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Cotrimoxazole prophylaxis was associated with enteric commensal bacterial resistance among HIV-exposed infants in a randomized controlled trial, Botswana.

Kathleen M PowisSajini SoudaShahin LockmanGbolahan AjibolaKara BennettJean LeidnerMichael D HughesSikhulile MoyoErik van WidenfeltHaruna B JibrilJoseph MakhemaMax EssexRoger L Shapiro
Published in: Journal of the International AIDS Society (2018)
HIV-exposed infants randomized to CTX prophylaxis had increased CTX-resistant commensal gastrointestinal bacteria compared with placebo recipients. Additional research is needed to determine the longer-term clinical, microbiologic, and public health consequences of antimicrobial resistance selected by infant CTX prophylaxis.
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