Efficacy of bronchoalveolar lavage in treating mycoplasma pneumonia and bacterial pneumonia with atelectasis in children

作者：Mengting Hu, Xiaodie Shen, Mengyao Li, Jiaying Ding, Yuanyuan Zhang · 发表于：Translational Pediatrics · 年份：2025 · DOI：10.21037/tp-2024-593 · 被引用次数：3 · 研究领域：Pneumonia and Respiratory Infections、Nosocomial Infections in ICU、Pleural and Pulmonary Diseases

Background: Pulmonary atelectasis (PA) is a severe complication of pneumonia in children. Despite the growing use of fiberoptic bronchoscopy, the effectiveness of bronchoalveolar lavage (BAL) in treating PA caused by various pathogens remains uncertain. This study aims to evaluate the efficacy of BAL in PA associated with different pathogens and to identify factors influencing treatment outcomes. Methods: We conducted a retrospective analysis on 185 children with PA between 2017-2021. Clinical data were collected and compared between different groups using a propensity score-matching analysis. Results: pneumonia (MPP) subgroup had shorter time of C-reactive protein (CRP) recovery and higher incidence of lung recruitment after BAL (all P<0.05), while these results were not observed in the bacterial pneumonia subgroup (P>0.05). Conclusions: BAL could increase the incidence of lung recruitment and shorten the CRP recovery time in MPP patients with PA, but it could not make any improvement in PA patients caused by the bacterium.