'Ten commandments' for the appropriate use of antibiotics by the practicing physician in an outpatient setting
Levy-Hara G., Amábile-Cuevas CF., Gould I., Hutchinson J., Abbo L., Saxynger L., Vlieghe E., Lopes Cardoso FL., Methar S., Kanj S., Ohmagari N., Harbarth S., Aiken A., Alnimr A., Bavestrello L., Carlet J., Dreser A., Essack S., Hsueh PR., Ismail N., Kaddu-Mulindwa D., Kolmos HJ., Mochizuki T., Ndewga L., Odio C., Peredo MA., Vega S., Viswanathan R., Wertheim H.
A multi-national working group on antibiotic stewardship, from the International Society of Chemotherapy, put together ten recommendations to physicians prescribing antibiotics to outpatients. These recommendations are: (1) use antibiotics only when needed; teach the patient how to manage symptoms of non-bacterial infections; (2) select the adequate ATB; precise targeting is better than shotgun therapy; (3) consider pharmacokinetics and phar-macodynamics when selecting an ATB; use the shortest ATB course that has proven clinical efficacy; (4) encourage patients' compliance; (5) use antibiotic combinations only in specific situations; (6) avoid low quality and sub-standard drugs; prevent prescription changes at the drugstore; (7) discourage self-prescription; (8) follow only evidence-based guidelines; beware those sponsored by drug companies; (9) rely (rationally) upon the clinical microbiology lab; and (10) prescribe ATB empirically - but intelligently; know local susceptibility trends, and also surveillance limitations. © 2011 Lev-Hara, Amábile-Cuevas, Gould, Hutchinson, Abbo, Saxynger, Vlieghe, Cardoso, Methar, Kanj, Ohmagari, HarbarthandISC-ASW Group.