Nontuberculous mycobacteria in respiratory tract infections, eastern Asia

To characterize the distribution of nontuberculous mycobacteria (NTM) species isolated from pulmonary samples from persons in Asia and their association with pulmonary infections, we reviewed the literature. Mycobacterium avium complex bacteria were most frequently isolated (13%-81%) and were the mo...

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Bibliographic Details
Published in:Emerging infectious diseases Vol. 17; no. 3; pp. 343 - 349
Main Authors: Simons, Sami, van Ingen, Jakko, Hsueh, Po-Ren, Van Hung, Nguyen, Dekhuijzen, P N Richard, Boeree, Martin J, van Soolingen, Dick
Format: Journal Article
Language:English
Published: United States Centers for Disease Control and Prevention 01.03.2011
Subjects:
Aged
Asia
Atypical mycobacteria
Far East - epidemiology
Female
Humans
infections
Lung - microbiology
Male
Middle Aged
Mycobacterium
Mycobacterium Infections, Nontuberculous - epidemiology
Mycobacterium Infections, Nontuberculous - microbiology
Nontuberculous Mycobacteria - classification
Nontuberculous Mycobacteria - isolation & purification
Nontuberculous Mycobacteria - pathogenicity
Prevalence
respiratory tract infections
Respiratory Tract Infections - epidemiology
Respiratory Tract Infections - microbiology
review
Far East
ISSN:1080-6059, 1080-6040, 1080-6059
Online Access:Get full text
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Summary:To characterize the distribution of nontuberculous mycobacteria (NTM) species isolated from pulmonary samples from persons in Asia and their association with pulmonary infections, we reviewed the literature. Mycobacterium avium complex bacteria were most frequently isolated (13%-81%) and were the most common cause of pulmonary NTM disease (43%-81%). Also pathogenic were rapidly growing mycobacteria (M. chelonae, M. fortuitum, M. abscessus). Among all NTM isolated from pulmonary samples, 31% (582/1,744) were considered clinically relevant according to American Thoracic Society diagnostic criteria. Most patients were male (79%) and had a history of tuberculosis (37%). In Asia, high prevalence of rapidly growing mycobacteria and a history of tuberculosis are distinct characteristics of pulmonary NTM disease. This geographic variation is not well reflected in the American Thoracic Society criteria for NTM infections and could be incorporated in future guidelines.
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ISSN:1080-6059
1080-6040
1080-6059
DOI:10.3201/eid1703.100604