Recovery Rates of Non-Tuberculous Mycobacteria from Clinical Specimens Are Increasing in Korean Tertiary-Care Hospitals

J Korean Med Sci. 2017 Aug;32(8):1263-1267. doi: 10.3346/jkms.2017.32.8.1263.

Abstract

Non-tuberculous mycobacteria (NTM) are being recognized increasingly as the causative agents of opportunistic infections in humans. This study investigated the epidemiologic trends of NTM recovery from various clinical specimens in 2 Korean tertiary-care hospitals. We reviewed the laboratory records of patient samples cultured for mycobacteria between 2009 and 2015 at 2 tertiary-care hospitals in Korea. The medical records for patients with positive NTM samples were also reviewed. During the study period, 144,540 specimens were cultured for mycobacteria. The proportion of NTM-positive samples increased from 23.3% in 2009 to 48.2% in 2015. The 2 most frequently isolated NTM were Mycobacterium intracellulare (38.3%) and M. avium (23.1%). The number of clinically significant diseases caused by NTM in inpatients and outpatients increased from 6.8 to 12.9 per 100,000 patients over the same period. The rates of recovery of NTM from clinical specimens and the number of patients with NTM infections increased significantly (P < 0.001, testing for trend) between 2009 and 2015.

Keywords: Mycobacterium avium; Mycobacterium intracellulare; Mycobacterium tuberculosis; Non-tuberculous Mycobacteria.

MeSH terms

  • Asian People
  • DNA, Bacterial / isolation & purification
  • DNA, Bacterial / metabolism
  • Female
  • Humans
  • Lung Diseases / diagnosis
  • Lung Diseases / epidemiology
  • Male
  • Mycobacterium Infections, Nontuberculous / diagnosis
  • Mycobacterium Infections, Nontuberculous / epidemiology*
  • Mycobacterium avium / genetics
  • Mycobacterium avium / isolation & purification
  • Mycobacterium avium Complex / genetics
  • Mycobacterium avium Complex / isolation & purification
  • Polymerase Chain Reaction
  • Republic of Korea / epidemiology
  • Retrospective Studies
  • Skin Diseases / diagnosis
  • Skin Diseases / epidemiology
  • Soft Tissue Infections / diagnosis
  • Soft Tissue Infections / epidemiology
  • Tertiary Care Centers

Substances

  • DNA, Bacterial