TY - JOUR
T1 - Consensus management recommendations for less common non-tuberculous mycobacterial pulmonary diseases
AU - expert panel group for management recommendations in non-tuberculous mycobacterial pulmonary diseases
AU - Lange, Christoph
AU - Böttger, Erik C.
AU - Cambau, Emmanuelle
AU - Griffith, David E.
AU - Guglielmetti, Lorenzo
AU - van Ingen, Jakko
AU - Knight, Shandra L.
AU - Marras, Theodore K.
AU - Olivier, Kenneth N.
AU - Santin, Miguel
AU - Stout, Jason E.
AU - Tortoli, Enrico
AU - Wagner, Dirk
AU - Winthrop, Kevin
AU - Daley, Charles L.
N1 - Publisher Copyright:
Copyright © 2022 Elsevier Ltd. All rights reserved.
PY - 2022/7/1
Y1 - 2022/7/1
N2 - The 2020 clinical practice guideline for the treatment of non-tuberculous mycobacterial pulmonary disease (NTM-PD) by the American Thoracic Society, European Respiratory Society, European Society of Clinical Microbiology and Infectious Diseases, and Infectious Diseases Society of America; and the 2017 management guideline by the British Thoracic Society covered pulmonary diseases in adults caused by Mycobacterium avium complex, Mycobacterium kansasii, Mycobacterium xenopi, and Mycobacterium abscessus. In order to provide evidence-based recommendations for the treatment of less common non-tuberculous mycobacterial (NTM) species in adult patients without cystic fibrosis or HIV infection, our expert panel group performed systematic literature searches to provide management guidance for pulmonary diseases caused by seven additional organisms: Mycobacterium chelonae, Mycobacterium fortuitum, Mycobacterium genavense, Mycobacterium gordonae, Mycobacterium malmoense, Mycobacterium simiae, and Mycobacterium szulgai. Treatment recommendations were developed by a structured consensus process. The evidence from the scientific literature published in English for treatment recommendations for pulmonary diseases caused by other NTM species was of very low quality, with the exception of M malmoense, and based on the evaluation of case reports and case series. For M malmoense, results from two randomised controlled trials and three retrospective cohort studies provided a better evidence base for treatment recommendations, although the evidence was still of low quality.
AB - The 2020 clinical practice guideline for the treatment of non-tuberculous mycobacterial pulmonary disease (NTM-PD) by the American Thoracic Society, European Respiratory Society, European Society of Clinical Microbiology and Infectious Diseases, and Infectious Diseases Society of America; and the 2017 management guideline by the British Thoracic Society covered pulmonary diseases in adults caused by Mycobacterium avium complex, Mycobacterium kansasii, Mycobacterium xenopi, and Mycobacterium abscessus. In order to provide evidence-based recommendations for the treatment of less common non-tuberculous mycobacterial (NTM) species in adult patients without cystic fibrosis or HIV infection, our expert panel group performed systematic literature searches to provide management guidance for pulmonary diseases caused by seven additional organisms: Mycobacterium chelonae, Mycobacterium fortuitum, Mycobacterium genavense, Mycobacterium gordonae, Mycobacterium malmoense, Mycobacterium simiae, and Mycobacterium szulgai. Treatment recommendations were developed by a structured consensus process. The evidence from the scientific literature published in English for treatment recommendations for pulmonary diseases caused by other NTM species was of very low quality, with the exception of M malmoense, and based on the evaluation of case reports and case series. For M malmoense, results from two randomised controlled trials and three retrospective cohort studies provided a better evidence base for treatment recommendations, although the evidence was still of low quality.
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U2 - 10.1016/S1473-3099(21)00586-7
DO - 10.1016/S1473-3099(21)00586-7
M3 - Review article
C2 - 35090639
AN - SCOPUS:85133102495
SN - 1473-3099
VL - 22
SP - e178-e190
JO - The Lancet Infectious Diseases
JF - The Lancet Infectious Diseases
IS - 7
ER -