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Nontuberculous Mycobacteria

Are you a BC healthcare professional caring for a patient with nontuberculous mycobacteria (NTM)? This page has a variety of NTM resources, including the BCCDC NTM referral form and pulmonary NTM guidelines.

Referrals 

Provincial TB Services (TBS) is committed to providing appropriate, timely and safe care to British Columbians. In addition, TBS provides support to physicians managing patients with NTM in outpatient clinics. 


Please complete and fax the BCCDC NTM clinic referral form and specify your request:

  1. MD-to-MD virtual consultation with/out a prescription. Indicate consultation by telephone call (provide a phone number) or dictated consult note. 
  2. Prescription only. Any BC physician who wishes to establish their patient on NTM therapy is encouraged to provide this care.


Medications

Rifampin (or rifabutin) and ethambutol are currently provided at no cost by BCCDC Pharmacy Services; BCCDC-funded drug costs may be subject to change.

  • Provide a complete and signed rifampin and ethambutol prescription request with the medication name, specific dosage (not mg/kg), interval and duration.
  • Requests must include the shipping address of the community pharmacy that will be dispensing medications to your NTM patient.
  • Medications will be shipped only to a community pharmacy in BC. Extra costs may be applied (e.g., expedited shipments; community pharmacy professional fees; etc.)
  • BCCDC Pharmacy provides funded medication supplies only. The community pharmacy will need to address any clinical concerns (e.g., drug interactions) with the original (non-BCCDC) prescriber.
  • Pharmacies reordering NTM medications should include a completed TB Adherence and Medication Re-order Form.  


Note: The BCCDC Pharmacy does not provide other NTM medications (including macrolides or Special Access Program drug requests). A local pharmacy can dispense these medications, or physicians can request specialty medications via Health Canada Special Access Program to the community pharmacy.

NTM Guidelines

TB Physician Manual Section 12: Pulmonary NTM

  • These guidelines outline pulmonary NTM care pathways. 
  • These guidelines are for BC physicians who provide care to patients with pulmonary NTM in community clinics.

Patient Medication Handouts 

FAQs

The PHSA eLab Handbook includes a link to the NTM sensitivities requisition.

Go to the BCCDC TB Manual Appendix E for directions on assessing Visual Acuity and Colour Discrimination. Referral to a community Ophthalmologist or Optometrist for visual monitoring is also an option.

 
 
Respirologists and Infectious Disease Specialists in each regional health authority support patients with NTM lung infections. Please get in touch with specialists in your area. 

Medications are shipped to the patient's pharmacy for dispensing. The BCCDC Pharmacy in Vancouver does not provide a walk-in (counter) service for filling prescriptions. 

Please allow an average of 2-3 weeks from sending the BCCDC NTM referral form with a prescription request for the NTM medications to arrive at the patient's pharmacy.


SOURCE: Nontuberculous Mycobacteria ( )
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