Improving Treatment of Nontuberculous Mycobacterial Infection in Cystic Fibrosis

CF Subject Inclusion Criteria: * CF diagnosis defined as a sweat chloride \>60mEq/L and/or the presence of two disease-causing CFTR mutations. * Ages 16 years and above. * Pancreatic insufficient status defined as previous fecal pancreatic elastase \<100mcg/g stool and/or having 2 disease-causing CFTR mutations known to be associated with pancreatic insufficiency, and taking supplemental pancreatic enzymes between 1000-2500 lipase units/kg/meal. * No positive NTM cultures in the last 2 years. * Pulmonary function: Most recent FEV1 \> 40% predicted. * Willing to participate in and comply with the study procedures, and willingness of a parent or legally authorized representative to provide written informed consent for those subjects less than 18 years of age. Healthy Control Inclusion Criteria: * Ages 18 years and above. * BMI below 30 to best match CF body type. * Willing to participate in and comply with the study procedures, and willingness of a parent or legally authorized representative to provide written informed consent for those subjects less than 18 years of age. CF Subject Exclusion Criteria: * Allergy or intolerance to rifampin, ethambutol, or azithromycin. * Hepatic insufficiency defined as having an AST or ALT greater than three times the upper limit of normal at the screening appointment. * Previous surgical bowel resection. * Previous lung transplant. * Use of medications known to interact with the antimycobacterial drug levels; of note, the most common inte…