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Can a low MAC culture count go away without antibiotics ?
MAC & Bronchiectasis | Last Active: 10 hours ago | Replies (15)Comment receiving replies
I found a good source. This Korean article, but with Charles Daley from NJH as 3rd author, says:
“approximately 40%–50% of patients with untreated MAC-PD achieve spontaneous negative culture conversion without antibiotic treatment”
https://pmc.ncbi.nlm.nih.gov/articles/PMC6304322/
Replies to "I found a good source. This Korean article, but with Charles Daley from NJH as 3rd..."
@pacathy I could not find the quote you cite in the article you link, but 40-50% spontaneous conversion does not match the information I have seen time after time. That sounds like possibly a statistic for a particular subgroup. I believe I saw a percentage like this (40-50%) in a group of patients who stayed stable on CT for two years. Certainly those with cavitary disease do not have a 40-50% rate of spontaneous conversion. In general, I have seen the spontaneous conversion rate at 10-15%, across all subgroups. Certainly cavitary disease brings that percentage down and those without cavitary disease likely have a higher spontaneous conversion rate, so long as they don’t progress to cavitary disease in the meantime. Stability on CT seems to play an important role in predicting one’s chances of spontaneous conversion.
@pacathy I saw the quote you referenced
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@pacathy thank you so much ! Not at home now but I will give it a good read tonight . Certainly gives me hope.