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• W2130542968 abstract "<h3>Background:</h3> Non-tuberculous mycobacterial lung disease, most commonly caused by <i>Mycobacterium avium</i> infection, tends to show variable disease progression, and significant disease predictors have not been adequately established. <h3>Methods:</h3> Variable numbers of tandem repeats (VNTR) were evaluated in 16 mycobacterial interspersed repetitive unit (MIRU) loci from <i>M avium</i> isolates cultured from respiratory specimens obtained from 2005 to 2007. Specifically, the association between VNTR profiles and disease progression was assessed. <h3>Results:</h3> Among the 37 subjects who provided positive respiratory cultures for <i>M avium</i> during the 2005–6 period, 15 subjects were treated within 10 months following a microbiological diagnosis of progressive <i>M avium</i> lung disease. Nine subjects underwent long-term follow-up (>24 months) without treatment for stable <i>M avium</i> lung disease. Based on a neighbour-joining cluster analysis used to classify <i>M avium</i>-positive subjects according to the VNTR profile, subjects with progressive versus stable lung disease were found to be grouped together in distinct clusters. Further analysis using logistic regression modelling showed that disease progression was significantly associated with the genetic distance of the <i>M avium</i> isolate from an appropriately selected reference (age-adjusted odds ratio 1.95; 95% confidence interval 1.16 to 3.30; p = 0.01 for the most significant model). A best-fit model could be used to predict the progression of <i>M avium</i> lung disease when subjects from the 2005–6 period were combined with those from 2007 (p = 0.003). <h3>Conclusion:</h3> Progressive lung disease due to <i>M avium</i> infection is associated with specific VNTR genotypes of <i>M avium</i>." @default.
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• W2130542968 date "2009-06-23" @default.
• W2130542968 modified "2023-10-09" @default.
• W2130542968 title "Association between mycobacterial genotypes and disease progression in Mycobacterium avium pulmonary infection" @default.
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• W2130542968 doi "https://doi.org/10.1136/thx.2009.114603" @default.
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