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Are Antibiotics Being Used For Too Long?

Discussion in 'General Issues and Discussion Forum' started by NewsBot, Jun 9, 2006.

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  1. NewsBot

    NewsBot The Admin that posts the news.

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    Science Daily are reporting:
    Are Antibiotics Being Used For Too Long?
     
  2. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Antibiotics

    Effectiveness of discontinuing antibiotic treatment after three days versus eight days in mild to moderate-severe community acquired pneumonia: randomised, double blind study
    BMJ 2006;332:1355 (10 June),
     
  3. reckles

    reckles Member

    Antibiotic Usage

    I am not surprised regarding the results of this study, but would urge all to interpret this information cautiously and not extrapolate to podiatric usage. First, over 90% of foot infections are caused by Staph, and most of these are penicillinase producing strains, which means that this study, using Amox, was not targeting relevant bugs. Secondly, Skin and related soft tissue infections of the lower extremity occur in a (relatively) less vascularized part of the body, which means that either differing doses or longer duration of therapy is necessary when treating infection. Finally, given the increasing prevalence of resistant staph, causing an upswing in the need for newer fantastically expensive drugs, we should aim to be effective, full stop. The difference between 7 and 10 days may be academic, but to go to even fewer days risks failure and of course, this puts one at risk from a medical-legal perspective as well. Cheers.
     
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