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Antibiotics such as azithromycin, fosfomycin and meropenem are being used and recommended in the treatment of early\u2010stage STEC (mainly <jats:italic>E.\u00a0coli<\/jats:italic> O157:H7) infections, as these are reportedly effective in preventing Shiga toxin release and kidney failure while eliminating the pathogen. However, antibiotic resistance among STEC isolates could negatively impact these and other similar treatment options while contributing towards the spread of antibiotic resistance genes especially if encoded on mobile genetic elements like plasmids. Antibiotic resistance among STEC isolates recovered from animals and patients is being reported globally. A comprehensive understanding of the prevalence of antibiotic\u2010resistant STEC (AR\u2010STEC) and the mechanisms promoting this resistance among these bacteria could help direct therapies and develop strategies to effectively reduce\/eliminate these pathogens. Here, we have reviewed literature from the past three decades to gain insights on this prevalence and its impact on human infections. 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