From: Clinical course and significance of nontuberculous mycobacteria and its subtypes in cystic fibrosis
Patients with Slow-growing NTM #1 (N = 17) | Patients with Rapidly Growing NTM #2 (N = 8) | NTM-negative Patients #3 (N = 26) | P-values | |||||||
---|---|---|---|---|---|---|---|---|---|---|
N | N (%) or median (range) | N | N (%) or median (range) | N | N (%) or median (range) | Overall | 1 vs 2 | 1 vs 3 | 2 vs 3 | |
Age at first positive NTM culture, years | 17 | 16.4 (6.4–41.6) | 8 | 16.4 (3.1–21.5) | – | 0.44a | 0.44a | |||
Gender | 17 | 8 | 26 | 0.93 | 0.99 | 0.75 | 0.99 | |||
Male | 9 (53) | 5 (63) | 16 (62) | |||||||
Female | 8 (47) | 3 (37) | 10 (38) | |||||||
Age at CF diagnosis in months | 11 | 1.2 (0.1–2.8) | 5 | 4.5 (1.5–84.3) | 22 | 2.4 (< 1–164.4) | 0.046 | 0.013 | 0.053 | 0.52 |
Race | 15 | 8 | 26 | 0.37 | 0.35 | 0.29 | 0.99 | |||
Caucasian | 15 (100) | 7 (88) | 23 (88) | |||||||
Black/Hispanic | – | 1 (12) | 3 (12) | |||||||
CF diagnosis method b | 12 | 5 | 24 | |||||||
Newborn screening | 8 (67) | 1 (20) | 10 (42) | 0.24 | 0.18 | 0.75 | 0.23 | |||
Concomitant symptoms | ||||||||||
Meconium | 3 (25) | – | 5 (21) | 0.51 | 0.53 | 0.99 | 0.31 | |||
Chronic cough | 1 (8) | – | – | 0.49 | 0.99 | 0.40 | – | |||
Recurrent respiratory infection | 2 (17) | 4 (80) | 10 (42) | 0.08 | 0.06 | 0.09 | 0.69 | |||
Failure to thrive | 3 (25) | 4 (80) | 8 (33) | 0.25 | 0.16 | 0.48 | 0.41 | |||
Frequent greasy or bulky stools | 1 (8) | – | – | 0.49 | 0.99 | 0.40 | – | |||
Nasal polyps | – | – | 1 (4) | 0.92 | – | 0.99 | 0.99 | |||
Other | 1 (8) | 2 (40) | 4 (17) | 0.41 | 0.23 | 0.63 | 0.61 | |||
p.F508del mutation status | 17 | 8 | 26 | 0.44 | 0.46 | 0.25 | 0.84 | |||
2 copies | 10 (59) | 4 (50) | 17 (65) | |||||||
1 copy | 7 (41) | 3 (38) | 6 (23) | |||||||
0 copies | – | 1 (12) | 3 (12) | |||||||
Sweat-chloride level at diagnosis, mmol/L | 13 | 101 (74–121) | 5 | 105 (100–142) | 22 | 109 (90–137) | 0.026c | 0.095 | 0.009 | 0.99 |
Pancreatic insufficiency | 17 | 8 | 26 | 0.92 | – | 0.99 | 0.99 | |||
No | – | – | 1 (4) | |||||||
Yes | 17 (100) | 8 (100) | 25 (96) | |||||||
Diabetes diagnosis | 17 | 8 | 26 | 0.67 | 0.99 | 0.67 | 0.57 | |||
No | 14 (82) | 6 (75) | 23 (88) | |||||||
Yes | 3 (18) | 2 (25) | 3 (12) | |||||||
FEV1 percent predicted | ||||||||||
Before NTM acquisition | 17 | 92 (53–115) | 7 | 84 (71–102) | – | – | 0.80 | 0.80 | – | – |
After NTM acquisition | 17 | 91 (36–110) | 8 | 80 (48–91) | – | – | 0.23 | 0.23 | – | – |
FEF25–75% predicted | ||||||||||
Before NTM acquisition | 17 | 79 (24–124) | 7 | 64 (42–123) | – | – | 0.80 | 0.80 | – | – |
After NTM acquisition | 17 | 68 (13–110) | 8 | 51 (24–103) | – | – | 0.59 | 0.59 | – | – |
Organism type | 17 | 8 | – | ≤0.001 | ≤0.001 | – | – | |||
MAC | 15 (88) | – | – | |||||||
M. fortuitum | – | 2 (25) | – | |||||||
M. abscessus | – | 6 (75) | – | |||||||
M. gordonae | 2 (12) | – | – | |||||||
Number of positive NTM cultures | 17 | 1 (1–3) | 8 | 2.5 (1–7) | – | – | 0.18 | 0.18 | – | – |