Β-lactam antibiotic reactions to any β-lactam antibiotic may occur in up to 10% of patients receiving that agent (a small fraction of which are truly IgE-mediated allergic reactions, see amoxicillin rash). Anaphylaxis will occur in approximately 0.01% of patients. There is perhaps a 5%-10% cross-sensitivity between penicillin-derivatives, cephalosporins, and carbapenems; but this figure has been challenged by various investigators. Nevertheless, the risk of cross-reactivity is sufficient to warrant the contraindication of all β-lactam antibiotics in patients with a history of severe allergic reactions (urticaria, anaphylaxis, interstitial nephritis) to any β-lactam antibiotic. A Jarisch–Herxheimer reaction may occur after initial treatment of a spirochetal
Antibiotic prophylaxis 2006 against antibiotics for growth promotion purposes. It was estimated in 2014 that over 80% of the world's antibiotic use was on farms. Coccidiosis in fowl had evolved increased tolerance to the antibiotic feed. The WHO warned in April 2014 that farm use was a contributor to superbugs in humans. The Auditor General of Canada found lack of progress in 2014 on antimicrobial resistance despite three years of government funds that should have been used to implement a reduction programme. A CBC writer was concerned that there was in Canada "no coordinated national system to control antibiotics in agriculture." Due