bronchoscopy was performed 291 [172 – 1020] days following KT. Bacterial infections was the most frequent diagnosis (n:10, 33%). Overall diagnostic yield was 51% but was higher in patients diagnosed with respiratory infections (77%). Bronchoscopy results led to a change in the treatment of 20 (51%) patients. One patient required invasive ventilation following the bronchoscopy. Expert respiratory review led to a reduction in the number of bronchoscopy when compared to senior or junior respiratory specialists: 69, 87 and 76% respectively (p:0.008).Conclusion: Bronchoscopy in KT recipients with respiratory symptoms or radiological abnormalities is a safe and useful strategy.FootnotesCite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA4786.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only). ER -