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Bronchiectasis and lung infection

MAC & Bronchiectasis | Last Active: Sep 10 9:51am | Replies (56)

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@magwil01

So if I ask another doctor to do a sputum test, I don't have to tell him what to look for? I don't have to know all the possible things a sputum should test for? I just say "sputum" and that test will look for everything I need including MAC, NTM, pseudo, rsv, bacteria, hib?

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Replies to "So if I ask another doctor to do a sputum test, I don't have to tell..."

Sputum cultures test for what you list except RSV which is a virus. The lab knows what to do. Any bacteria detected grows pretty quickly 2-3 days with NTM/MAC taking 8 weeks.

Actually, there are 2 tests that need to be ordered, the sputum test and the followup culture. The first can be performed in most labs, but the second is performed in labs specially set up to incubate the culture in specific medium for 4 - 8 weeks, then to take the next step and see which antibiotics the mycobacteria is susceptible to.
Some PCP's may be familiar with this, especially those who have a wide-ranging practice - such as in rural areas where they see "everyone for everything". But, professionals who see a limited class of patients, and refer complex cases to specialists, may not be as familiar.