Poor adherence to management guidelines in nontuberculous mycobacterial pulmonary diseases

Nontuberculous mycobacterial pulmonary diseases (NTM-PD) are increasingly recognised as opportunistic infections of humans. Nodular/bronchiectatic disease and fibrocavitary disease are the most frequent manifestations [1]. Although guidelines have been published [1], there are few data on diagnostic and treatment practices outside of reference clinics. A recent survey in the USA suggested limited adherence to guidelines for diagnosis and treatment of NTM-PD [2]. Poor adherence to diagnosis and treatment guidelines for nontuberculous mycobacterial lung disease in EU and Japan