PMID- 20350633 OWN - NLM STAT- MEDLINE DCOM- 20100407 LR - 20100330 IS - 1555-7162 (Electronic) IS - 0002-9343 (Linking) VI - 123 IP - 4 Suppl DP - 2010 Apr TI - Safety and tolerability of commonly prescribed oral antibiotics for the treatment of respiratory tract infections. PG - S26-38 LID - 10.1016/j.amjmed.2010.02.004 [doi] AB - Recent data suggest that adverse events (AEs) associated with the use of antimicrobial drugs are a major safety concern, with antibiotics implicated in a significant proportion (approximately 20%) of all drug-related emergency department visits in the United States. Although most of these visits are attributable to allergic reactions (79%), certain commonly prescribed antibiotics are notable contributors to conditions that range in nature from gastrointestinal to neurologic and/or psychiatric--particularly after ED visits are adjusted per outpatient prescription visits. This article reviews medically significant AEs of agents included in the major antimicrobial classes--AEs that may be underappreciated by general practitioners. Considerable attention is devoted to the fluoroquinolone agents. Also discussed are the assessment procedures of regulatory agencies in Europe and the United States that are in place to evaluate antimicrobial safety more accurately. Offsetting potential risks and benefits associated with currently available antimicrobials in a climate in which new agents are desperately needed to combat continually evolving multiresistant pathogens remains an interesting dilemma in antimicrobial therapy. CI - Copyright 2010 Elsevier Inc. All rights reserved. FAU - Lode, Hartmut AU - Lode H AD - City Hospital Berlin-Zehlendorf, Free University of Berlin, Berlin, Germany. haloheck@zedat.fu-berlin.de LA - eng PT - Journal Article PT - Review PL - United States TA - Am J Med JT - The American journal of medicine JID - 0267200 RN - 0 (Anti-Bacterial Agents) RN - 0 (Cephalosporins) RN - 0 (Fluoroquinolones) RN - 0 (Macrolides) RN - 0 (beta-Lactams) SB - IM MH - Administration, Oral MH - Anti-Bacterial Agents/*administration & dosage/*adverse effects MH - Cephalosporins/administration & dosage/adverse effects MH - Drug Administration Schedule MH - Drug Prescriptions/statistics & numerical data MH - Emergency Service, Hospital MH - European Union MH - Fluoroquinolones/administration & dosage/adverse effects MH - Government Agencies MH - Humans MH - Macrolides/administration & dosage/adverse effects MH - Product Surveillance, Postmarketing MH - Respiratory Tract Infections/*drug therapy MH - Safety MH - United States MH - United States Food and Drug Administration MH - beta-Lactams/administration & dosage/adverse effects RF - 104 EDAT- 2010/04/02 06:00 MHDA- 2010/04/08 06:00 CRDT- 2010/03/31 06:00 PHST- 2010/03/31 06:00 [entrez] PHST- 2010/04/02 06:00 [pubmed] PHST- 2010/04/08 06:00 [medline] AID - S0002-9343(10)00099-9 [pii] AID - 10.1016/j.amjmed.2010.02.004 [doi] PST - ppublish SO - Am J Med. 2010 Apr;123(4 Suppl):S26-38. doi: 10.1016/j.amjmed.2010.02.004.