Impact of prolonged treatment with trimethoprim-sulfamethoxazole on the human gut flora
- PMID: 15513409
- DOI: 10.1080/00365540410020956
Impact of prolonged treatment with trimethoprim-sulfamethoxazole on the human gut flora
Abstract
The case of a mentally ill man inadvertently treated with trimethoprim-sulfamethoxazole (TMP-SMX) for 2 y is presented. Quantitative stool cultures revealed a substantially suppressed Gram-negative aerobic flora, while Enterococcus spp. and anaerobes were not affected. Yeasts were moderately increased. TMP-SMX represents an attractive antimicrobial for immunocompromized patients who need the integrity of their intestinal anaerobic flora for colonization resistance.
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