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kwi (@kwi)

What is the role of an ID doctor?

MAC & Bronchiectasis | Last Active: Sep 14 7:49pm | Replies (12)

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@crepass

Hi Sue, can you clarify "why" we don't take azithromycin" by itself. My understanding is that alone it is the most important drug to have for mycobacterium, but it is also the most important antibiotic to have available for "crisis infections" that could come down the road. They give the other 2 antibiotics (rifampin and erythromycin) to keep our bodies from building up a resistance to the azithromycin so that it can be useful for the longest possible time. Is this right?

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Replies to "Hi Sue, can you clarify "why" we don't take azithromycin" by itself. My understanding is that..."

I believe that is correct.
My ID doc, who is also a travel med specialist, calls it his "big gun" – he hates prescribing it, and had to be convinced by his colleague at NJH that it was the drug of choice for MAC. He can't wait for them, or some other research hospital to find a better alternative.
Sue