Review Article

Nontuberculous Mycobacteria in Noncystic Fibrosis Bronchiectasis

Table 1

Treatment recommendations for nontuberculous mycobacteria, according to 2007 American Thoracic Society Guidelines.

Initial therapy for nodular/bronchiectatic diseaseInitial therapy for cavitary diseaseSevere disease or previously treated disease

Mycobacterium avium complexClarithromycin 1,000 mg TIW or azithromycin 500–600 mg TIW
Ethambutol 25 mg/kg TIW
Rifampin 600 mg TIW
Clarithromycin 500–1,000 mg/d or azithromycin 250–300 mg/d
Ethambutol 15 mg/kg/d
Rifampin 450–600 mg/d
± Streptomycin or amikacin or none
Clarithromycin 500–1,000 mg/d or azithromycin 250–300 mg/d
Ethambutol 15 mg/kg/d
Rifabutin 150–300 mg/d or rifampin 450–600 mg/d
± Streptomycin or amikacin

Mycobacterium kansasii Rifampin 10 mg/kg/d (maximum 600 mg/day)
Ethambutol 15 mg/kg/d
Isoniazid 5 mg/kg/d (maximum 300 mg)
Pyridoxine 50 mg/d

TIW: three times in a week; d: day.