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Authors
Diricks, Margo https://orcid.org/0000-0002-5428-1456
Frank, Denia
Friesen, Inna
Niemann, Stefan
Wichelhaus, Thomas A.
Wetzstein, Nils
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Alisch, Theresa
Appel, Tobias
Burbach, Tobias
Burger, Gerrit
Cirillo, Daniela
Faber, Stephanie
Torres, Sara Garcia
Ghodousi, Arash
Giesbrecht, Katharina
Hafner, Julia
Heidmann, Doris
Hofbauer, Ludwig
Holt, Elisabeth
Idris, Raja
Kuhns, Martin
Iliewski, Lena
Kessel, Johanna
Kraiczy, Peter
Maffiold, Sebastian
Meyer-Heinemann, Lina
Mielke, Sophie
Mohr, André
Olesiuk, Martyna
Reyer, Flavia
Riedel-Christ, Sara
Stephan, Christoph
Szagunn, Carsten
Vehreschild, Maria J. G. T.
Weirauch, Tobias
Würstle, Silvia
Zielbauer, Ann-Sophie
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Funding
Funding for this research was provided by:
Forschungszentrum Borstel - Leibniz Lungenzentrum
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Article History
Received: 7 July 2025
Accepted: 17 November 2025
First Online: 7 December 2025
Declarations
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: Permissions were obtained to collect water samples both in private residences and in the hospital setting. All participants provided informed consent to contribute water samples from their households to the study. Genomic investigation of environmental and clinical NTM isolates was approved by the ethics committees of the University Hospital Frankfurt (ethical vote 2022–162) and University of Lübeck (ethical vote 2024–608). Informed patient consent was not required as clinical NTM strains were isolated during routine clinical diagnostics or were already publicly available. Informed consent was therefore waived by the Institutional Review board of the University of Lübeck, ethical vote 2024–608. Data processing complied with the European General Data Protection Regulation (EU) 2016/679 and §27 of the Bundesdatenschutzgesetz (BDSG). The study has been conducted in accordance with the principles of the Helsinki Declaration.
: Not applicable.
: Not applicable.
: Margo Diricks, Denia Frank, Inna Friesen, Stefan Niemann and Nils Wetzstein have nothing to disclose. Thomas A. Wichelhaus reports research grants from BMBF, JPIAMR, Deutsche Krebshilfe, MSD as well as speaker fees and consulting honoraria from Landesärztekammer Hessen, Insmed, Osartis, all outside the submitted work.
