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Meta-analyses have concluded that probiotics may protect against antibiotic-associated diarrhea in both children and adults. [2] [3] Evidence is insufficient, however, regarding an effect on rates of C. difficile colitis. [4] The efficacy of probiotic AAD prevention is dependent on the probiotic strain(s) used and on the dosage.
Antibiotics with less reliable but occasional (depending on isolate and subspecies) activity: occasionally penicillins including penicillin, ampicillin and ampicillin-sulbactam, amoxicillin and amoxicillin-clavulnate, and piperacillin-tazobactam (not all vancomycin-resistant Enterococcus isolates are resistant to penicillin and ampicillin)
It is a common cause of diarrhea in those who are hospitalized and is frequently associated with antibiotic use. [32] Staphylococcus aureus infectious diarrhea may also occur in those who have used antibiotics. [33] Acute "traveler's diarrhea" is usually a type of bacterial gastroenteritis, while the persistent form is usually parasitic. [34]
Azithromycin is an azalide, a type of macrolide antibiotic. [10] It works by decreasing the production of protein, thereby stopping bacterial growth. [10] [13] Azithromycin was discovered in Yugoslavia (present day Croatia) in 1980 by the pharmaceutical company Pliva and approved for medical use in 1988.
Antibiotics such as azithromycin may be used to treat cases associated with travelling in the developing world. [11] While medications used to decrease diarrhea such as loperamide are not recommended on their own, they may be used together with antibiotics. [11] [4]
Common side effects of oral antibiotics include diarrhea, resulting from disruption of the species composition in the intestinal flora, resulting, for example, in overgrowth of pathogenic bacteria, such as Clostridioides difficile. [48] Taking probiotics during the course of antibiotic treatment can help prevent antibiotic-associated diarrhea. [49]
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Narrow-spectrum antibiotics have low propensity to induce bacterial resistance and are less likely to disrupt the microbiome (normal microflora). [3] On the other hand, indiscriminate use of broad-spectrum antibiotics may not only induce the development of bacterial resistance and promote the emergency of multidrug-resistant organisms, but also cause off-target effects due to dysbiosis.
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