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Zithromax is a semi-synthetic macrolide antibiotic chemically related to erythromycin which is active against majority of species of gram positive and gram negative microorganisms such as genus Staphylococcus; S. aureus, S. pneumoiane, S. pyogenes, S. agalactiae, Haemophilus influenzae and parainfluenzae, Moraxela catarrhalis, Bacteroides fragilis, Escherichia coli, Bordetella ssp., Borrelia burgdorferi, Haemophilus ducreui, Nisseria gonorrhoeae O Chlamidia trachomati. In vitro it showed activity against Legionella pneumophila, Mycoplasma pneumoiae O hominis, Helicobacter pylori, Toxoplasma gondii, Ureaplasma urealiticum. As a Macrolide antibiotic Zithromax inhibits bacterial protein synthesis and prevents bacteria from growth and propagation. 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