“…In the MAC-PD, a recurrence caused by strains having different genotypes are frequent ( Koh et al, 2017 ; Akoglu, 2018 ; Heidari et al, 2018 ; Gautam, 2022 ; Wang et al, 2022 ), requiring a more advanced approach than naïve species identification. Various studies on the efficacy of NTM treatment have employed epidemiological approaches of the intraspecies classification level using ( Englund, 2003 ; Bussone et al, 2012 ; van der Zanden et al, 2012 ; San Millán et al, 2013 ; Thomson et al, 2013 , 2014 ; Koh et al, 2017 ; Heidari et al, 2018 ; Karauz et al, 2018 ; van Weezep et al, 2019 ; Gautam, 2022 ; Zhao et al, 2022 ). Since WGS, PFGE, and VNTR require a specialized technique, labor-intensive or time-consuming approaches, several clinical studies used rep-PCR ( Cangelosi et al, 2004 ; Jagielski et al, 2016 ; Jhun et al, 2018a , b ; Shin et al, 2020a , b ; Furuuchi et al, 2022 ) for diagnosis of reinfection/relapse, recurrent after latency, evaluation of antibiotics therapy in recurrent MAC-PD, and MAC bacteremia follow-up study.…”