duration of antibiotic therapy
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Complications
- little evidence that failing to complete a prescribed antibiotic course contributes to antibiotic resistance[2]
Management
Minimum duration of antibiotic therapy & anticipated symptomatic improvement:[1]
- general bacterial septicemia
- duration: 2 weeks
- anticipated symptomatic improvement: 1 1/2 weeks
- Staphylococcus aureus septicemia
- duration: 3-6 weeks
- anticipated symptomatic improvement: 1 1/2 weeks
- bacterial cellulitis
- duration: 1 week
- anticipated symptomatic improvement: 2 days
- bacterial septic arthritis
- duration: 2 weeks
- anticipated symptomatic improvement: 5 days
- post-Chlamydia arthritis
- duration: 3 weeks
- anticipated symptomatic improvement: 5 days
- bacterial meningitis (except tuberculosis)
- duration: 2-3 weeks
- anticipated symptomatic improvement: 2 days
- bacterial endocarditis
- duration: 4-6 weeks
- anticipated symptomatic improvement: 8 days
- bacterial prostatitis
- duration: 4 weeks
- anticipated symptomatic improvement: 5 days
- bacterial pneumonia
- duration: 3 weeks
- anticipated symptomatic improvement: 5 days
- uncomplicated urinary tract infection
- duration: 1 week
- anticipated symptomatic improvement: 3 days
- complicated urinary tract infection
- duration: 2 weeks
- anticipated symptomatic improvement: 6 days
- pharyngitis, otitis & sinusitis
- duration: 10 days
- anticipated symptomatic improvement: 4 days
- bacterial osteomyelitis
- duration: 4-6 weeks
- anticipated symptomatic improvement: 12 days
- abdominal abscess
- duration: 2-4 weeks
- anticipated symptomatic improvement: 5 days
Additional terms
References
- ↑ 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
- ↑ 2.0 2.1 Llewelyn MJ, Fitzpatrick JM, Darwin E et al The antibiotic course has had its day BMJ 2017;358:j3418 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28747365 <Internet> http://www.bmj.com/content/358/bmj.j3418