{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T04:15:38Z","timestamp":1760328938594,"version":"3.37.3"},"reference-count":36,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Flexible bronchoscopy (FB) poses a risk of\u00a0severe acute respiratory syndrome coronavirus 2\u00a0(SARS\u2010CoV\u20102) transmission due to aerosol generation. This study aimed to assess the utilization, indications, outcomes, and safety of FB in pediatric patients for noncoronavirus disease of 2019 (COVID\u201019) reasons during the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We retrospectively analyzed pediatric patients who underwent FB for non\u2010COVID\u201019 indications at a tertiary children's hospital's pulmonary clinic during the COVID\u201019 pandemic. Patients showed no COVID\u201019 symptoms and tested negative for SARS\u2010CoV\u20102 by real\u2010time polymerase chain reaction (PCR) of nasopharyngeal and throat swabs within 24\u2009h before the procedure. FBs were conducted in the operating room, with healthcare professionals (HCPs)\u00a0wearing personal protective equipment, including medical N95 masks, gloves, gowns, and eye protection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between March 2020 and April 2022, 167 pediatric patients underwent FB for non\u2010COVID\u201019 indications. Common indications included foreign body aspiration (22.7%), stridor (10.1%), and atelectasis (8.9%). No COVID\u201019 symptoms were observed in patients on the 1st and 10th days post\u2010FB. During the 1\u2010month follow\u2010up, 52 patients underwent SARSCoV\u20102 PCR testing, and one patient tested positive in the third week after the procedure. None of the HCPs in the FB team experienced COVID\u201019 symptoms or tested positive for SARS\u2010CoV\u20102.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A bronchoscopy protocol with safety precautions minimized the risk of COVID\u201019 transmission, allowing safe FB performance for non\u2010COVID\u201019 indications in pediatric patients during the pandemic. The experience gained in FB during COVID\u201019 is valuable for similar situations in the future.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.27144","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T13:49:31Z","timestamp":1718804971000},"page":"2867-2874","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Experience with flexible bronchoscopy for noncoronavirus disease of 2019\u00a0indications in pediatric patients during the coronavirus disease of 2019\u00a0pandemic"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2309-7952","authenticated-orcid":false,"given":"Sanem Eryilmaz","family":"Polat","sequence":"first","affiliation":[{"name":"Division of Pediatric Pulmonology Ankara City Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3497-6148","authenticated-orcid":false,"given":"Fatma Merve","family":"Ar\u0131kan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Ankara City Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6593-0143","authenticated-orcid":false,"given":"Murat Yasin","family":"Gen\u00e7o\u011flu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Ankara City Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9224-5237","authenticated-orcid":false,"given":"\u015eule Selin","family":"Akyan","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Ankara City Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7301-3692","authenticated-orcid":false,"given":"Salih","family":"Uytun","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Ankara City Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7009-4917","authenticated-orcid":false,"given":"Sat\u0131 \u00d6zkan","family":"Tabak\u00e7\u0131","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Ankara City Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9598-5989","authenticated-orcid":false,"given":"I\u015f\u0131l","family":"Bilgi\u00e7","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Ankara City Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1466-2369","authenticated-orcid":false,"given":"Meltem K\u00fcrt\u00fcl","family":"\u00c7akar","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Ankara City Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0334-6336","authenticated-orcid":false,"given":"Dilber","family":"Ademhan Tural","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Ankara City Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9804-1200","authenticated-orcid":false,"given":"G\u00f6k\u00e7en D.","family":"Tu\u011fcu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Ankara City Hospital Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6209-196X","authenticated-orcid":false,"given":"G\u00fczin","family":"Cinel","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Ankara City Hospital Ankara Turkey"},{"name":"Division of Pediatric Pulmonology, Faculty of Medicine Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"WHO.WHO Director\u2010General's Opening Remarks at the Media Briefing on COVID\u201019 2020. 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