← Return to Should 4+ Pseudomonas be treated?

Discussion

Should 4+ Pseudomonas be treated?

MAC & Bronchiectasis | Last Active: May 22, 2023 | Replies (112)

Comment receiving replies
@poodledoc

Migizil, Here is that article. https://ntminfo.org/wp-content/uploads/2020/07/NTMguidelines2020.pdf Pseudomonas is often seen in conjunction with the various NTMs, and some of the antibiotics mentioned for NTM will also kill Pseudomonas.

Jump to this post


Replies to "Migizil, Here is that article. https://ntminfo.org/wp-content/uploads/2020/07/NTMguidelines2020.pdf Pseudomonas is often seen in conjunction with the various NTMs,..."

@poodeldoc Thanks - that was a heavy read with my morning coffee! I have bookmarked it to share when this question arises in future. I notice that they have failed to address continuation of the med regimen with MAC when conversion to negative cultures fails to occur at all - even after 18 months of therapy. Sometimes, even though MAC has been around for a long time, I feel like so much is still not known about it.
I thought it was interesting that pseudomonas is susceptible to the same meds as MAC - perhaps that is why mine never came back.
Sue

Poodledoc, thanks for posting this as the people with NTM’s presently may find this information helpful💕

Once Pseudomonas becomes mucoid strain nothing will eliminate it (according to my Pulmo). But ongoing treatment (prophylactic) can help to keep it down. That is if you can tolerate the usual ongoing treatment options (which i could not). Or I suppose a yearly course of oral or IV antibiotics as needed might help (again if you can tolerate it). I currently only do airway clearance with saline and aerobika and positional drainage.