Article
Geographic spillover of antimicrobial resistance from mass distribution of azithromycin.
Nature communications - 29 Jan 2026
Srivathsan Ariktha, Arzika Ahmed M, Maliki Ramatou, Abdou Amza, Lipsitch Marc, Blumberg Seth, O'Brien Kieran S, Porco Travis C, Hinterwirth Armin, Doan Thuy, Keenan Jeremy D, Lietman Thomas M, Arnold Benjamin F
Abstract excerpt
Large-scale, placebo-controlled, cluster-randomized trials in high-mortality settings in sub-Saharan Africa demonstrated a 14-18% reduction in childhood mortality following twice-annual mass drug administration (MDA) of azithromycin among children aged 1-59 months. Azithromycin MDA also selected for antimicrobial resistance (AMR), particularly macrolide resistance. It is unknown whether the AMR from azithromycin...
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