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Treatment approaches to Mycobacterium abscessus pulmonary disease
Journal article   Peer reviewed

Treatment approaches to Mycobacterium abscessus pulmonary disease

Michael R. Holt and Timothy Baird
Clinics in Chest Medicine, Vol.44(4), pp.785-798
2023
PMID: 37890916
url
https://doi.org/10.1016/j.ccm.2023.06.010View
Published Version

Abstract

Mycobacterium abscessus Nontuberculous mycobacteria Pulmonary disease Treatment
Mycobacterium abscessus complex comprises three subspecies. Subspecies abscessus and bolletii usually exhibit inducible macrolide resistance, whereas subspecies massiliense usually does not. Macrolide susceptibility is determined by phenotypic testing after 14 days of incubation. Macrolide susceptibility is the key determinant of treatment outcome for M abscessus pulmonary disease (MAB-PD) and must be protected by adequate companion drugs in treatment regimens. The optimal approach to treatment of MAB-PD is undefined. Current treatment strategies result in poor outcomes, especially for macrolide resistant isolates, and considerable drug toxicity. Multiple novel or repurposed therapeutic candidates are emerging.

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Respiratory System

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