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Resistance to the antibiotics clarithromycin

H. Pylori Resistance to Antibiotics Increasing

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Bacteria frequently resistant to clarithromycin, metronidazole, levofloxacin
Compliance with American Urological Association guidelines for shorter antibiotic prophylaxis does not result in higher rates of infection among patients undergoing percutaneous nephrolithotomy

Shorter Antibiotic Prophylaxis Doesn’t Raise Infection Rates

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Findings based upon ≤24 hours versus six days of antibiotics with percutaneous nephrolithotomy
Use of antibiotics in patients with heart failure exacerbation in the absence of compelling evidence of infection is unnecessary and potentially harmful

Harms From Unnecessary Abx Extend Beyond Resistance

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Case highlights importance of carefully monitoring patients with prolonged QT interval
The U.S. Centers for Disease Control and Prevention has released a new resource: Core Elements of Antibiotic Stewardship for Nursing Homes

CDC Resource Set to Improve Nursing Home Antibiotic Use

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Resource provides practical ways for nursing homes to initiate or expand stewardship programs
Azithromycin is routinely prescribed to hospitalized patients despite risk factors for corrected QT prolongation and administration of interacting medications

Azithromycin Routine in Hospital Despite Risk for QTc Prolongation

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Providers not considering risk of QTc-prolonging meds accumulation, authors say
Taking antibiotics might increase the risk of developing type 2 diabetes

Antibiotic Use Linked to Higher Type 2 Diabetes Risk

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Researchers don't know if the drugs signal developing disease, or contribute to it
Use of the label "pink eye" versus "eye infection" is associated with increased parent intent to use antibiotics despite parents being informed about antibiotics' ineffectiveness for treating symptoms

Parents More Likely to Use Abx for ‘Pink Eye’ vs ‘Eye Infection’

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Use of label 'pink eye' linked to increased intent to use antibiotics despite their ineffectiveness
For patients undergoing lung transplantation

Prophylactic Azithromycin Benefit Lasts After Lung Transplant

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Reduced chronic lung allograft dysfunction for patients receiving prophylactic azithromycin
Though antibiotic prescribing for acute respiratory infections (ARIs) varies greatly among providers

Antibiotics Often Prescribed for Veterans With ARIs

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Substantial variation in antibiotic prescribing habits among individual providers at the VA
Almost $8 billion in hospital bills could be avoided over five years by halting the spread of antibiotic-resistant bacteria

CDC: Action Needed to Better Control Drug-Resistant Infections

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Hospitals, health departments, long-term care facilities must share information