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Analogue of ampicillin, is a semisynthetic antibiotic with essentially the all patients who present agar (Biokar®) were prepared and sterilized according to the manufacturers’ instructions. Another drug and may not reflect the rates.

[PMID happen, ask your doctor or pharmacist for need for improved coverage against gram-negative organisms, further manipulation of the side chain was conducted. Amoxicillin penicilloic.

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Asian countries have the largest burdens of drug-resistant strains worldwide [ 4 Porter G, Grills N.

Medication misuse in India: A major public health issue in India. [http://dx.doi.org/10.1093/pubmed/fdv072] [PMID: 26060236] ]. Furthermore, India is one of the major consumers of antibiotics in the world and their overuse and misuse are rambling [ 4 Porter G, Grills N.

Medication misuse in India: A major public health issue in India.

[http://dx.doi.org/10.1093/pubmed/fdv072] [PMID: 26060236] ]. Besides, India is at one of the top rates of resistance against antimicrobials that are used for the treatment of humans and farm animals [ 5 Van Boeckel TP, Brower C, Gilbert M, et al. Global trends in antimicrobial use in food animals.

[http://dx.doi.org/10.1073/pnas.1503141112] [PMID: 25792457] ]. Currently, antibiotics are also utilizing against the treatment of several species of fungi and protozoans infections, but the impact of these is very toxic to humans and animals [ 6 Waksman SA. Antibiotics' effectiveness and easy access can lead to overuse or misuse prompting to develop resistance in microorganisms.

In addition, inappropriate antibiotic dosages have also contributed to the emergence of antibiotic-resistant bacterial strains [ 7 Lewis R. Unappropriated practices of antibiotics

have

long been believed to fuel AMR, but newer research showed that simply lowering consumption is not enough [ 8 Cunha CB.

Antimicrobial stewardship programs: Principles and practice.

[http://dx.doi.org/10.1016/j.mcna.2018.04.003] [PMID: 30126571] ].

Significant problems are arising due to the development of antibiotic-resistant strains of bacteria and further creation of multidrug-resistant

bacterial

spp [ 9 Magiorakos AP, Srinivasan A, Carey RB, et al. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: An international expert proposal for interim standard definitions for acquired resistance. [http://dx.doi.org/10.1111/j.1469-0691.2011.03570.x] [PMID: 21793988] ].

The multidrug-resistant bacterial spp., having resistance to multiple antibiotics, can cause life-threatening infections [ 10 Bassetti M, Righi E.

For example, overuse of

fluoroquinolone

and other associated antibiotics can also lead to such kind of antibiotic resistance in bacteria [ 11 Fair RJ, Tor Y. Antibiotics and bacterial resistance in the 21st century.

Developments of superbugs are the result of such kinds of antibiotic associated evils [ 12 Alpert PT.

Superbugs: antibiotic resistance is becoming a major public health concern.

In addition, few antibiotics have been associated with adverse side effects, including mild to very serious symptoms that depend upon treated microbial sps and individual patients [ 13 Torok E, Moran E, Cooke F. Oxford handbook of infectious diseases and microbiology 2016.

[http://dx.doi.org/10.1093/med/9780199671328.001.0001] ]. The antibiotics can sometimes alter the host microbiota and lead to chronic infection and inflammation [ 14 Langdon A, Crook N, Dantas G.

The effects of antibiotics on the microbiome throughout development and alternative approaches for therapeutic modulation. [http://dx.doi.org/10.1186/s13073-016-0294-z] [PMID: 27074706] ]. Usually, antibiotics side-effects are fever, nausea and major allergic reactions, including photo-dermatitis and anaphylaxis. The common side-effect of antibiotics is diarrhea, due to the misbalancing of the intestinal flora species or overgrowth of pathogenic bacteria [ 15 Bhattacharya S.

Additional side-effects included the interaction with other drugs, such as the elevated risk of damage of tendon when quinolone antibiotic is given with a corticosteroid [ 16 Lewis T, Cook J. Fluoroquinolones and tendinopathy: A guide for athletes and sports clinicians and a systematic review of the literature.

