State microbe is noteworthy because it is: the first significant antibiotic discovered after penicillin; the first systemic antibiotic discovered in America; the first antibiotic active against tuberculosis; first-line treatment for plague. Moreover, New Jersey was the home of Selman Waksman, who was awarded the Nobel Prize in Physiology or Medicine for his systematic studies of antibiotic production by "S. griseus" and other soil microbes. On May 15, 2017, Senate Bill 3190 (S3190) was introduced by Senator Samuel D. Thompson (R-12); the bill designates "Streptomyces griseus" as the New Jersey State Microbe, to be added to the state's other state symbols. On June
Antibiotic emergence of antimicrobial resistance. To avoid surgery, antibiotics may be given for non-complicated acute appendicitis. Antibiotics may be given as a preventive measure and this is usually limited to at-risk populations such as those with a weakened immune system (particularly in HIV cases to prevent pneumonia), those taking immunosuppressive drugs, cancer patients, and those having surgery. Their use in surgical procedures is to help prevent infection of incisions. They have an important role in dental antibiotic prophylaxis where their use may prevent bacteremia and consequent infective endocarditis. Antibiotics are also used to prevent infection in cases of neutropenia particularly cancer-related.