For how we live.
Every article we have published on Antibiotic Stewardship, newest first.
Acute otitis externa is usually treated with ear drops, not tablets. In trials antibiotic-steroid drops cured most people, and guidelines say not to start with oral antibiotics for an uncomplicated case.
Most acute sinus infections clear without antibiotics — about 46% of people are better within a week regardless. Drugs speed cure in only 5 to 11 per 100, and cause side effects in more.
SOLARIO randomised 500 patients after orthopaedic infection surgery to short or long systemic antibiotics. With a local-antibiotic carrier in place, the short course was noninferior and caused fewer side effects.
A short course of a first-line antibiotic clears most uncomplicated UTIs. Five-day nitrofurantoin beat single-dose fosfomycin (70% vs 58% resolution), and two-thirds of women recovered on ibuprofen alone.
Maccabi Healthcare Services studied 626 of its own physicians to work out who follows algorithmic prescribing advice — and found the pattern was about practice structure, not just attitude.