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Is MAC D inevitable with bronchiectasis

MAC & Bronchiectasis | Last Active: Aug 14, 2025 | Replies (22)

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I was diagnosed with Bronchiectasis just a year ago in August 2024 after 4 years of coughing. I also have severe sinus issues and underwent sinus surgery at Mayo in June 2024. I had 2 prior sinus surgeries with a different ENT (not Mayo) and that is where I believe I was infected with Pseudomonas. I was treated for 30 days in December 2024 with Tobramycin and it seemed to go away (although I suspect it was still in my sinuses).
My new sputum culture just came back with heavy growth of Pseudomonas. A PA wrote saying that it had colonized and right now to stay on the same protocol, Nebulizing 7% saline twice daily. I know this will not eradicate the Pseudomonas and I am nervous that this will just continue to grow.
I see my pulmonologist in 10 days at Mayo.
What questions should I be asking?
Thank you for your help.

I so appreciate all that I have learned from this group.

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Replies to "I was diagnosed with Bronchiectasis just a year ago in August 2024 after 4 years of..."

I would ask about any prophylactic treatments to keep the pseudomonas knocked back (along with nebulizing twice a day). Ongoing treatments usually involves Tobramycin off and on (if you can tolerate it). And or taking Azithromycin 3 days a week. Or just nebulizing and airway clearance.