Rheumatoid arthritis

Prevalence and risk factors of non-tuberculous mycobacterial pulmonary isolates and infection in interstitial lung disease associated with systemic autoimmune disease

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

In patients with SAD-ILD, the NTM-PI and NTM-LD prevalence rates were 20.9% and 8.1%, respectively. COPD and CKD were independent risk factors of both NTM-PI and NTM-LD. Previous use of biological agents was associated with NTM-PI.

Study context

Population
Patients with systemic autoimmune disease (SAD) and concurrent interstitial lung disease (ILD) with sputum collected for non-tuberculous mycobacterial (NTM) culture, tertiary referral hospital, 2003–2018
Participants
204 / 54 / 33 / 21
Exposure
NTM pulmonary isolates (NTM-PI) vs NTM-negative patients with SAD-ILD
  • NTM-negativen = 204reference
  • NTM-PIn = 54
  • NTM 1+n = 33
  • NTM-LDn = 21
Outcome
Prevalence and risk factors of NTM-PI (≥1 positive culture) and NTM-LD (≥2 positive cultures)
Methodological detailssingle-centre (tertiary referral hospital), multivariable analysis
  • Single-centre (tertiary referral hospital)
  • Multivariable analysis

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

Risk factors for NTM-PI (multivariable)

Chronic kidney disease (CKD), aOR
3.10 [1.53, 6.29] (CI as printed)
Chronic obstructive pulmonary disease (COPD), aOR
2.59 [1.16, 5.78] (CI as printed)

Risk factors for NTM-LD (multivariable)

CKD, aOR
2.79 [1.00, 7.76] (CI as printed)
COPD, aOR
3.70 [1.23, 10.72] (CI as printed)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Prevalence and risk factors of non-tuberculous mycobacterial pulmonary isolates and infection in interstitial lung disease associated with systemic autoimmune disease. Clin Exp Rheumatol. Published 10 July 2023. doi:10.55563/clinexprheumatol/c4oq1k

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