The microbiome and emerging pathogens in cystic fibrosis and non-cystic fibrosis bronchiectasis

Heather Green1, Andrew M Jones1

  • 1Manchester Adult Cystic Fibrosis Centre, University Hospital of South Manchester NHS Trust, Manchester, United Kingdom.

Insights

Emerging pathogens and the lung microbiome are increasingly recognized as significant factors in cystic fibrosis (CF) and non-CF bronchiectasis. Understanding these complex microbial communities is crucial for managing chronic pulmonary sepsis in these patients.

Area of Science:

  • Pulmonary Medicine
  • Microbiology
  • Genetics

Background:

  • Chronic pulmonary sepsis is a major cause of illness in cystic fibrosis (CF) and non-CF bronchiectasis.
  • Infections were once thought to involve only a few common pathogens, but emerging microbes are now frequently reported.

Purpose of the Study:

  • To discuss the clinical significance of emerging pathogens in CF and non-CF bronchiectasis.
  • To explore the role of the lung microbiome in these conditions.

Main Methods:

  • Review of recent literature on emerging pathogens.
  • Discussion of culture-independent methodologies for analyzing lung microbiota.

Main Results:

  • Identification of emerging pathogens such as Burkholderia, Stenotrophomonas, and nontuberculous mycobacteria.
  • Confirmation of complex lung microbial communities (lung microbiome) in CF and non-CF bronchiectasis patients.

Conclusions:

  • Emerging pathogens and the lung microbiome represent a critical area of clinical concern in CF and non-CF bronchiectasis.
  • Further research into these complex interactions is needed for improved patient management.

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