'Ten commandments' for the appropriate use of antibiotics by the practicing physician in an outpatient setting

Gabriel Levy-Hara; Carlos F. Amábile-Cuevas; Ian Gould; Jim Hutchinson; Lilian Abbo; Lynora Saxynger; Erika Vlieghe; Fernando L. Lopes Cardoso; Shaheen Methar; Souha Kanj; Norio Ohmagari; Stephan Harbarth; Alex Aiken; Amani Alnimr; Luis Bavestrello; Jean Carlet; Anahi Dreser; Sabiha Essack; Po Ren Hsueh; Nadia Ismail; Deogratias Kaddu-Mulindwa; Hans Jørn Kolmos; Takahiro Mochizuki; Linus Ndewga; Carla Odio; Miguel Angel Peredo; Silvio Vega; Rajlakshmi Viswanathan; Heiman Wertheim

doi:10.3389/fmicb.2011.00230

'Ten commandments' for the appropriate use of antibiotics by the practicing physician in an outpatient setting

Gabriel Levy-Hara, Carlos F. Amábile-Cuevas, Ian Gould, Jim Hutchinson, Lilian Abbo, Lynora Saxynger, Erika Vlieghe, Fernando L. Lopes Cardoso, Shaheen Methar, Souha Kanj, Norio Ohmagari, Stephan Harbarth, Alex Aiken, Amani Alnimr, Luis Bavestrello, Jean Carlet, Anahi Dreser, Sabiha Essack, Po Ren Hsueh, Nadia IsmailDeogratias Kaddu-Mulindwa, Hans Jørn Kolmos, Takahiro Mochizuki, Linus Ndewga, Carla Odio, Miguel Angel Peredo, Silvio Vega, Rajlakshmi Viswanathan, Heiman Wertheim

Medicine

Research output: Contribution to journal › Article › peer-review

23 Scopus citations

Abstract

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.

Original language	English (US)
Journal	Frontiers in Microbiology
Volume	2
Issue number	NOV
DOIs	https://doi.org/10.3389/fmicb.2011.00230
State	Published - 2011

Keywords

Antibiotic resistance
Antibiotic stewardship
Generic antibiotics
Guidelines
Self-prescription
Treatment compliance

ASJC Scopus subject areas

Microbiology
Microbiology (medical)

Access to Document

10.3389/fmicb.2011.00230

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Levy-Hara, G., Amábile-Cuevas, C. F., Gould, I., Hutchinson, J., Abbo, L., Saxynger, L., Vlieghe, E., Lopes Cardoso, F. L., Methar, S., Kanj, S., Ohmagari, N., Harbarth, S., Aiken, A., Alnimr, A., Bavestrello, L., Carlet, J., Dreser, A., Essack, S., Hsueh, P. R., ... Wertheim, H. (2011). 'Ten commandments' for the appropriate use of antibiotics by the practicing physician in an outpatient setting. Frontiers in Microbiology, 2(NOV). https://doi.org/10.3389/fmicb.2011.00230

'Ten commandments' for the appropriate use of antibiotics by the practicing physician in an outpatient setting. / Levy-Hara, Gabriel; Amábile-Cuevas, Carlos F.; Gould, Ian; Hutchinson, Jim; Abbo, Lilian; Saxynger, Lynora; Vlieghe, Erika; Lopes Cardoso, Fernando L.; Methar, Shaheen; Kanj, Souha; Ohmagari, Norio; Harbarth, Stephan; Aiken, Alex; Alnimr, Amani; Bavestrello, Luis; Carlet, Jean; Dreser, Anahi; Essack, Sabiha; Hsueh, Po Ren; Ismail, Nadia; Kaddu-Mulindwa, Deogratias; Kolmos, Hans Jørn; Mochizuki, Takahiro; Ndewga, Linus; Odio, Carla; Peredo, Miguel Angel; Vega, Silvio; Viswanathan, Rajlakshmi; Wertheim, Heiman.

In: Frontiers in Microbiology, Vol. 2, No. NOV, 2011.

Research output: Contribution to journal › Article › peer-review

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 2011, ''Ten commandments' for the appropriate use of antibiotics by the practicing physician in an outpatient setting', Frontiers in Microbiology, vol. 2, no. NOV. https://doi.org/10.3389/fmicb.2011.00230

Levy-Hara, Gabriel ; Amábile-Cuevas, Carlos F. ; Gould, Ian ; Hutchinson, Jim ; Abbo, Lilian ; Saxynger, Lynora ; Vlieghe, Erika ; Lopes Cardoso, Fernando L. ; Methar, Shaheen ; Kanj, Souha ; Ohmagari, Norio ; Harbarth, Stephan ; Aiken, Alex ; Alnimr, Amani ; Bavestrello, Luis ; Carlet, Jean ; Dreser, Anahi ; Essack, Sabiha ; Hsueh, Po Ren ; Ismail, Nadia ; Kaddu-Mulindwa, Deogratias ; Kolmos, Hans Jørn ; Mochizuki, Takahiro ; Ndewga, Linus ; Odio, Carla ; Peredo, Miguel Angel ; Vega, Silvio ; Viswanathan, Rajlakshmi ; Wertheim, Heiman. / 'Ten commandments' for the appropriate use of antibiotics by the practicing physician in an outpatient setting. In: Frontiers in Microbiology. 2011 ; Vol. 2, No. NOV.

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