Article ID Journal Published Year Pages File Type
2529989 Current Opinion in Pharmacology 2011 7 Pages PDF
Abstract

This review presents recent evidence regarding the adverse effects of antibiotic therapy mediated by collateral damage to commensal flora. Two major drivers have characterized recent research in this field: new perspectives into human microbiota afforded by next-generation DNA sequencing techniques and ongoing attention to antimicrobial resistance. New molecular techniques have illustrated that antibiotic therapy can disturb human microbiota, and that these changes are associated with infection. Concurrently, epidemiologic studies using patient-level data offer new insights into the role of antibiotics in the emergence, selection and spread of antimicrobial resistance, and Clostridium difficile infection (CDI).

► Antibiotics can have a marked and lasting impact on intestinal flora. ► Antibiotics promote colonization and infection by antimicrobial-resistant bacteria. ► Clostridium difficile infection is a frequent complication of antibiotic therapy. ► Data is not currently available to inform the optimal dosing to avoid such effects.

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