Flu Season & NTM: What Patients Need to Know to Stay Protected

Do you have Nontuberculous
Mycobacterial (NTM) Pulmonary Disease?

❄️ Flu Season & NTM: What Patients Need to Know to Stay Protected

Cold and flu season brings added challenges for everyone — but for people living with NTM lung disease or bronchiectasis, respiratory infections can be more serious and harder to recover from.
Understanding the risks, knowing when to act, and taking proactive steps can help protect your lungs and support your overall health throughout the winter months.

This guide is designed to help patients and caregivers feel prepared, informed, and empowered during flu season.

Why Flu Season Can Be More Serious for People with NTM or Bronchiectasis

NTM lung disease and bronchiectasis affect how well the lungs clear mucus and fight infection. During flu season:

  • Viruses can increase airway inflammation
  • Mucus may become thicker and harder to clear
  • Lung infections can linger longer
  • The risk of exacerbations and secondary infections increases

Even a “common” respiratory virus can lead to prolonged symptoms, setbacks in treatment, or hospitalization for some patients. Prevention and early action matter.

Vaccines: An Important Layer of Protection

Vaccination is one of the most effective tools available to reduce the severity of respiratory illness.

Many healthcare providers recommend the following for people with chronic lung disease:

  • Seasonal flu vaccine
  • COVID-19 vaccine and boosters, as recommended
  • RSV vaccine (for eligible adults, depending on age and risk factors)

Vaccines may not always prevent illness entirely, but they can significantly reduce complications, hospitalizations, and recovery time. Always discuss your specific situation with your healthcare provider.

Flu or NTM Flare-Up? Knowing the Difference

Symptoms can overlap, which makes it hard to know what’s happening. Here are some general patterns:

Flu or Viral Infection May Include:

  • Sudden onset of fever or chills
  • Body aches
  • Headache
  • Fatigue beyond your usual baseline
  • Sore throat or runny nose

NTM or Bronchiectasis Flare-Up May Include:

  • Gradual increase in cough
  • Changes in sputum color, thickness, or amount
  • Increased shortness of breath
  • Chest discomfort
  • Fatigue that builds over time

Because symptoms can overlap, new or worsening symptoms should never be ignored.

When to Call Your Doctor

Contact your healthcare provider if you experience:

  • Fever lasting more than 24–48 hours
  • Significant increase in cough or sputum
  • Blood in sputum
  • Shortness of breath at rest or with minimal activity
  • Chest pain
  • Symptoms that do not improve or worsen after a few days

Early evaluation can help prevent complications and guide next steps.

Why Airway Clearance Matters Even More in Winter

Cold, dry air and respiratory infections can make mucus thicker and harder to clear. Staying consistent with airway clearance is especially important during flu season.

Helpful reminders:

  • Maintain your prescribed airway clearance routine
  • Use humidification as recommended
  • Stay well hydrated to help thin mucus
  • Do airway clearance even when you feel tired or under the weather

Clear airways help reduce bacterial buildup and support lung function.

Downloadable Winter Lung Health Checklist

Use this checklist to stay proactive throughout flu season:

✔ Get recommended vaccines
✔ Wash hands frequently and avoid sick contacts when possible
✔ Wear a scarf or mask over your mouth and nose in cold air
✔ Stay consistent with airway clearance
✔ Keep indoor air comfortably humid (not excessive)
✔ Rest and hydrate daily
✔ Monitor symptoms and act early

You’re Not Alone This Flu Season

Living with NTM lung disease or bronchiectasis means navigating extra precautions — but knowledge, preparation, and support can make a meaningful difference.

NTM Info & Research is here to provide education, resources, and connection so you can face each season with confidence.

💙 Explore more patient resources at ntminfo.org

 

220,000

ESTIMATED CASES
OF NTM IN THE US
IN 2020

8.2 %

 THE RISE IN THE
NUMBER OF NTM CASES
EACH YEAR

2.8m

ANTIBIOTIC-
RESISTANT INFECTIONS
IN THE US EACH YEAR