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Buy flagyl antibiotic (TMB) but was not given this medicine, a report in the U.S. journal, Nature Medicine, found. There was no evidence of a safety problem despite an increased risk of heart attack and stroke (2). Although drugmakers have been known to put small amounts of antibiotics in foods or make them inactive in their own products, the new study is first to find such extensive use in the U.S. for this use. Most antibiotics are taken by mouth, Flagyl er $0.52 - pills Per pill as a pill, or injected. The study, funded by U.S. National Institutes of Health and the pharmaceutical company, Roche Holding AG, found that on average a single dose of TMB in the study group was used for more than half of all treatments. The investigators estimated that TMBs would be used for more than 5 million courses of use over a 10 year period. The investigators analyzed records from more than 200 hospitals across the country and also interviewed drug manufacturers pharmacists. They found that hospital discharge data for more than 200,000 treatment courses showed that some 68,000 of antibiotic use by patients were for this reason. The antibiotic is sold under brand name Zithromax. The report has been published online in the medical journal Nature Medicine. In June, the U.S. Center for Disease Control and Prevention issued a report claiming that one in six Americans got the flu over last season. CDC study found that some 12.2 percent of adults aged 18-64 may have been infected with influenza virus between November 2009 and March 2010. It has been estimated that up to 200 million courses of antibiotics were given in 2009 to treat an estimated 1.44 million patients (3). The World Health Organization (WHO) has said that antibiotics are an important tool in fighting antibiotic resistant bacteria, but they should only be given to those who have a life-threatening infection. The WHO has urged drugmakers to phase out the over-use of antibiotics in health care. "For the first time, we have identified widespread use of antibiotics in the treatment respiratory infections, a problem thought to affect as many 8 million people every year," Dr. Joseph A. Ayoub, an expert on antibiotic resistance at WHO, said in a statement. The study said that CDC found nearly half of patients had been prescribed antibiotics for common respiratory illnesses including sinusitis, bronchitis, and colds. Over 80 percent of patients treated for a common cold said they had been on antibiotics for at least one day. The study also found that only a quarter of patients who needed antibiotics for some respiratory infections received them. The study authors said that use of antibiotics should be phased out over the next 20 years given risks to human health. "Our work is the first to show that widespread and use of antibiotics contributes to bacterial overuse and resistance, thus increased disease death and, ultimately, is causing more harm to people, animals, and society," said Dr. Anne Schuchat, the head of CDC division respiratory diseases. "While the majority of antibiotic use is necessary, too often antibiotics are prescribed as part of a care plan, treatment protocol, or a routine practice. Unfortunately, not all of the antibiotics prescribed are needed and, without appropriate care, some of these medicines will contribute to infection." Schuchat said the CDC's estimate of more than 2 million courses of antibiotic use by Americans could underestimate the actual number of courses taken because antibiotics are considered over-the-counter medicines for most people. (1) CDC. Antimicrobial resistance: What we know, and can do. Available at https://www.cdc.gov/drugresistance/antimicrobial-resistance-what-we-know. Accessed July 7, 2009. (2) Nature Medicine. Antibiotic resistance: what we know and need to know. Available at: www.nature.com/nm/journal/v47/n7/full/nm.3939.html. Accessed July 7, 2009. (3) Centers for Disease Control and Prevention. Deaths attributed to flu in the United States during 2009 season, Washington, DC. Available at www.cdc.gov/flu/deaths.html. Accessed August 26, 2009.

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