Moreover an increasing trend in multidrug resistance (such as β-lactams, macrolides, doxycycline, and recently fluoroquinolone antibiotics) among these penicillin resistant SP has been a major concern worldwide for clinicians and has complicated the management of CAP [ 7 , 8 ].
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Combination therapy with ampicillin and azithromycin in an experimental pneumococcal pneumonia is bactericidal and effective in down regulating inflammation in mice.
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