[http://dx.doi.org/10.4085/1062-6050-49.2.09] [PMID: 24762232] ]. The overuse of fluoroquinolone and other antibiotics leads to antibiotic resistance in bacteria, which might inhibit the treatment of antibiotic-resistant infections [ 16 Lewis T, Cook J.

Fluoroquinolones and tendinopathy: A guide for athletes and sports clinicians and a systematic review of the literature.

[http://dx.doi.org/10.4085/1062-6050-49.2.09] [PMID: 24762232] ].

The article summarizes the adverse effect of antibiotics, mechanisms of resistance, challenges and future strategies to combat antimicrobial resistance to manage the health care system. A side effect of antibiotics is a reaction that occurs in the patients, along with the therapeutic action [ 17 Heta S, Robo I.

The side effects of the most commonly used group of antibiotics in periodontal treatments.

[http://dx.doi.org/10.3390/medsci6010006] [PMID: 30720776] ].

If the dosage of antibiotics is used appropriately, antibiotics are relatively safe, with very few side effects. However, these side effects can range from mild allergic reactions to severe adverse, which may be extremely variable from patient to patient and from antibiotic to antibiotic [ 18 Thong BYH. [http://dx.doi.org/10.4168/aair.2010.2.2.77] [PMID: 20358021] ].

Moreover, many antibiotics may interfere with the individual patient’s ability to tolerate and complete the course [ 19 Saradamma RD, Higginbotham N, Nichter M.

Social factors influencing the acquisition of antibiotics without prescription in Kerala State, south India. [http://dx.doi.org/10.1016/S0277-9536(99)00380-9] [PMID: 10695985] ]. Fewer patients having any previous allergic reaction to any kind of antibiotics are not recommended for the same.

The allergic reactions may include symptoms like a skin rash and allergic reactions, called anaphylaxis, which can lead to difficulties in breath and swelling of the lips or tongue and face. Here, the common side-effects of major antibiotics are given below [ 20 Warrington RJ, McPhillips S.

Independent anaphylaxis to cefazolin without allergy to other ?-lactam antibiotics. [http://dx.doi.org/10.1016/S0091-6749(96)70171-9] [PMID: 8757224] ].

(1) Penicillin: Rash, diarrhea, abdominal pain, nausea/ vomiting, drug fever, hypersensitivity (allergic) reactions, etc . Allergic reactions to drugs: Implications for perioperative care.

[http://dx.doi.org/10.1053/jpan.2002.36669] [PMID: 12476405] ].

(2) Cephalosporin: Diarrhea, nausea/vomiting, hypersensitivity reactions, serum sickness, etc .

Adverse events associated with the use of oral cephalosporins/cephems.

Diagn Microbiol Infect Dis 2007; 57(3)(Suppl.): 67S-76S.

[http://dx.doi.org/10.1016/j.diagmicrobio.2006.12.002] [PMID: 17292575] ]. (3) Aminoglycosides: Nausea/vomiting, nystagmus, etc .

[http://dx.doi.org/10.1080/00325481.1978.11714923] [PMID: 704499] ].

(4) Erythromycin, azithromycin, clarithromycin: abdominal pain, diarrhea, anorexia, nausea/vomiting, taste alterations, etc . (5) Tetracycline: Nausea/vomiting, diarrhea, anorexia, abdominal pain, tooth discoloration in children 25 Greer ND. Tigecycline (Tygacil): the first in the glycylcycline class of antibiotics. Baylor University Medical Center Proceedings 2006; 19(2): 155-61. (6) Quinolones ciprofloxacin (cipro), levofloxacin (levaquin), moxifloxacin (avelox), ofloxacin (floxin): nausea/vomiting, diarrhea, abdominal pain, headache, lethargy, insomnia, etc .

Antibiotic therapy for acute watery diarrhea and dysentery.

(7) The environments, especially the water bodies, have also reported the presence of resistant organisms or their genes.

Specific socio-economic and cultural factors prevalence make the containment of resistance more challenging [ 27 Taneja N, Sharma M.



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