Non-tuberculous mycobacteria: a disease beyond TB and preparedness in India

被引:8
作者
Sharma, Surendra K. [1 ]
Upadhyay, Vishwanath [1 ]
机构
[1] Jamia Hamdard Deemed Univ, Jamia Hamdard Inst Mol Med, Dept Mol Med, New Delhi 110062, India
关键词
Nontuberculous mycobacteria; ntm; NTM pulmonary disease; NTM extrapulmonary disease; NTM diagnosis; NTM treatment; NON-TUBERCULOUS MYCOBACTERIA; PULMONARY-DISEASE; IDENTIFICATION; INFECTION; COMPLEX; WATER; PREVALENCE; DIAGNOSIS; MANAGEMENT; RESISTANCE;
D O I
10.1080/17476348.2021.1925545
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background and Methods Fifty-six Indian studies on NTM diseases were selected between 1981 and 2020 from various electronic databases (PubMed, EMBASE, Medline, BIOSIS preview, and Scopus) for systematic review. Results NTM isolation rates increased from 0.9% between 2001 and 2010 to 1.6% between 2011 and 2020. Prevalence of NTM-pulmonary disease (NTM-PD) among presumptive-TB patients in India was 1.1% (395/34,829). M. avium complex (MAC) (19%) was most commonly isolated from pulmonary specimens followed by M. chelonae (10%), M. fortuitum (9.8%), and M. abscessus (8.8%). M. fortuitum (35.5%), M. chelonae (23.6%) and M. abscessus (15%) were frequently reported from extra-pulmonary specimens. Patients with NTM-PD were mostly treated with a macrolide-based three-drug regimen. Clarithromycin-based-drug regimen in combination with amikacin, ciprofloxacin and several other drugs (rifampicin, imipenem, ofloxacin, linezolid, azithromycin) was used for treatment of EP-NTM. Median duration of the treatment in NTM-PD was 12 months, (6-18 months) whereas it was 6 months (3.1-8.7 months) in EP-NTM. Treatment was successful in 45% (19/42) of NTM-PD patients and 75% (93/124) of EP-NTM patients. Conclusion It is concluded from this review that most Indian studies have published laboratory data on NTM isolation and speciation and lacked information on clinical, microbiological and radiological correlation and treatment outcome details. Future studies should address these issues while publishing on NTM diseases.
引用
收藏
页码:949 / 958
页数:10
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