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Should 4+ Pseudomonas be treated?

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

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@sueinmn

For the same reason, my ID & pulmonology docs refuse to do a sputum culture on me unless I am symptomatic. They rely on 2x yearly CT scans plus symptoms to decide how I am doing. I was treated for MAC for 2 years and never got a negative culture, even though my CT cleared up a lot. After 20 months, I am still symptom free using inhalers and now 3x weekly 7% saline.
I hope I never need those drugs again.

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Replies to "For the same reason, my ID & pulmonology docs refuse to do a sputum culture on..."

But aren't you curious? I think that, even without symptoms, I would want to know what is, or is not, in my lungs. And the sputum examination is the definitive test. Finding something doesn't mean treatment but the doctors and I would know what, if anything, is there.
But maybe that's just me.