Lack of correlation between surface water area and infection with Pseudomonas aeruginosa and the non-tuberculous mycobacteria (NTMs) in patients with cystic fibrosis (CF)  

作　　者：John E.Moore Beverley C.Millar 

机构地区：[1]Laboratory for Disinfection and Pathogen Elimination Studies,Northern Ireland Public Health Laboratory,Belfast City Hospital,Lisburn Road,Belfast BT97AD,Northern Ireland,UK [2]School of Medicine,Dentistry and Biomedical Sciences,The Wellcome-Wolfson Institute for Experimental Medicine,Queen's University,97 Lisburn Road,Belfast BT97BL,Northern Ireland,UK [3]Northern Ireland Regional Adult Cystic Fibrosis Centre,Level 8,Belfast City Hospital,Lisburn Road,Belfast BT97AB,Northern Ireland,UK

出　　处：《Infectious Medicine》2024年第3期17-22,共6页感染医学（英文）

摘　　要：Background People with cystic fibrosis(CF)may develop clinically significant chronic respiratory infections with Pseudomonas aeruginosa(PA)and non-tuberculous mycobacteria(NTM).Open water has been suggested to be an important source for continuous or intermittent exposure to these pathogens.To date,there has been a paucity of studies examining the relationship between chronic PA and NTM infection in CF patients and surfaces waters,including blue spaces.The aim of this study was therefore to examine the relationship between chronic pulmonary infection with PA and NTMs in children and adults with CF in European countries and area of surface waters,including blue spaces.Methods European CF registry data detailing incidence of chronic PA and NTM infection in adults and children with CF in Europe(n=41,486 in 24 European countries)was correlated with surface water area data from the same countries(approx.678,278 km2)employing Spearman coefficients.Results Correlation of chronic PA infection in children and adults and surface water area were not significant(p=0.0680 and p=0.8448,respectively),as was NTM infection(p=0.7371 and p=0.0712,respectively).Conclusions Acquistion of PA and its avoidance in people with CF is a complicated dynamic,not solely driven by close association with surface water,but through the integration of several other factors,including mitigations by people with CF to avoid high risk scenarios with surface water.This study was unable to demonstrate a correlation between PA and NTM infection in people with cystic fibrosis and surface water area at a national level.CF patients should continue to be vigilant about potential infection risks posed by water and take evidence-based decisions regarding their behaviour around water to protect them for acquiring these organisms from these sources.

关 键 词：Bluespaces Cystic fibrosis MYCOBACTERIUM Non-tuberculous mycobacteria Pseudomonas aeruginosa WATER 

分 类 号：R51[医药卫生—内科学]