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Volume 19, Number 3—March 2013
CME ACTIVITY - Research

Clinical and Therapeutic Features of Pulmonary Nontuberculous Mycobacterial Disease, Rio de Janeiro, Brazil

Karla Gripp Couto de Mello, Fernanda C.Q. Mello, Liamar Borga, Valeria Rolla, Rafael S. Duarte, Elizabeth P. Sampaio, Steven M. Holland, D. Rebecca Prevots, and Margareth P. DalcolmoComments to Author 
Author affiliations: Author affiliations: National School of Public Heath, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil (K.G.C. de Mello, L. Borga, M.P. Dalcolmo); School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro (F.Q. Mello); Oswaldo Cruz Institute, Rio de Janeiro (V. Rolla, E.P. Sampaio); Federal University of Rio de Janeiro (R.S. Duarte); and National Institutes of Health, Bethesda, Maryland, USA (S.M. Holland, D.R. Prevots)

Main Article

Table 6

Treatment regimens for all patients with ATS-defined PNTM, per infecting species, Brazil, 1993–2011*

Species Treatment regimen (%)†
Mycobacterium avium complex Clarithromycin, amikacin,ethambutol, rifampin (54.7)
Clarithromycin, ethambutol,quinolone, terizidon (28.3)

Clarithromycin, amikacin, ethambutol, quinolone‡ (17.0)
Mycobacterium kansasii Rifampin, ethambutol, isoniazid (52.5)

Rifampin, ethambutol, isoniazid, clarithromycin, amikacin (47.5)
M. abscessus Clarithromycin, amikacin (68.4)
Clarihromycin, amikacin, doxycycline (10.5)

Clarithromycin, amikacin, terizidon (21)
M. massiliense Clarithromycin, amikacin (33.3)
Clarithromycin, amikacin, terizidon (33.3)

Clarithromycin, amikacin, imipenem, tigeciclin (33.3)
M. fortuitum Clarithromycin, amikacin, quinolone (64.2)
Clarithromycin, amikacin, terizidon (28.5)
Clarithromycin, amikacin, quinolone, doxycycline (7.3)

*ATS, AmericanThoracic Society; PNTM, pulmonary nontuberculous mycobacterial disease.
†Median duration of treatment, 19 mo.
‡Quinolones: levofloxacin, ciprofloxacin, moxifloxacin, ofloxacin.

Main Article

Page created: February 13, 2013
Page updated: February 22, 2013
Page reviewed: February 22, 2013
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