nontuberculous%20mycobacterial%20disease
NONTUBERCULOUS MYCOBACTERIAL DISEASE
Nontuberculous mycobacteria are ubiquitous and are usually found in soil, natural and treated water sources. They are relatively uncommon cause of pulmonary disease and likely to cause disseminated disease.
May cause both asymptomatic infection and symptomatic disease in humans.
There is no evidence of animal-to-human or human-to-human transmission in immunocompetent hosts.
Nontuberculous mycobacterial pulmonary disease is a generally slowly progressive infection.
Signs and symptoms are generally nonspecific.

Nontuberculous%20mycobacterial%20disease Patient Education

Patient Education

  • Advise patient on the importance of adherence to the prescribed treatment regimen, both to achieve cure & to prevent emergence of drug resistance
  • Instruct patients regarding symptoms suggesting adverse drug reactions & advise them to seek assistance when these occur
  • Smoking cessation is important for improved airway function
  • In patients w/ hypersensitivity-like pulmonary disease, complete avoidance of mycobacterial antigen is recommended:
    • Use of indoor hot tub should be avoided for hot tub lung
    • Avoid exposure to metalworking fluid for metal grinders
  • For hot tubs & indoor pools, advise patient to follow maintenance procedures (eg draining & thorough cleaning of the tub & filtering system), patient on the importance of adherence to the prescribed treatment regimen, both to achieve cure & to prevent emergence of drug resistance
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Respirology - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Pearl Toh, 3 days ago
Early and sustained treatments with simplified regimen are the key to achieving good asthma control, said experts during a presentation at the ERS 2020 Congress.
Pearl Toh, 6 days ago
Gefapixant, a first-in-class non-narcotic, oral P2X3 receptor antagonist, significantly reduces cough frequency in patients with refractory or unexplained chronic cough, according to two COUGH* studies presented at ERS 2020.
Roshini Claire Anthony, 2 days ago

Treatment with the DPP 1* inhibitor brensocatib prolonged time to exacerbation and reduced exacerbation rates in patients with non-cystic fibrosis bronchiectasis, according to the phase II WILLOW** study presented at ERS 2020.

Pearl Toh, 18 Jan 2020
Almost three-quarters of adverse events (AEs) related to medication errors in over-the-counter (OTC) cough and cold medications (CCMs) for paediatrics required evaluation by healthcare facility and majority of the cases were due to dosing errors, a surveillance study has found, highlighting the need for interventions to mitigate medication errors.