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Comment & Response |

Azithromycin for Elderly Patients With Pneumonia—Reply

Eric M. Mortensen, MD, MSc1; Carlos A. Alvarez, PharmD, MSc2; Ethan A. Halm, MD, MPH3
[+] Author Affiliations
1VA North Texas Health Care System, Dallas
2Texas Tech University Health Sciences Center, Dallas
3University of Texas Southwestern Medical Center, Dallas
JAMA. 2014;312(13):1352-1353. doi:10.1001/jama.2014.10176.
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In Reply Regarding the concern of Dr Bin Abdulhak and colleagues about examining shorter periods than 10 days after admission, we consider follow-up durations longer than 5 days to be more clinically relevant and important. Although there may be an increased risk of arrhythmias earlier due to the use of azithromycin, we doubt that clinicians or patients would then avoid this medication when there is a clinically significant survival advantage at 90 days.

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October 1, 2014
Aref A. Bin Abdulhak, MD; Abdur Rahman Khan, MD; Alan P. Wimmer, MD
1Department of Medicine, University of Missouri, Kansas City
2Department of Medicine, University of Toledo Medical Center, Toledo, Ohio
3Saint Luke’s Mid America Heart Institute, University of Missouri, Kansas City
JAMA. 2014;312(13):1352. doi:10.1001/jama.2014.10164.
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