Shifting paradigms of nontuberculous mycobacteria in cystic fibrosis |
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Authors: | Tavs Qvist Tania Pressler Niels H?iby Terese L Katzenstein |
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Institution: | 1.Department of Infectious Diseases, Cystic Fibrosis Center Copenhagen, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark;2.Department of Clinical Microbiology, University Hospital Rigshospitalet, Copenhagen, Denmark |
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Abstract: | Important paradigms of pulmonary disease with nontuberculous mycobacteria (NTM) are currently shifting based on an increasing attention within the field of cystic fibrosis (CF). These shifts are likely to benefit the management of all patients with pulmonary NTM, regardless of underlying pathology. Currently several key areas are being revised: The first outbreak of human NTM transmission has been proven and new evidence of biofilm growth in vivo has been demonstrated. A better understanding of the clinical impact of NTM infection has led to increased diagnostic vigilance and new recommendations for lung transplantation are under way. While recent changes have reinvigorated the interest in NTM disease, the challenge remains, whether such advances can be successfully translated into improved management and care. |
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Keywords: | NTM Nontuberculous mycobacteria Cystic fibrosis MABSC MAC Mycobacterium Abcessus Avium Massiliense Environmental mycobacteria MOTT Biofilm Transmission Lung transplantation |
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