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Nature Medicine

Mass azithromycin distribution and antibiotic resistance in the gut and nasopharynx: a cluster-randomized trial

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Nature Medicine, Published online: 17 March 2026; doi:10.1038/s41591-026-04217-9 In a double-blind, cluster-randomized, placebo-controlled trial in Niger that examined azithromycin mass drug distribution in different age groups of children, there was evidence of selection of macrolide resistance determinants in the gut in children 1 to 59 months old, but resistance to other classes of antibiotics were not observed in the gut or nasopharynx.

Nature Medicine, Published online: 17 March 2026;

doi:10.1038/s41591-026-04217-9

In a double-blind, cluster-randomized, placebo-controlled trial in Niger that examined azithromycin mass drug distribution in different age groups of children, there was evidence of selection of macrolide resistance determinants in the gut in children 1 to 59 months old, but resistance to other classes of antibiotics were not observed in the gut or nasopharynx.

— Source: Nature Medicine (https://www.nature.com/articles/s41591-026-04217-9)

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