Sorry to say that might require a crystal ball the 2020 guidelines came out in late Spring.
I am looking for them each week, and I'm sure others are as well.
Here is my favorite new(ish) article. https://publications.ersnet.org/content/errev/33/173/240058?ctkey=shareline
If you are able to wade through all the medical terminology, the conclusion is that more effort must be made to determine who is "infected" at a clinical level requiring antibiotic therapy rather than at an incidental level.,
New treatment guidelines are due to be published in the first quarter of 2025 that will have more clear guidance on when to treat and when to use conservative management. Watch for it here!
Given that bronchiectasis and NTM often present differently in each person, I suspect it will be awhile before we see such guidelines. Until then, we practice daily airway clearance using hypertonic saline, exercise, eat nutritiously and restful sleep. Taking steps against exposure to dense sources of NTM (drinking water, GERD/reflux, showers, indoor pools, steam rooms, soil etc) makes sense too. And we need to keep our equipment clean and sterilized. We know a lot already about daily guidelines which we've gleaned from our specialists and each other here and other support forums.
Given that bronchiectasis and NTM often present differently in each person, I suspect it will be awhile before we see such guidelines. Until then, we practice daily airway clearance using hypertonic saline, exercise, eat nutritiously and restful sleep. Taking steps against exposure to dense sources of NTM (drinking water, GERD/reflux, showers, indoor pools, steam rooms, soil etc) makes sense too. And we need to keep our equipment clean and sterilized. We know a lot already about daily guidelines which we've gleaned from our specialists and each other here and other support forums.
Hello, I've been away for a while—partly for life, money, and trying to get back to work. I do have a question on ways to be exposed to get MAC. I ask because I spent 1 and 1/2 years in a classroom infested with circuits. It was so bad that when they finally came in to clean, all the boxes of books where the circuits were nesting had to be thrown out because of the contamination. I had circuit dung all over the room on window seals and the top of all surfaces. Those are what I could see. Then, I had ants that dug holes in my classroom floor. And to top it off, the acoustic ceiling tiles were the only barrier to the outside. Above them was an open space with full sunlight from under the eaves. I have pictures if that would be clearer.
I am asking because I believe this is where I became infected. It was the right amount of time, and the environment fits how most of us get exposed. I don't do any gardening and live in the desert. If I can get a doctor to agree, I can get some financial support. I want to return to work full-time, but I can't right now.
Hello, I've been away for a while—partly for life, money, and trying to get back to work. I do have a question on ways to be exposed to get MAC. I ask because I spent 1 and 1/2 years in a classroom infested with circuits. It was so bad that when they finally came in to clean, all the boxes of books where the circuits were nesting had to be thrown out because of the contamination. I had circuit dung all over the room on window seals and the top of all surfaces. Those are what I could see. Then, I had ants that dug holes in my classroom floor. And to top it off, the acoustic ceiling tiles were the only barrier to the outside. Above them was an open space with full sunlight from under the eaves. I have pictures if that would be clearer.
I am asking because I believe this is where I became infected. It was the right amount of time, and the environment fits how most of us get exposed. I don't do any gardening and live in the desert. If I can get a doctor to agree, I can get some financial support. I want to return to work full-time, but I can't right now.
I wish I could be more encouraging, but unless you have documentation of the contamination including NTM, it is unlikely you can make such a link.
Living in the desert, depending on the soil type, itself presents a risk of airborne infection by NTM and many other pathogens. And, NTM/ MAC takes a long time to settle in and show itself - mine probably took 3-4 years before I was noticeably ill, so finding the original source becomes really difficult.
Sorry to say that might require a crystal ball the 2020 guidelines came out in late Spring.
I am looking for them each week, and I'm sure others are as well.
Sue,
Have the new guidelines come out yet? Can you post them here or give a link to find them?
Given that bronchiectasis and NTM often present differently in each person, I suspect it will be awhile before we see such guidelines. Until then, we practice daily airway clearance using hypertonic saline, exercise, eat nutritiously and restful sleep. Taking steps against exposure to dense sources of NTM (drinking water, GERD/reflux, showers, indoor pools, steam rooms, soil etc) makes sense too. And we need to keep our equipment clean and sterilized. We know a lot already about daily guidelines which we've gleaned from our specialists and each other here and other support forums.
This link has invaluable information about managing bronchiectasis and NTM.
https://connect.mayoclinic.org/discussion/resources-for-the-abcs-on-bronchiectasis-and-mac-ntm/
Is there something specific you wonder about? Perhaps about treating NTM with the big 3?
Hello, I've been away for a while—partly for life, money, and trying to get back to work. I do have a question on ways to be exposed to get MAC. I ask because I spent 1 and 1/2 years in a classroom infested with circuits. It was so bad that when they finally came in to clean, all the boxes of books where the circuits were nesting had to be thrown out because of the contamination. I had circuit dung all over the room on window seals and the top of all surfaces. Those are what I could see. Then, I had ants that dug holes in my classroom floor. And to top it off, the acoustic ceiling tiles were the only barrier to the outside. Above them was an open space with full sunlight from under the eaves. I have pictures if that would be clearer.
I am asking because I believe this is where I became infected. It was the right amount of time, and the environment fits how most of us get exposed. I don't do any gardening and live in the desert. If I can get a doctor to agree, I can get some financial support. I want to return to work full-time, but I can't right now.
I wish I could be more encouraging, but unless you have documentation of the contamination including NTM, it is unlikely you can make such a link.
Living in the desert, depending on the soil type, itself presents a risk of airborne infection by NTM and many other pathogens. And, NTM/ MAC takes a long time to settle in and show itself - mine probably took 3-4 years before I was noticeably ill, so finding the original source becomes really difficult.
Nothingness. Several of us are monitoring regularly, and will share it as soon as it's available.