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antibiotic |
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antibioticDrug that kills or inhibits the growth of bacteria and fungi. The earliest antibiotics, the penicillins, came into use from 1941 and were quickly joined by chloramphenicol, the cephalosporins, erythromycins, tetracyclines, and aminoglycosides. A range of broad-spectrum antibiotics, the 4-quinolones, was developed in 1989, of which ciprofloxacin was the first. Each class and individual antibiotic acts in a different way and may be effective against either a broad spectrum or a specific type of disease-causing agent. Use of antibiotics has become more selective as side effects, such as toxicity, allergy, and resistance, have become better understood. Bacteria have the ability to develop resistance following repeated or subclinical (insufficient) doses, so more advanced antibiotics and synthetic antimicrobials are continually required to overcome them.
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Overall, patients who had used fluoroquinolone within 12 months of diagnosis were almost five times as likely to have a fluoroquinolone-resistant strain of TB than those who had not used the antibiotics. Although current prevalence of fluoroquinolone resistance in pneumococci is <5% (15-17), surveillance is necessary. The Food and Drug Administration recently notified the makers of fluoroquinolone antimicrobial drugs for systemic use of the need to add a boxed warning to the prescribing information about the increased risk of developing tendonitis and tendon rupture. |
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