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MANAGEMENT OPTIONS
Step 1: Diagnosis & Clinical Classification**
** Ref: 5. American Thoracic Society Documents: Mycobacterial Diseases Subcommittee. The Official Statement of the American Thoracic
Society (ATS) and the Infectious Diseases Society of America (IDSA) Am J Respir Crit Care Med Vol 175. pp 367–416, 2007
** Ref 9 Chitty S, Ali J. Mycobacterium Avium Complex Pulmonary Disease in immunecompetent patients. Southern Medical Journal June
2005, 98 (6) pp 646-652
Step 2: CATEGORIZE GROUP
Surveillance Group
Clinical and chest-imaging
follow-up with serial sputum
cultures and colony counts;
?also applicable in the “Hot
Tub Lung Group”
Treatment Group
Suppressive treatment Group
Based on risk-benefit analysis:
Suppressive treatment with two
drugs: ETHAMBUTOL & MACROLODE
Aggressive treatment group
FOCAL DISEASE
3 drugs +- SURGERY
DIFFUSE NODULAR
BRONCHIECTASIS
3 DRUGS THRICE
WEEKLY
FIBROCAVITARY
DISEASE
3 DRUGS DAILY plus IV
AMINOGLYCOSIDE
Azithromycin, Ethambutol, Rifampin
COMPLEX
MACROLIDE RESISTANT
CUSTOMIZED
PROTOCOL
J
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