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Journal article

Stop antibiotics when you feel better? Opportunities, challenges and research directions

Abstract:
Shortening standard antibiotic courses and stopping antibiotics when patients feel better are two ways to reduce exposure to antibiotics in the community, and decrease the risks of antimicrobial resistance and antibiotic side effects. While evidence shows that shorter antibiotic treatments are non-inferior to longer ones for infections that benefit from antibiotics, shorter courses still represent average treatment durations that might be suboptimal for some. In contrast, stopping antibiotics based on improvement or resolution of symptoms might help personalize antibiotic treatment to individual patients and help reduce unnecessary exposure. Yet, many challenges need addressing before we can consider this approach evidence-based and implement it in practice. In this viewpoint article, we set out the main evidence gaps and avenues for future research.
Publication status:
Published
Peer review status:
Reviewed (other)

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Publisher copy:
10.1093/jacamr/dlae147

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0001-6029-5291
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
NDM Experimental Medicine
Research group:
NIHR Health Protection Research Unit in Healthcare Associate Infections and Antimicrobial Resistance
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Nuffield Department of Population Health
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author


Publisher:
Oxford University Press
Journal:
JAC-Antimicrobial Resistance More from this journal
Volume:
6
Issue:
5
Article number:
dlae147
Publication date:
2024-09-09
Acceptance date:
2024-08-26
DOI:
EISSN:
2632-1823


Language:
English
Pubs id:
2023411
Local pid:
pubs:2023411
Deposit date:
2024-08-27

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