4.7 Editorial Material

The Decline of Pneumococcal Resistance after Cessation of Mass Antibiotic Distributions for Trachoma

Journal

CLINICAL INFECTIOUS DISEASES
Volume 51, Issue 5, Pages 571-574

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1086/655697

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Funding

  1. NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES [R21AI055752] Funding Source: NIH RePORTER
  2. NEI NIH HHS [K12 EY017269] Funding Source: Medline
  3. NIAID NIH HHS [R21 AI055752] Funding Source: Medline
  4. PHS HHS [K12EX017269] Funding Source: Medline

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After 6 biannual mass distributions of oral azithromycin for trachoma in Ethiopian communities, 76.8% (95% confidence interval [CI], 66.3%-85.1%) of nasopharyngeal Streptococcus pneumoniae isolates from children aged 1-5 years were resistant to macrolides. Twelve and 24 months after the last azithromycin treatment, resistance decreased to 30.6% (95% CI, 18.8%-40.4%; P < .001) and 20.8% (95% CI, 12.7%-30.7%; P < .001), respectively. Macrolide resistance decreases after antibiotic pressure is removed.

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