US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis

Non-tuberculous mycobacteria (NTM) are ubiquitous environmental organisms that can cause chronic pulmonary infection, particularly in individuals with preexisting inflammatory lung disease such as cystic fibrosis(CF). Pulmonary disease caused by NTM has emerged as a major threat to the health of ind...

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Main Authors: Floto, R. Andres, Olivier, Kenneth N., Saiman, Lisa, Daley, Charles L., Herrmann, Jean-Louis, Nick, Jerry A., Noone, Peadar G., Bilton, Diana, Corris, Paul, Gibson, Ronald L., Hempstead, Sarah E., Koetz, Karsten, Sabadosa, Kathryn A., Sermet-Gaudelus, Isabelle, Smyth, Alan R., Van Ingen, Jakko, Wallace, Richard J., Winthrop, Kevin L., Marshall, Bruce C., Haworth, Charles S.
Format: Article
Published: BMJ Publishing Group 2016
Online Access:https://eprints.nottingham.ac.uk/31676/
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author Floto, R. Andres
Olivier, Kenneth N.
Saiman, Lisa
Daley, Charles L.
Herrmann, Jean-Louis
Nick, Jerry A.
Noone, Peadar G.
Bilton, Diana
Corris, Paul
Gibson, Ronald L.
Hempstead, Sarah E.
Koetz, Karsten
Sabadosa, Kathryn A.
Sermet-Gaudelus, Isabelle
Smyth, Alan R.
Van Ingen, Jakko
Wallace, Richard J.
Winthrop, Kevin L.
Marshall, Bruce C.
Haworth, Charles S.
author_facet Floto, R. Andres
Olivier, Kenneth N.
Saiman, Lisa
Daley, Charles L.
Herrmann, Jean-Louis
Nick, Jerry A.
Noone, Peadar G.
Bilton, Diana
Corris, Paul
Gibson, Ronald L.
Hempstead, Sarah E.
Koetz, Karsten
Sabadosa, Kathryn A.
Sermet-Gaudelus, Isabelle
Smyth, Alan R.
Van Ingen, Jakko
Wallace, Richard J.
Winthrop, Kevin L.
Marshall, Bruce C.
Haworth, Charles S.
author_sort Floto, R. Andres
building Nottingham Research Data Repository
collection Online Access
description Non-tuberculous mycobacteria (NTM) are ubiquitous environmental organisms that can cause chronic pulmonary infection, particularly in individuals with preexisting inflammatory lung disease such as cystic fibrosis(CF). Pulmonary disease caused by NTM has emerged as a major threat to the health of individuals with CF but remains difficult to diagnose and problematic to treat. In response to this challenge, the US Cystic Fibrosis Foundation (CFF) and the European Cystic Fibrosis Society (ECFS) convened an expert panel of specialists to develop consensus recommendations for the screening, investigation, diagnosis and management of NTM pulmonary disease in individuals with CF. Nineteen experts were invited to participate in the recommendation development process. Population, Intervention, Comparison, Outcome (PICO) methodology and systematic literature reviews were employed to inform draft recommendations. An anonymous voting process was used by the committee to reach consensus. All committee members were asked to rate each statement on a scale of: 0, completely disagree, to 9, completely agree; with 80% or more of scores between 7 and 9 being considered ‘good’ agreement. Additionally, the committee solicited feedback from the CF communities in the USA and Europe and considered the feedback in the development of the final recommendation statements. Three rounds of voting were conducted to achieve 80% consensus for each recommendation statement. Through this process, we have generated a series of pragmatic, evidence-based recommendations for the screening, investigation, diagnosis and treatment of NTM infection in individuals with CF as an initial step in optimising management for this challenging condition.
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spelling nottingham-316762020-05-04T20:05:10Z https://eprints.nottingham.ac.uk/31676/ US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis Floto, R. Andres Olivier, Kenneth N. Saiman, Lisa Daley, Charles L. Herrmann, Jean-Louis Nick, Jerry A. Noone, Peadar G. Bilton, Diana Corris, Paul Gibson, Ronald L. Hempstead, Sarah E. Koetz, Karsten Sabadosa, Kathryn A. Sermet-Gaudelus, Isabelle Smyth, Alan R. Van Ingen, Jakko Wallace, Richard J. Winthrop, Kevin L. Marshall, Bruce C. Haworth, Charles S. Non-tuberculous mycobacteria (NTM) are ubiquitous environmental organisms that can cause chronic pulmonary infection, particularly in individuals with preexisting inflammatory lung disease such as cystic fibrosis(CF). Pulmonary disease caused by NTM has emerged as a major threat to the health of individuals with CF but remains difficult to diagnose and problematic to treat. In response to this challenge, the US Cystic Fibrosis Foundation (CFF) and the European Cystic Fibrosis Society (ECFS) convened an expert panel of specialists to develop consensus recommendations for the screening, investigation, diagnosis and management of NTM pulmonary disease in individuals with CF. Nineteen experts were invited to participate in the recommendation development process. Population, Intervention, Comparison, Outcome (PICO) methodology and systematic literature reviews were employed to inform draft recommendations. An anonymous voting process was used by the committee to reach consensus. All committee members were asked to rate each statement on a scale of: 0, completely disagree, to 9, completely agree; with 80% or more of scores between 7 and 9 being considered ‘good’ agreement. Additionally, the committee solicited feedback from the CF communities in the USA and Europe and considered the feedback in the development of the final recommendation statements. Three rounds of voting were conducted to achieve 80% consensus for each recommendation statement. Through this process, we have generated a series of pragmatic, evidence-based recommendations for the screening, investigation, diagnosis and treatment of NTM infection in individuals with CF as an initial step in optimising management for this challenging condition. BMJ Publishing Group 2016 Article PeerReviewed Floto, R. Andres, Olivier, Kenneth N., Saiman, Lisa, Daley, Charles L., Herrmann, Jean-Louis, Nick, Jerry A., Noone, Peadar G., Bilton, Diana, Corris, Paul, Gibson, Ronald L., Hempstead, Sarah E., Koetz, Karsten, Sabadosa, Kathryn A., Sermet-Gaudelus, Isabelle, Smyth, Alan R., Van Ingen, Jakko, Wallace, Richard J., Winthrop, Kevin L., Marshall, Bruce C. and Haworth, Charles S. (2016) US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis. Thorax, 71 . i1-i22. ISSN 0040-6376 http://dx.doi.org/10.1136/ thoraxjnl-2015-207983 doi:10.1136/ thoraxjnl-2015-207983 doi:10.1136/ thoraxjnl-2015-207983
spellingShingle Floto, R. Andres
Olivier, Kenneth N.
Saiman, Lisa
Daley, Charles L.
Herrmann, Jean-Louis
Nick, Jerry A.
Noone, Peadar G.
Bilton, Diana
Corris, Paul
Gibson, Ronald L.
Hempstead, Sarah E.
Koetz, Karsten
Sabadosa, Kathryn A.
Sermet-Gaudelus, Isabelle
Smyth, Alan R.
Van Ingen, Jakko
Wallace, Richard J.
Winthrop, Kevin L.
Marshall, Bruce C.
Haworth, Charles S.
US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis
title US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis
title_full US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis
title_fullStr US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis
title_full_unstemmed US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis
title_short US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis
title_sort us cystic fibrosis foundation and european cystic fibrosis society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis
url https://eprints.nottingham.ac.uk/31676/
https://eprints.nottingham.ac.uk/31676/
https://eprints.nottingham.ac.uk/31676/