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doi:10.1136/jcp.56.12.924 Hamaguchi Y, Kondoh T, Fukuda M, et al

In addition to their antimicrobial effects, macrolide antibiotics have been shown to have anti-inflammatory and immune-modulating effects such as mitigating neutrophil-mediated lung damage and promoting mucociliary clearance, effects that occur at doses below the minimum inhibitory concentration for bacterial infections 137,138