Treating nontuberculous mycobacteria in children with cystic fibrosis: A multicentre retrospective study
Archives of Diseases in Childhood Nov 10, 2021
Saint GL, Thomas MF, Abidin NZ, et al. - Data of a multicenter cohort of children with cystic fibrosis (CF) in the UK were analyzed to describe the approaches to diagnosis, management and consequences of treatment in this population.
From 11 CF specialist centres, researchers obtained data of 70 patients who were treated for nontuberculous mycobacteria (NTM) pulmonary disease (60 Mycobacterium abscessus complex (MABSC); 10 M. avium complex (MAC)).
NTM was observed in significant association with older age as well as with previous diagnosis of allergic bronchopulmonary aspergillosis.
Drug choice varied widely and all agents were linked with side effects.
80% of patients with MAC and 48% with MABSC showed mycobacterial eradication, with variable outcomes on lung function.
Overall findings support that it is challenging to diagnose and treat NTM infection in children with CF.
There is no surety that treatment will be successful, particularly for MABSC.
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