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New cavity after testing negative for MAC

MAC & Bronchiectasis | Last Active: Apr 14 11:55am | Replies (7)

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@jnmy

If people are getting reinfected with MAC after a year or so of taking three antibiotics (the big 3) , does it mean you repeat the lengthy regime of months of antibiotics again? Are some pulmonologists or infectious disease doctors reluctant to keep using these antibiotics? Does state of BE disease and whether MAC or an NTM is present in sputum have an impact on antibiotic treatment? So many questions.

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Replies to "If people are getting reinfected with MAC after a year or so of taking three antibiotics..."

Do you repeat the lengthy treatment? Maybe - but even reinfection after treatment is weighed on the scale of when/whether to treat depending on the amount of bacteria, the specific type, the CT scan (cavities or nodules) and other symptoms.

There are as you say "so many questions" - and so many variables. If I am ever told that I have MAC again, I will head right for a specialty clinic that has the most experience and uses the latest protocols in treating it.

It is rare for a pulmonologist in general practice to see more than a few cases of bronchiectasis in a year - and rarer still to see a MAC infection. Thus many of them are unaware of the importance of things like daily airway clearance and using 7% saline nebs to suppress bacteria growth in the lungs.

Are you being seen by someone experienced in treating Bronchiectasis-caused lung infections?
Sue