PLoS Neglected Tropical Diseases (Mar 2015)

The epidemiology and geographic distribution of nontuberculous mycobacteria clinical isolates from sputum samples in the eastern region of China.

  • Yan Shao,
  • Cheng Chen,
  • Honghuan Song,
  • Guoli Li,
  • Qiao Liu,
  • Yan Li,
  • Limei Zhu,
  • Leonardo Martinez,
  • Wei Lu

DOI
https://doi.org/10.1371/journal.pntd.0003623
Journal volume & issue
Vol. 9, no. 3
p. e0003623

Abstract

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BACKGROUND: Nontuberculous mycobacteria (NTM) have been reported to be increasing worldwide and its geographic distribution differs by region. The aim of this study was to describe the epidemiology and distribution of NTM in the eastern part of China. METHODS: Sputum samples were collected from 30 surveillance sites for tuberculosis drug resistance test from May 1, 2008 to December 31, 2008. Identification was performed using a biochemical test, multiplex PCR and GenoType Mycobacterium CM/AS assay. RESULTS: A total of 1779 smear positive clinical isolates were obtained, of which 60 (3.37%) were NTM. Five species/complex of NTM were identified; M. intracellulare was the predominated species (68.33%), followed by M. abscessus-M. immunogenum (13.33%), Mycobacterium spec. (10.00%), M. Kansasii (6.67%) and M. peregrinum-M. alvei-M. septicum (1.67%). CONCLUSION: M. intracellulare was the main species of NTM in the eastern part of China and clinical physicians should pay more attention to NTM induced pulmonary disease.