Shifting the mindset regarding adherence to antibiotic use for respiratory tract infections
Some papers emphasize adherence to antibiotic therapy, but a paradigm shift is needed. While nonadherence may impact chronic conditions, it has not been proven to affect community respiratory tract infections outside of tuberculosis. Respiratory infections, which account for most community antibioti...
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Elsevier
2025-06-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276625000290 |
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| author | Carl Llor |
| author_facet | Carl Llor |
| author_sort | Carl Llor |
| collection | DOAJ |
| description | Some papers emphasize adherence to antibiotic therapy, but a paradigm shift is needed. While nonadherence may impact chronic conditions, it has not been proven to affect community respiratory tract infections outside of tuberculosis. Respiratory infections, which account for most community antibiotic prescriptions, often involve inappropriate antibiotic use, even in developed countries, with up to 80 % of consultations resulting in prescriptions. Over-the-counter sales of antibiotics further exacerbate this issue. Research should explore whether stopping antibiotics after symptom resolution, rather than completing the full course, is feasible for non-severe infections. Shorter antibiotic courses have shown similar effectiveness with fewer side effects, aligning with the “shorter is better” principle. The idea that completing the entire antibiotic course prevents antimicrobial resistance remains unproven. Instead, longer exposure to antibiotics increases resistance. A patient-centered approach, focusing on outcomes, is essential for the future of antibiotic stewardship. |
| format | Article |
| id | doaj-art-9bd2706aec204d9182fde7355e7dc65a |
| institution | OA Journals |
| issn | 2667-2766 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj-art-9bd2706aec204d9182fde7355e7dc65a2025-08-20T02:31:56ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662025-06-011810058810.1016/j.rcsop.2025.100588Shifting the mindset regarding adherence to antibiotic use for respiratory tract infectionsCarl Llor0Primary Care Research Institute Jordi Gol (IDIAP), Barcelona, Spain; CIBER Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain; Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense-Esbjerg, Denmark; Corresponding author at: Department of Public Health, General Practice, University of Southern Denmark, Campusvej, 55, DK-5230 Odense, Denmark.Some papers emphasize adherence to antibiotic therapy, but a paradigm shift is needed. While nonadherence may impact chronic conditions, it has not been proven to affect community respiratory tract infections outside of tuberculosis. Respiratory infections, which account for most community antibiotic prescriptions, often involve inappropriate antibiotic use, even in developed countries, with up to 80 % of consultations resulting in prescriptions. Over-the-counter sales of antibiotics further exacerbate this issue. Research should explore whether stopping antibiotics after symptom resolution, rather than completing the full course, is feasible for non-severe infections. Shorter antibiotic courses have shown similar effectiveness with fewer side effects, aligning with the “shorter is better” principle. The idea that completing the entire antibiotic course prevents antimicrobial resistance remains unproven. Instead, longer exposure to antibiotics increases resistance. A patient-centered approach, focusing on outcomes, is essential for the future of antibiotic stewardship.http://www.sciencedirect.com/science/article/pii/S2667276625000290Medication adherenceAnti-bacterial agentsRespiratory tract infectionsPatient-centered care- |
| spellingShingle | Carl Llor Shifting the mindset regarding adherence to antibiotic use for respiratory tract infections Exploratory Research in Clinical and Social Pharmacy Medication adherence Anti-bacterial agents Respiratory tract infections Patient-centered care- |
| title | Shifting the mindset regarding adherence to antibiotic use for respiratory tract infections |
| title_full | Shifting the mindset regarding adherence to antibiotic use for respiratory tract infections |
| title_fullStr | Shifting the mindset regarding adherence to antibiotic use for respiratory tract infections |
| title_full_unstemmed | Shifting the mindset regarding adherence to antibiotic use for respiratory tract infections |
| title_short | Shifting the mindset regarding adherence to antibiotic use for respiratory tract infections |
| title_sort | shifting the mindset regarding adherence to antibiotic use for respiratory tract infections |
| topic | Medication adherence Anti-bacterial agents Respiratory tract infections Patient-centered care- |
| url | http://www.sciencedirect.com/science/article/pii/S2667276625000290 |
| work_keys_str_mv | AT carlllor shiftingthemindsetregardingadherencetoantibioticuseforrespiratorytractinfections |