Sentinel-site surveillance of Mycobacterium avium complex pulmonary disease

Jeanne Maugein, M. Dailloux, B. Carbonnelle, V. Vincent, J. Grosset, M. L. Abalain, R. Bauriaud, P. Bemer, A. Bourgoin, L. Brasme, E. Cambau, A. Carricajo, C. Carriere, B. Cattier, S. Coignard, M. Chomarat, G. Couetdic, M. F. David, L. Deforges, F. Doucet-PopulaireJ. M. Duez, M. C. Gutierrez, J. L. Herrmann, V. Jarlier, F. Jaureguy, V. Lalande, L. Landraud, L. Lebrun, N. Lemaitre, C. Lorain, B. Malbruny, C. Martin, C. Offredo, M. Pestet-Caron, G. Richalet, J. Robert, J. P. Romaszko, E. Ronco, A. Rossier, D. Sicard, C. Trufot-Pernot, A. Vachée, V. Vincent

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

The incidence of Mycobacterium aviurn complex (MAC) pulmonary disease in HIV-negative patients was studied prospectively from January 1, 2000 to December 31, 2002 through 32 sentinel sites distributed all over France. Among the 275 patients who yielded MAC isolates from respiratory clinical specimens, 101 (36.7%) met the bacteriological, radiographical and clinical criteria established by the American Thoracic Society for nontuberculous mycobacterial respiratory disease. Of these 101 patients, 81 had underlying lung disease, mainly previous tuberculosis, bronchectasis or chronic obstructive pulmonary disease. Among the 20 patients with no underlying lung disease, 12 had a predisposing factor such as leukaemia or immunosuppressive treatment and eight had no predisposing factor. All patients with MAC respiratory disease had clinical symptoms, commonly cough and fatigue, and 52 (51.5%) were sputum smear positive for acid-fast bacillus. The ratio of patients with Mycobacterium aviurn complex pulmonary disease to patients with pulmonary tuberculosis in France was estimated to be 3% and the incidence of Mycobacterium aviurn complex pulmonary disease in France was 0.2 per 100,000 inhabitants. Copyright

Original languageEnglish (US)
Pages (from-to)1092-1096
Number of pages5
JournalEuropean Respiratory Journal
Volume26
Issue number6
DOIs
StatePublished - Dec 2005
Externally publishedYes

Keywords

  • HIV-negative patients
  • Mycobacterium avium complex
  • Pulmonary disease

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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