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Volume 28, Number 8—August 2022
Research

Increasing and More Commonly Refractory Mycobacterium avium Pulmonary Disease, Toronto, Ontario, Canada

Daan Raats1Comments to Author , Sarah K. Brode, Mahtab Mehrabi, and Theodore K. Marras
Author affiliations: Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada (D. Raats, S.K. Brode, M. Mehrabi, T.K. Marras); West Park Health Care Centre, Toronto (S.K. Brode); University of Toronto, Toronto (S.K. Brode, T.K. Marras)

Main Article

Table 4

Outcomes of treatment in patients with Mycobacterium avium and M. xenopi pulmonary disease, Toronto, Ontario, Canada*

Outcome M. avium
M. xenopi
Early period, n = 82 Late period, n = 138 p value Early period, n = 24 Late period, n = 8 p value
Mean duration of follow up after treatment initiation, mo (IQR)
31.0 (19.3–44.0)
31.0 (18.3–39.0)
0.23

28.0 (14.8–53.0)
18.5 (12.8–25.8)
0.32
Culture conversion† 32 (39.0) 36 (26.1) 0.05 16 (66.7) 5 (62.5) Referent
Toronto-York region‡ 29/68 (42.6) 26/109 (23.9) 0.01 14/19 (73.7) 5/6 (83.3) Referent
Outside Toronto-York region
3/14 (21.4)
10/29 (34.5)
0.49

2/5 (40.0)
0/2
Referent
Culture reversion
4 (12.5)
11 (30.6)
0.09

1/16 (6.25)
0/5
Referent
Clinical treatment success§ 56 (68.3) 88 (63.8) 0.47 15 (62.5) 5 (62.5) Referent

*Values are no. (%) except as indicated. Bold indicates significance. Culture reversion is presented as no. (% of patients out of those who had culture conversion). Patients with insufficient samples submitted for evaluation of culture conversion were deemed not converted. Patients with missing follow up computed tomography results were considered not clinically successful. †Overall insufficient samples: M. avium early period, 19 (23.2%); M. avium late period, 23 (16.7%); M. xenopi early period, 4 (16.7%); M. xenopi late period, 2 (25%). ‡Insufficient samples among Toronto-York region patients: M. avium early period, 12 (17.6%); M. avium late period, 16 (14.7%); M. xenopi early period, 3 (15.8%); M. xenopi late period, 0. §Missing computed tomography results: M. avium early period, 4 (5.0%); M. avium late period, 9 (6.5%); M. xenopi early period, 1 (4.2%); M. xenopi late period, 1 (12.5%).

Main Article

1Current affiliation: Ziekenhuis Oost-Limburg, Genk, Belgium.

Page created: June 14, 2022
Page updated: July 20, 2022
Page reviewed: July 20, 2022
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