Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, South Korea.
Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Antimicrob Agents Chemother. 2019 Dec 20;64(1). doi: 10.1128/AAC.01787-19.
We evaluated the efficacy of intermittent azithromycin and ethambutol therapy for noncavitary complex pulmonary disease (MAC-PD). Twenty-nine (76%) of 38 patients achieved sputum culture conversion after 12 months of treatment, and sputum smear positivity was an independent factor for failure to achieve culture conversion (adjusted odds ratio, 26.7; 95% confidence interval, 2.1 to 339.9; = 0.011). Intermittent azithromycin and ethambutol may be an optional treatment regimen for noncavitary MAC-PD.
我们评估了间断阿奇霉素和乙胺丁醇疗法治疗非空洞性复杂肺部疾病(MAC-PD)的疗效。38 例患者中,29 例(76%)在治疗 12 个月后痰培养转阴,痰涂片阳性是未达到培养转阴的独立因素(调整优势比,26.7;95%置信区间,2.1 至 339.9;=0.011)。间断阿奇霉素和乙胺丁醇可能是治疗非空洞性 MAC-PD 的一种可选治疗方案。