Pneumologie 2016; 70(04): 250-276
DOI: 10.1055/s-0041-111494
Recommendations
© Georg Thieme Verlag KG Stuttgart · New York

Recommendations of the German Central Committee against Tuberculosis (DZK) and the German Respiratory Society (DGP) for the Diagnosis and Treatment of Non-tuberculous Mycobacterioses

Empfehlungen zur Diagnostik und Therapie nichttuberkulöser Mykobakteriosen des Deutschen Zentralkomitees zur Bekämpfung der Tuberkulose (DZK) und der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin (DGP)
N. Schoenfeld*
1   Department of Pneumology, Lungenklinik Heckeshorn, Helios Klinikum Emil von Behring, Berlin
,
W. Haas**
2   Department for Infectious Disease Epidemiology, Respiratory Infections Unit, Robert Koch Institute, Berlin
,
E. Richter**
12   Head of TB laboratory; MVZ Labor Dr. Limbach & Kollegen GbR
,
T. Bauer
1   Department of Pneumology, Lungenklinik Heckeshorn, Helios Klinikum Emil von Behring, Berlin
4   German Central Committee against Tuberculosis, Berlin
,
L. Boes
4   German Central Committee against Tuberculosis, Berlin
2   Department for Infectious Disease Epidemiology, Respiratory Infections Unit, Robert Koch Institute, Berlin
,
S. Castell
4   German Central Committee against Tuberculosis, Berlin
5   Department of Epidemiology, Helmholtz Centre for Infection Research, Brunswick
,
B. Hauer
2   Department for Infectious Disease Epidemiology, Respiratory Infections Unit, Robert Koch Institute, Berlin
,
K. Magdorf †
6   Department of Pediatrics, Subspecialty Pneumology and Immunology, Charité Universitäts-Medizin Berlin, Stiftung Oskar-Helene-Heim, Berlin
,
W. Matthiessen
7   Coswig Specialist Hospital, Center for Pneumology and Thoracic Surgery
,
H. Mauch
8   Department of Microbiology, Immunology and Laboratory Medicine, Helios Klinikum Emil von Behring, Berlin
,
A. Reuss
2   Department for Infectious Disease Epidemiology, Respiratory Infections Unit, Robert Koch Institute, Berlin
,
K. Schenkel
4   German Central Committee against Tuberculosis, Berlin
,
S. Ruesch-Gerdes
3   Microbiologist consultant, Reinbek, member of the WHO GLI Europe
,
P. Zabel
9   Research Center Borstel, Medical Clinic, Borstel
10   Department of Medicine III (Pulmonology), University Hospital of Schleswig-Holstein, Luebeck Campus
,
K. Dalhoff**
10   Department of Medicine III (Pulmonology), University Hospital of Schleswig-Holstein, Luebeck Campus
,
T. Schaberg**
11   Center for Pneumology, Agaplesion Diakonie Hospital, Rotenburg
,
R. Loddenkemper*
4   German Central Committee against Tuberculosis, Berlin
› Author Affiliations
Further Information

Publication History

Publication Date:
11 April 2016 (online)

Abstract

Non-tuberculous mycobacterioses comprise a group of diseases caused by mycobacteria which do not belong to the Mycobacterium (M.) tuberculosis-complex and are not ascribed to M. leprae. These mycobacteria are characterized by a broad variety as to environmental distribution and adaptation. Some of the species may cause specific diseases, especially in patients with underlying immunosuppressive diseases, chronic pulmonary diseases or genetic predisposition, respectively. Worldwide, a rising prevalence and significance of non-tuberculous mycobacterioses is recognized. The present recommendations summarise current aspects of epidemiology, pathogenesis, clinical aspects, diagnostics – especially microbiological methods including susceptibility testing –, and specific treatment for the most relevant species. Diagnosis and treatment of non-tuberculous mycobacterioses during childhood and in HIV-infected individuals are described in separate chapters.

Zusammenfassung

Die nichttuberkulösen Mykobakteriosen umfassen eine Gruppe von Erkrankungen, die von Mykobakterien verursacht werden, die nicht dem Mycobacterium (M.) tuberculosis-Komplex und nicht M. leprae zugerechnet werden und durch eine breite Vielfalt in Hinsicht auf ihr Vorkommen und ihre Anpassungen an spezifische Umweltbedingungen charakterisiert sind. Einige Spezies können definierte Krankheitsbilder insbesondere bei Patienten mit systemischer Immunsuppression, vorbestehenden Lungenerkrankungen oder genetisch bedingter erhöhter Empfänglichkeit hervorrufen. Weltweit wird eine Zunahme der Prävalenz und der Bedeutung dieser Erregergruppe beobachtet. Die vorliegenden Empfehlungen fassen aktuelle Aspekte der Epidemiologie, der Pathogenese, Klinik, Diagnostik einschließlich mikrobiologischer Diagnostik und Resistenztestung sowie der speziesabhängigen Therapie bei nicht-tuberkulösen Mykobakteriosen zusammen. Außerdem werden die besonderen Aspekte der Diagnostik und Therapie im Kindesalter und bei HIV-infizierten Patienten dargestellt.

* Overall responsibility


** Responsible for individual chapter


 
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