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**Azithromycin** is a semisynthetic macrolide antibiotic used as the antibiotic post-exposure prophylaxis intervention in Vanderbilt University's pertussis-exposure study of Tdap-vaccinated healthcare workers. It binds bacterial 23S ribosomal RNA within the 50S ribosomal subunit, inhibiting peptide translocation and bacterial protein synthesis. In this study context, azithromycin was evaluated as post-exposure prophylaxis following exposure to *Bordetella pertussis*, rather than as a distinct proprietary drug candidate.
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