RT Journal A1 Meier CR, Derby LE, Jick SS, Vasilakis C, Jick H T1 ANtibiotic use and risk of myocardial infarction—reply JF JAMA JO JAMA YR 1999 FD December 1 VO 282 IS 21 SP 1997 OP 1999 DO 10-1001/pubs.JAMA-ISSN-0098-7484-282-21-jbk1201 UL http://dx.doi.org/10-1001/pubs.JAMA-ISSN-0098-7484-282-21-jbk1201 AB In Reply: Dr Haider and colleagues state that residual confounding, chance, or bias may be alternative explanations for our findings. We agree, as discussed in detail in our article. However, 3 reasons speak against selection bias (ie, antibiotic users differ from nonusers with regard to cardiovascular risk factors and medical attention sought): (1) there were no subjects with diagnosed cardiovascular diseases in our study; (2) we adjusted the analysis for number of practice visits (and therefore for medical attention sought) with no effect on the results; and (3) we analyzed antibiotic use in groups and not just users vs nonusers, which would mean that any bias had to selectively affect users of certain antibiotics but not others.