Prevalence and factors associated with nontuberculous mycobacteria in non-cystic fibrosis bronchiectasis: a multicenter observational study

Data on the prevalence of and factors associated with nontuberculous mycobacteria (NTM) in patients with non-cystic fibrosis (CF) bronchiectasis are limited. Our aim was to determine the prevalence and factors associated with isolation of NTM in this population. We performed a multicenter observatio...

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Published in:BMC infectious diseases 2016-08, Vol.16 (1), p.437-437, Article 437
Main Authors: Máiz, L, Girón, R, Olveira, C, Vendrell, M, Nieto, R, Martínez-García, M A
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Analysis
Body Mass Index
Bronchiectasis
Bronchiectasis - complications
Bronchiectasis - diagnostic imaging
Complications and side effects
Cystic Fibrosis - complications
Epidemiology
Female
Fibrosis
Humans
Infectious diseases
Male
Middle Aged
Mycobacterium avium
Mycobacterium avium Complex - isolation & purification
Mycobacterium Infections, Nontuberculous - complications
Mycobacterium Infections, Nontuberculous - diagnosis
Mycobacterium Infections, Nontuberculous - microbiology
Nontuberculous Mycobacteria - isolation & purification
Odds Ratio
Prevalence
Risk factors
Sputum - microbiology
Tomography, X-Ray Computed
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Martínez-García, M A
description Data on the prevalence of and factors associated with nontuberculous mycobacteria (NTM) in patients with non-cystic fibrosis (CF) bronchiectasis are limited. Our aim was to determine the prevalence and factors associated with isolation of NTM in this population. We performed a multicenter observational study of historical cohorts comprising consecutive patients with non-CF bronchiectasis and at least 2 sputum samples cultured for mycobacteria over a period of 5 years. The study population included 218 adult patients (61.9 % women) with a mean (SD) age of 55.7 (16) years and a mean (SD) of 5.1 (3.3) cultures/patient. NTM was isolated from sputum in 18 patients (8.3 %). Of these, 5 patients (28 %) met the American Thoracic Society criteria for NTM disease. Mycobacterium avium complex was the most frequently isolated microorganism (9 patients, 4.1 %). The variables independently associated with isolation of NTM were FVC ≥ 75 % predicted (OR, 4.84; 95 % CI 1.47 to 15.9; p 
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Our aim was to determine the prevalence and factors associated with isolation of NTM in this population. We performed a multicenter observational study of historical cohorts comprising consecutive patients with non-CF bronchiectasis and at least 2 sputum samples cultured for mycobacteria over a period of 5 years. The study population included 218 adult patients (61.9 % women) with a mean (SD) age of 55.7 (16) years and a mean (SD) of 5.1 (3.3) cultures/patient. NTM was isolated from sputum in 18 patients (8.3 %). Of these, 5 patients (28 %) met the American Thoracic Society criteria for NTM disease. Mycobacterium avium complex was the most frequently isolated microorganism (9 patients, 4.1 %). The variables independently associated with isolation of NTM were FVC ≥ 75 % predicted (OR, 4.84; 95 % CI 1.47 to 15.9; p &lt; 0.05), age ≥ 50 years (OR, 4.74; 95 % CI 1.25 to 17.97; p &lt; 0.05), and body mass index (BMI) ≤ 23 kg/m(2) (OR, 2.97; 95 % CI 1.03-8.58; p &lt; 0.05). Patients with these three characteristics had a 40 % probability of having at least one isolation of NMT. A significant number of patients with non-CF bronchiectasis are positive for the isolation of NTM. M. avium complex is the most frequently isolated mycobacteria. 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Our aim was to determine the prevalence and factors associated with isolation of NTM in this population. We performed a multicenter observational study of historical cohorts comprising consecutive patients with non-CF bronchiectasis and at least 2 sputum samples cultured for mycobacteria over a period of 5 years. The study population included 218 adult patients (61.9 % women) with a mean (SD) age of 55.7 (16) years and a mean (SD) of 5.1 (3.3) cultures/patient. NTM was isolated from sputum in 18 patients (8.3 %). Of these, 5 patients (28 %) met the American Thoracic Society criteria for NTM disease. Mycobacterium avium complex was the most frequently isolated microorganism (9 patients, 4.1 %). The variables independently associated with isolation of NTM were FVC ≥ 75 % predicted (OR, 4.84; 95 % CI 1.47 to 15.9; p &lt; 0.05), age ≥ 50 years (OR, 4.74; 95 % CI 1.25 to 17.97; p &lt; 0.05), and body mass index (BMI) ≤ 23 kg/m(2) (OR, 2.97; 95 % CI 1.03-8.58; p &lt; 0.05). Patients with these three characteristics had a 40 % probability of having at least one isolation of NMT. A significant number of patients with non-CF bronchiectasis are positive for the isolation of NTM. M. avium complex is the most frequently isolated mycobacteria. FVC ≥ 75 % predicted, age ≥ 50 years, and a BMI ≤ 23 kg/m(2) were independently associated with the presence of NTM in patients with non-CF bronchiectasis.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>27549788</pmid><doi>10.1186/s12879-016-1774-x</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Age Factors
Aged
Analysis
Body Mass Index
Bronchiectasis
Bronchiectasis - complications
Bronchiectasis - diagnostic imaging
Complications and side effects
Cystic Fibrosis - complications
Epidemiology
Female
Fibrosis
Humans
Infectious diseases
Male
Middle Aged
Mycobacterium avium
Mycobacterium avium Complex - isolation & purification
Mycobacterium Infections, Nontuberculous - complications
Mycobacterium Infections, Nontuberculous - diagnosis
Mycobacterium Infections, Nontuberculous - microbiology
Nontuberculous Mycobacteria - isolation & purification
Odds Ratio
Prevalence
Risk factors
Sputum - microbiology
Tomography, X-Ray Computed
title Prevalence and factors associated with nontuberculous mycobacteria in non-cystic fibrosis bronchiectasis: a multicenter observational study
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